Related Experiment Video
Updated: Jul 12, 2025

Intracellular Phosphoflow Cytometry of Acute Myeloid Leukemia Patient-Derived Xenotransplants
Published on: June 6, 2025
circ_SIRT1 upregulates ATG12 to facilitate Imatinib resistance in CML through interacting with EIF4A3
Rong Zhang1, Jinjin Hao1, Hui Yu1
1Department of Pediatrics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Abstract:
Imatinib is the current gold standard for patients with chronic myeloid leukemia (CML). However, the primary and acquired drug resistance seriously limits the efficacy. To identify novel therapeutic target in Imatinib-resistant CML is of crucial clinical significance. CircRNAs have been demonstrated the essential regulatory roles in the progression and drug resistance of cancers. In this study, we identified a novel circRNA (circ_SIRT1), derived from the SIRT1, which is up-regulated in CML. The high expression of circ_SIRT1 is correlated with drug resistance in CML. Knockdown of circ_SIRT1 regulated K562/R cells viability, invasion and apoptosis. Besides, the inhibition of circ_SIRT1 attenuated autophagy level and reduced IC50 to Imatinib of K562/R cells. Mechanistically, circ_SIRT1 directly binds to the transcription factor Eukaryotic Translation Initiation Factor 4A3(EIF4A3) and regulated EIF4A3-mediated transcription of Autophagy Related 12 (ATG12), thereby affecting Imatinib resistance and autophagy level. Overexpression of ATG12 reversed the regulative effects induced by knockdown of circ_SIRT1. Taken together, our findings revealed circ_SIRT1 acted as a potential tumor regulator in CML and unveiled the underlying mechanism on regulating Imatinib resistance. circ_SIRT1 may serve as a novel therapeutic target and provide crucial clinical implications for Imatinib-resistant CML treatment.
Insights
A novel circular RNA, circ_SIRT1, is upregulated in imatinib-resistant chronic myeloid leukemia (CML). Inhibiting circ_SIRT1 may overcome drug resistance by targeting autophagy and EIF4A3, offering new therapeutic strategies for CML patients.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Imatinib is a standard treatment for chronic myeloid leukemia (CML).
- Drug resistance to imatinib limits treatment efficacy in CML.
- Circular RNAs (circRNAs) play roles in cancer progression and drug resistance.
Purpose of the Study:
- To identify novel therapeutic targets for imatinib-resistant CML.
- To investigate the role of circ_SIRT1 in CML drug resistance.
Main Methods:
- Identified circ_SIRT1 expression in CML.
- Knocked down circ_SIRT1 in K562/R cells.
- Assessed cell viability, invasion, apoptosis, and autophagy.
- Investigated the interaction between circ_SIRT1, EIF4A3, and ATG12.
Main Results:
- circ_SIRT1 is upregulated in CML and correlated with drug resistance.
- circ_SIRT1 knockdown reduced cell viability, invasion, and enhanced apoptosis in K562/R cells.
- circ_SIRT1 inhibition attenuated autophagy and decreased imatinib resistance.
- circ_SIRT1 directly binds EIF4A3, regulating ATG12 transcription and affecting autophagy and imatinib resistance.
Conclusions:
- circ_SIRT1 acts as a tumor regulator in CML.
- circ_SIRT1 influences imatinib resistance through the EIF4A3-ATG12 pathway.
- circ_SIRT1 represents a potential therapeutic target for imatinib-resistant CML.
Related Concept Videos
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
Inhibition of Cdk Activity
PI3K/mTOR/AKT Signaling Pathway
Mitogens and the Cell Cycle
Electron Transport Chain: Complex I and II
ROS generation is regulated and maintained at moderate levels necessary...
Targeted Cancer Therapies
There are several types of targeted therapies against...

