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Published on: February 3, 2017
GCA links TRAF6-ULK1-dependent autophagy activation in resistant chronic myeloid leukemia
Seung Hun Han1, Sovannarith Korm2, Ye Gi Han1
1Department of Biological Sciences, Sungkyunkwan University, Suwon, Republic of Korea.
Abstract:
Imatinib is the first molecularly targeted compound for chronic myeloid leukemia (CML) capable to inhibit BCR-ABL kinase activity. However, recent clinical evidence indicates that a substantial proportion of CML patients exhibit BCR-ABL-dependent or independent resistance to imatinib. Despite the importance of imatinib resistance in CML, the underlying molecular mechanisms of this resistance are largely unknown. Here, we identified GCA (grancalcin) as a critical regulator of imatinib resistance in chronic phase CML via activation of autophagy. Mechanistically, we demonstrated that GCA activates TRAF6 ubiquitin ligase activity to induce Lys63 ubiquitination of ULK1, a crucial regulator of autophagy, resulting in its stabilization and activation. We also highlighted the role of GCA-TRAF6-ULK1 autophagy regulatory axis in imatinib resistance. Our findings represent the basis for novel therapeutic strategies against CML.Abbreviation: ACTB/β-actin: actin beta; ADM: adrenomedullin; AMBRA1: autophagy and beclin 1 regulator 1; AMPK: AMP-activated protein kinase; ANXA5: annexin A5; CP: cytogenetic response; CML: chronic myeloid leukemia; CUL3: cullin 3; GAPDH: glyceraldehyde-3-phosphate dehydrogenase; GCA: grancalcin; Dx: at diagnosis; E-64-d: (2S,3S)-trans-Epoxysuccinyl-L-leucylamido-3-methylbutane ethyl ester; IMres: Imatinib resistance; KLHL20: Kelch-like protein 20; LRMP: lymphoid-restricted membrane protein; MAP1LC3/LC3: microtubule associated protein 1 light chain 3; MMR: major molecular response; NH4Cl: ammonium chloride; PBMCs: peripheral blood mononuclear cells; PTPRC: protein tyrosine phosphatase, receptor type, C; SQSTM1/p62: sequestosome 1; SYK: spleen associated tyrosine kinase; TAP1: transporter 1, ATP binding cassette subfamily B member; TKIs: ABL-specific tyrosine kinase inhibitors; TLR9: toll- like receptor 9; TRAF6: TNF receptor associated factor 6; ULK1: unc-51 like autophagy activating kinase 1.
Insights
Grancalcin (GCA) activates autophagy, leading to imatinib resistance in chronic myeloid leukemia (CML). This discovery reveals a new therapeutic target for overcoming resistance to CML treatments.
Area of Science:
- Oncology
- Molecular Biology
- Cellular Biology
Background:
- Imatinib is a targeted therapy for chronic myeloid leukemia (CML), but resistance remains a significant clinical challenge.
- The molecular mechanisms underlying imatinib resistance in CML are not fully understood.
- Identifying novel regulators of resistance is crucial for developing effective CML treatments.
Purpose of the Study:
- To identify novel molecular regulators of imatinib resistance in chronic myeloid leukemia (CML).
- To elucidate the role of grancalcin (GCA) in mediating resistance to imatinib therapy.
- To investigate the involvement of autophagy in GCA-induced imatinib resistance.
Main Methods:
- Investigated the role of grancalcin (GCA) in imatinib-resistant CML cells.
- Utilized techniques to analyze autophagy activation and its regulation.
- Examined the interaction between GCA, TRAF6, and ULK1 in the context of autophagy.
Main Results:
- Grancalcin (GCA) was identified as a key regulator of imatinib resistance in CML.
- GCA activates autophagy by promoting the ubiquitylation and stabilization of ULK1 via TRAF6.
- The GCA-TRAF6-ULK1 axis plays a critical role in mediating resistance to imatinib.
- This pathway highlights a novel mechanism contributing to CML treatment failure.
Conclusions:
- Grancalcin (GCA) is a critical mediator of imatinib resistance in CML through the activation of autophagy.
- The GCA-TRAF6-ULK1 signaling pathway represents a potential therapeutic target for overcoming imatinib resistance.
- These findings provide a basis for developing novel treatment strategies for CML patients who are resistant to imatinib.
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