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Updated: Aug 18, 2025

Pre-clinical Evaluation of Tyrosine Kinase Inhibitors for Treatment of Acute Leukemia
Published on: September 18, 2013
GSK3 inhibitor suppresses cell growth and metabolic process in FLT3-ITD leukemia cells
Jing Xia1, Shuxian Feng2, Jian Zhou1
1Department of Pediatric Laboratory, The Affiliated Wuxi Children's Hospital of Nanjing Medical University, Wuxi, 214000, Jiangsu, China.
Abstract:
Glycogen Synthase Kinase-3 (GSK-3) was recently implicated in the dysregulated biology of acute myeloid leukemia (AML). Low concentrations of GSK-3 inhibitors, SB216763 and BIO, suppressed the proliferation of AML cells with FLT3-ITD as early as 24 h after treatment. BIO was used in subsequent assays since it exhibited higher inhibitory effects than SB216763. BIO-induced G1 cell cycle arrest by regulating the expression of cyclin D2 and p21 in MV4-11 cells, and promoted apoptosis by regulating the cleaved-caspase3 signaling pathways. In vivo assays demonstrated that BIO suppressed tumor growth, while metabolomics assay showed that BIO reduced the levels of ATP and pyruvate in MV4-11 cells suggesting that it inhibited glycolysis. BIO markedly suppressed cell growth and induced apoptosis of AML cells with FLT3-ITD by partially inhibiting glycolysis, suggesting that BIO may be a promising therapeutic candidate for AML.
Insights
Glycogen Synthase Kinase-3 (GSK-3) inhibitors, like BIO, show promise in treating acute myeloid leukemia (AML). BIO suppressed AML cell growth and tumor development by impacting cell cycle and glycolysis.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Glycogen Synthase Kinase-3 (GSK-3) plays a role in acute myeloid leukemia (AML) pathogenesis.
- FLT3-ITD mutations are common in AML and associated with poor prognosis.
Purpose of the Study:
- To investigate the therapeutic potential of GSK-3 inhibitors, specifically BIO, in FLT3-ITD mutated AML.
- To elucidate the mechanisms by which BIO affects AML cell proliferation, apoptosis, and metabolism.
Main Methods:
- In vitro treatment of MV4-11 AML cells with GSK-3 inhibitors (SB216763 and BIO).
- Cell cycle analysis, apoptosis assays, and Western blotting to assess molecular changes.
- In vivo studies using mouse models to evaluate tumor growth suppression.
- Metabolomics analysis to investigate metabolic pathway alterations.
Main Results:
- Low concentrations of GSK-3 inhibitors suppressed AML cell proliferation.
- BIO demonstrated higher efficacy than SB216763, inducing G1 cell cycle arrest and apoptosis.
- BIO reduced ATP and pyruvate levels, indicating partial inhibition of glycolysis.
- In vivo, BIO suppressed tumor growth in AML models.
Conclusions:
- BIO effectively suppresses proliferation and induces apoptosis in FLT3-ITD AML cells.
- Partial inhibition of glycolysis is a key mechanism of BIO's anti-leukemic activity.
- BIO represents a promising therapeutic candidate for AML treatment.
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