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.

Haematologica
|February 4, 2017
PubMed

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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