Lysosomotropic agents selectively target chronic lymphocytic leukemia cells due to altered sphingolipid metabolism

R F Dielschneider1,2, H Eisenstat2, S Mi3

  • 1Department of Immunology, University of Manitoba, Winnipeg, Manitoba, Canada.

Leukemia
|February 10, 2016
PubMed

Insights

Chronic lymphocytic leukemia (CLL) cells show increased sensitivity to siramesine, a drug targeting lysosome membrane permeabilization (LMP). This sensitivity is linked to elevated sphingosine levels, suggesting lysosomes as a novel therapeutic target for CLL.

Area of Science:

  • Cell Biology
  • Cancer Research
  • Biochemistry

Background:

  • Lysosome membrane permeabilization (LMP) is a known cell death pathway in cancer.
  • Chronic lymphocytic leukemia (CLL) presents challenges due to drug resistance and toxicity.
  • Understanding lysosome function in CLL is crucial for developing new treatments.

Purpose of the Study:

  • To investigate the role of lysosomes and LMP in chronic lymphocytic leukemia (CLL).
  • To evaluate the efficacy of the lysosomotropic agent siramesine in CLL cells.
  • To explore the potential of targeting lysosomal pathways as a therapeutic strategy for CLL.

Main Methods:

  • Treatment of CLL cells and normal B cells with siramesine.
  • Assessment of LMP, lipid peroxidation, mitochondrial membrane potential, and reactive oxygen species.
  • Analysis of sphingolipid metabolism, including sphingosine-1-phosphate phosphatase 1 (SPP1) expression and sphingosine levels.
  • Evaluation of the effects of lipid antioxidants and protease inhibitors.

Main Results:

  • CLL cells were sensitive to siramesine, which induced LMP, lipid peroxidation, and mitochondrial dysfunction.
  • Siramesine was more effective in CLL cells than normal B cells, with cell death inhibited by lipid antioxidants.
  • CLL cells exhibited increased lysosomes, SPP1 expression, and sphingosine levels compared to normal B cells.
  • Elevated sphingosine levels enhanced LMP and cell death specifically in CLL cells.

Conclusions:

  • Excess sphingosine in CLL cells contributes to their sensitivity to LMP.
  • Targeting lysosomal pathways, particularly those involving sphingolipids, represents a promising therapeutic strategy for CLL.
  • Siramesine demonstrates potential as a treatment for CLL by exploiting lysosomal vulnerabilities.