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Updated: Apr 29, 2026

Intracellular Phosphoflow Cytometry of Acute Myeloid Leukemia Patient-Derived Xenotransplants
Published on: June 6, 2025
The protein phosphatase 2A regulatory subunit B55α is a modulator of signaling and microRNA expression in acute
Peter P Ruvolo1, Vivian R Ruvolo1, Rodrigo Jacamo1
1Division of Molecular Hematology, Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Abstract:
We recently discovered that the protein phosphatase 2A (PP2A) B55α subunit (PPP2R2A) is under-expressed in primary blast cells and is unfavorable for remission duration in AML patients. In this study, reverse phase protein analysis (RPPA) of 230 proteins in 511 AML patient samples revealed a strong correlation of B55α with a number of proteins including MYC, PKC α, and SRC. B55α suppression in OCI-AML3 cells by shRNA demonstrated that the B subunit is a PKCα phosphatase. B55α does not target SRC, but rather the kinase suppresses protein expression of the B subunit. Finally, the correlation between B55α and MYC levels reflected a complex stoichiometric competition between B subunits. Loss of B55α in OCI-AML3 cells did not change global PP2A activity and the only isoform that is induced is the one containing B56α. In cells containing B55α shRNA, MYC was suppressed with concomitant induction of the competing B subunit B56α (PPP2R5A). A recent study determined that FTY-720, a drug whose action involves the activation of PP2A, resulted in the induction of B55α In AML cells, and a reduction of the B subunit rendered these cells resistant to FTY-720. Finally, reduction of the B subunit resulted in an increase in the expression of miR-191-5p and a suppression of miR-142-3p. B55α regulation of these miRs was intriguing as high levels of miR-191 portend poor survival in AML, and miR-142-3p is mutated in 2% of AML patient samples. In summary, the suppression of B55α activates signaling pathways that could support leukemia cell survival.
Insights
Protein phosphatase 2A (PP2A) B55α subunit (PPP2R2A) under-expression in acute myeloid leukemia (AML) correlates with poor outcomes. Loss of B55α activates pathways supporting leukemia cell survival.
Area of Science:
- Molecular Biology
- Cell Biology
- Cancer Biology
Background:
- The protein phosphatase 2A (PP2A) B55α subunit (PPP2R2A) is significantly under-expressed in acute myeloid leukemia (AML) blast cells.
- This down-regulation of B55α is associated with a shorter remission duration in AML patients.
Purpose of the Study:
- To investigate the functional role of the PP2A B55α subunit in AML.
- To identify proteins and pathways regulated by B55α in AML.
Main Methods:
- Reverse phase protein analysis (RPPA) of 230 proteins in 511 AML patient samples.
- ShRNA-mediated suppression of B55α in OCI-AML3 AML cells.
- Analysis of PP2A isoform activity, MYC stoichiometry, and microRNA expression.
Main Results:
- B55α expression strongly correlates with MYC, PKCα, and SRC levels.
- B55α functions as a PKCα phosphatase, while SRC suppresses B55α expression.
- Loss of B55α leads to MYC suppression and induction of the B56α isoform, altering microRNA profiles (miR-191-5p up, miR-142-3p down).
Conclusions:
- Suppression of B55α in AML activates signaling pathways that promote leukemia cell survival.
- B55α levels are critical for regulating cellular pathways and microRNA expression in AML.
- Targeting B55α or its downstream effectors may offer therapeutic strategies for AML.
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