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Published on: May 15, 2019
Increased peroxisome proliferator-activated receptor γ activity reduces imatinib uptake and efficacy in chronic
Jueqiong Wang1,2, Liu Lu1,2, Chung H Kok1,2
1Cancer Theme, South Australian Health and Medical Research Institute (SAHMRI), Adelaide, Australia.
Abstract:
Imatinib is actively transported by organic cation transporter-1 (OCT-1) influx transporter, and low OCT-1 activity in diagnostic chronic myeloid leukemia blood mononuclear cells is significantly associated with poor molecular response to imatinib. Herein we report that, in diagnostic chronic myeloid leukemia mononuclear cells and BCR-ABL1+ cell lines, peroxisome proliferator-activated receptor γ agonists (GW1929, rosiglitazone, pioglitazone) significantly decrease OCT-1 activity; conversely, peroxisome proliferator-activated receptor γ antagonists (GW9662, T0070907) increase OCT-1 activity. Importantly, these effects can lead to corresponding changes in sensitivity to BCR-ABL kinase inhibition. Results were confirmed in peroxisome proliferator-activated receptor γ-transduced K562 cells. Furthermore, we identified a strong negative correlation between OCT-1 activity and peroxisome proliferator-activated receptor γ transcriptional activity in diagnostic chronic myeloid leukemia patients (n=84; P<0.0001), suggesting that peroxisome proliferator-activated receptor γ activation has a negative impact on the intracellular uptake of imatinib and consequent BCR-ABL kinase inhibition. The inter-patient variability of peroxisome proliferator-activated receptor γ activation likely accounts for the heterogeneity observed in patient OCT-1 activity at diagnosis. Recently, the peroxisome proliferator-activated receptor γ agonist pioglitazone was reported to act synergistically with imatinib, targeting the residual chronic myeloid leukemia stem cell pool. Our findings suggest that peroxisome proliferator-activated receptor γ ligands have differential effects on circulating mononuclear cells compared to stem cells. Since the effect of peroxisome proliferator-activated receptor γ activation on imatinib uptake in mononuclear cells may counteract the clinical benefit of this activation in stem cells, caution should be applied when combining these therapies, especially in patients with high peroxisome proliferator-activated receptor γ transcriptional activity.
Insights
Peroxisome proliferator-activated receptor γ (PPARγ) activation reduces imatinib uptake in chronic myeloid leukemia (CML) cells by decreasing organic cation transporter-1 (OCT-1) activity. This suggests caution when combining PPARγ agonists with imatinib therapy.
Area of Science:
- Pharmacology
- Oncology
- Molecular Biology
Background:
- Imatinib efficacy in chronic myeloid leukemia (CML) is linked to organic cation transporter-1 (OCT-1) activity.
- Low OCT-1 activity correlates with poor molecular response to imatinib in CML patients.
- Peroxisome proliferator-activated receptor γ (PPARγ) is a nuclear receptor with known roles in metabolic and inflammatory processes.
Purpose of the Study:
- To investigate the effect of PPARγ agonists and antagonists on OCT-1 activity in CML cells.
- To determine the impact of PPARγ modulation on imatinib sensitivity and BCR-ABL kinase inhibition.
- To explore the relationship between PPARγ transcriptional activity and OCT-1 activity in diagnostic CML patients.
Main Methods:
- Assessed OCT-1 activity in diagnostic CML mononuclear cells and BCR-ABL1+ cell lines.
- Utilized PPARγ agonists (e.g., GW1929, rosiglitazone, pioglitazone) and antagonists (e.g., GW9662, T0070907).
- Confirmed results in PPARγ-transduced K562 cells and analyzed patient data (n=84) for correlations.
Main Results:
- PPARγ agonists significantly decreased OCT-1 activity, while antagonists increased it in CML cells.
- Modulation of OCT-1 activity by PPARγ ligands corresponded with changes in imatinib sensitivity.
- A strong negative correlation was found between OCT-1 activity and PPARγ transcriptional activity in CML patients (P<0.0001).
Conclusions:
- PPARγ activation negatively impacts imatinib intracellular uptake and BCR-ABL kinase inhibition in circulating CML mononuclear cells.
- Inter-patient variability in PPARγ activation may explain heterogeneous OCT-1 activity at diagnosis.
- Caution is advised when combining PPARγ agonists with imatinib, as effects on mononuclear cells may differ from stem cells and potentially counteract clinical benefits.
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