Ito Takuo, Tanaka Hideo, Kimura Akiro
Department of Hematology and Oncology, Division of Clinical and Experimental Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan.
Eur J Haematol. 2007 May;78(5):417-31. doi: 10.1111/j.1600-0609.2007.00835.x.
In chronic myeloid leukemia (CML), resistance to imatinib is diverse. In addition to BCR-ABL-dependent mechanisms, BCR-ABL-independent mechanisms have been proposed. Here we established and characterized novel CML cell lines, an imatinib-sensitive cell line, MYL, and an imatinib-resistant subline, MYL-R. Treatment with imatinib inhibited phosphorylation of BCR-ABL and CrkL in both MYL and MYL-R, even though imatinib-induced apoptosis was preferentially observed in MYL than MYL-R, indicating that the resistance is based on a BCR-ABL-independent mechanism. MYL-R showed elevated expressions of Lyn mRNA, Lyn protein, phosphorylated Lyn, and phosphorylated STAT5. Silencing of Lyn by short-interfering RNA (siRNA) in MYL-R, but not in MYL, induced significant growth-inhibition, increased caspase-3 activity, and induced partial recovery from imatinib-resistance. Expression of Bcl-2, previously reported to be associated with Lyn-mediated resistance, was not elevated in MYL-R. Expression of Bim, which plays an important role in imatinib-induced cell-killing, was not suppressed in MYL-R. These results imply that diverse mechanisms of resistance exist among cell types. Treatment of MYL-R cells with various reagents known to have anti-leukemic activity revealed that zoledronic acid and the farnesyl transferase inhibitor (SCH 66336) showed strong synergism with imatinib; interferon alpha, PP2, CGP76030, and FK228 (depsipeptide) showed synergism; whereas soluble TRAIL and As2O3 showed additivity or antagonism, and 17-AAG and radicicol showed antagonism. Treatment with either PP2 or zoledronic acid induced greater growth-reduction in MYL-R than MYL. Taken together, Lyn may play an important role in imatinib-resistance in MYL-R. Some novel reagents, including siRNA targeting Lyn, may have good potential to overcome this resistance.
在慢性髓性白血病(CML)中,对伊马替尼的耐药性是多样的。除了BCR-ABL依赖性机制外,还提出了BCR-ABL非依赖性机制。在此,我们建立并鉴定了新型CML细胞系,一个对伊马替尼敏感的细胞系MYL和一个伊马替尼耐药亚系MYL-R。用伊马替尼处理可抑制MYL和MYL-R中BCR-ABL和CrkL的磷酸化,尽管在MYL中比在MYL-R中更优先观察到伊马替尼诱导的凋亡,这表明耐药性基于BCR-ABL非依赖性机制。MYL-R显示Lyn mRNA、Lyn蛋白、磷酸化Lyn和磷酸化STAT5的表达升高。在MYL-R中用短干扰RNA(siRNA)沉默Lyn,但不在MYL中,可诱导显著的生长抑制、增加caspase-3活性,并诱导从伊马替尼耐药中部分恢复。先前报道与Lyn介导的耐药性相关的Bcl-2在MYL-R中未升高。在伊马替尼诱导的细胞杀伤中起重要作用的Bim在MYL-R中未被抑制。这些结果表明不同细胞类型之间存在多种耐药机制。用已知具有抗白血病活性的各种试剂处理MYL-R细胞表明,唑来膦酸和法尼基转移酶抑制剂(SCH 66336)与伊马替尼显示出强烈的协同作用;干扰素α、PP2、CGP76030和FK228(缩肽)显示出协同作用;而可溶性TRAIL和As2O3显示出相加或拮抗作用,17-AAG和radicicol显示出拮抗作用。用PP2或唑来膦酸处理在MYL-R中比在MYL中诱导更大的生长减少。综上所述,Lyn可能在MYL-R对伊马替尼的耐药中起重要作用。一些新型试剂,包括靶向Lyn的siRNA,可能具有克服这种耐药性的良好潜力。