DOCK2 interacts with FLT3 and modulates the survival of FLT3-expressing leukemia cells

M Wu1, M Hamaker1, L Li2

  • 1Department of Pathology, The Johns Hopkins Hospital, Baltimore, MD, USA.

Leukemia
|October 18, 2016
PubMed

Insights

Dedicator of cytokinesis 2 (DOCK2) interacts with FMS-like tyrosine kinase-3 (FLT3) in acute myeloid leukemia (AML). Inhibiting DOCK2 reduces leukemia cell growth and enhances sensitivity to AML treatments.

Area of Science:

  • Hematology
  • Molecular Biology
  • Cancer Research

Background:

  • FMS-like tyrosine kinase-3 (FLT3) mutations, particularly internal tandem duplications (ITDs), are common in acute myeloid leukemia (AML) and associated with poor prognosis.
  • Targeting FLT3 effectively for long-term inhibition in AML remains a challenge.
  • Understanding FLT3 interactions is crucial for developing novel therapeutic strategies.

Purpose of the Study:

  • To identify proteins interacting with FLT3 using a mass spectrometry-based screen.
  • To investigate the role of the identified protein, dedicator of cytokinesis 2 (DOCK2), in FLT3-mutated AML.
  • To evaluate DOCK2 as a potential therapeutic target in AML.

Main Methods:

  • Mass spectrometry-based screening to identify FLT3-interacting proteins.
  • Expression analysis of DOCK2 in leukemia cell lines and primary AML samples.
  • Co-immunoprecipitation assays to confirm FLT3-DOCK2 interaction.
  • Short hairpin RNA (shRNA)-mediated knockdown (KD) of DOCK2.
  • Cell proliferation and colony formation assays.
  • In vivo studies using a mouse xenograft model.

Main Results:

  • Dedicator of cytokinesis 2 (DOCK2), a guanine nucleotide exchange factor for Rho GTPases, was identified as an FLT3-interacting protein.
  • DOCK2 is expressed in leukemia cells and co-immunoprecipitates with both wild-type FLT3 and FLT3/ITD.
  • DOCK2 knockdown selectively inhibited proliferation and colony formation in leukemia cells with elevated FLT3 activity.
  • DOCK2 knockdown sensitized these cells to cytarabine and FLT3 tyrosine kinase inhibitors.
  • DOCK2 knockdown significantly prolonged survival in a mouse xenograft model of FLT3/ITD-positive leukemia.

Conclusions:

  • DOCK2 plays a significant role in the survival of leukemia cells with elevated FLT3 activity.
  • DOCK2 is a potential therapeutic target for novel AML treatments.
  • Targeting DOCK2 can sensitize FLT3/ITD-positive leukemic cells to conventional chemotherapy and FLT3 inhibitors.