Correction of Bcl-x splicing improves responses to imatinib in chronic myeloid leukaemia cells and mouse models

Jing Zhang1,2, Yan Wang3,4,5, Shu-Qi Li1,2

  • 1Department of Clinical Laboratory, The Second Affiliated Hospital of Nanchang University, Nanchang, China.

Insights

Restoring abnormal Bcl-x splicing with vivo-Morpholino Antisense Oligomer (vMO) enhances imatinib sensitivity in chronic myeloid leukaemia (CML) cells. This approach improves imatinib

Area of Science:

  • Hematology
  • Molecular Biology
  • Oncology

Background:

  • Imatinib mesylate (IM) resistance is a significant clinical challenge in chronic myeloid leukaemia (CML).
  • Deregulation of Bcl-x splicing is implicated in various cancers and chemotherapy resistance, including CML.
  • Targeting aberrant splicing offers a potential strategy to overcome drug resistance.

Purpose of the Study:

  • To correct abnormal Bcl-x splicing in CML cells.
  • To investigate the impact of corrected Bcl-x splicing on CML cell phenotype and IM response.
  • To evaluate the efficacy of combining vMO with IM in preclinical CML models.

Main Methods:

  • Utilized vivo-Morpholino Antisense Oligomer (vMO) to restore aberrant Bcl-x splicing in CML cells.
  • Assessed cell viability and apoptosis using CCK-8 assays and flow cytometry.
  • Evaluated therapeutic effects in imatinib-resistant CML cell lines (K562/G01) and a CML xenograft model.

Main Results:

  • vMO effectively restored abnormal Bcl-x splicing in CML cells.
  • Corrected Bcl-x splicing enhanced IM-induced growth inhibition and apoptosis in K562 cells.
  • Significant improvements in IM sensitivity were observed in imatinib-resistant cell lines and in vivo xenograft models.

Conclusions:

  • vMO co-administration with IM increases CML cell sensitivity to IM both in vitro and in vivo.
  • Targeting Bcl-x splicing represents a promising strategy for overcoming IM resistance in CML.
  • Bcl-x splicing modulation could serve as a valuable approach for chemotherapy sensitization in resistant CML.