Amin H M, Hoshino K, Yang H, Lin Q, Lai R, Garcia-Manero G
Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, Texas 77030, USA.
J Pathol. 2007 Aug;212(4):402-10. doi: 10.1002/path.2178.
Chronic myeloid leukaemia (CML) is characterized by t(9;22)(q34;q11) and the aberrant expression of the fusion protein Bcr-Abl that leads to constitutive activation of c-Abl kinase. Bcr-Abl plays a major role in the development and progression of CML through chronic, accelerated, and blast phases. The interaction between Bcr-Abl and other oncogenic molecules has been extensively documented. Nonetheless, negative regulatory mechanisms of Bcr-Abl are not completely defined. One major inhibitory pathway is mediated via the SH2 domain-containing protein tyrosine phosphatase Shp1. In the present study, we demonstrate that Shp1 levels are markedly decreased in advanced stage CML patients compared with those in chronic phase. This process was independent of DNA methylation. Furthermore, we did not detect mutations in the Shp1 gene in CML cell lines or patient samples. These data suggest that the decrease in Shp1 in advanced stage CML patients is due to post-transcriptional modifications. Our findings suggest that the decrease in Shp1 expression levels plays a role in the progression of CML. Also, the decrease in Shp1 and subsequently its inhibitory effect on Bcr-Abl could provide an explanation for imatinib resistance seen in advanced stage CML patients.
慢性髓性白血病(CML)的特征是存在t(9;22)(q34;q11)以及融合蛋白Bcr-Abl的异常表达,后者导致c-Abl激酶的组成性激活。Bcr-Abl在CML从慢性期、加速期到急变期的发展和进程中起主要作用。Bcr-Abl与其他致癌分子之间的相互作用已有广泛记载。然而,Bcr-Abl的负调控机制尚未完全明确。一条主要的抑制途径是通过含SH2结构域的蛋白酪氨酸磷酸酶Shp1介导的。在本研究中,我们证明与慢性期CML患者相比,晚期CML患者的Shp1水平显著降低。这一过程与DNA甲基化无关。此外,我们在CML细胞系或患者样本中未检测到Shp1基因的突变。这些数据表明晚期CML患者中Shp1的降低是由于转录后修饰所致。我们的研究结果表明,Shp1表达水平的降低在CML的进展中起作用。此外,Shp1的降低及其随后对Bcr-Abl的抑制作用减弱,可能为晚期CML患者中观察到的伊马替尼耐药提供一种解释。