Department of Molecular Pathology, M.D. Anderson Cancer Center, Houston, TX 77054, USA.
Leukemia. 2011 Mar;25(3):463-72. doi: 10.1038/leu.2010.287. Epub 2010 Dec 24.
Despite the success of imatinib mesylate (IM) in the early chronic phase of chronic myeloid leukemia (CML), patients are resistant to IM and other kinase inhibitors in the later stages of CML. Our findings indicate that inhibition of Janus kinase 2 (Jak2) in Bcr-Abl+ cells overcomes IM resistance although the precise mechanism of Jak2 action is unknown. Knocking down Jak2 in Bcr-Abl+ cells reduced levels of the Bcr-Abl protein and also the phosphorylation of Tyr177 of Bcr-Abl, and Jak2 overexpression rescued these knockdown effects. Treatment of Bcr-Abl+ cells with Jak2 inhibitors for 4-6 h but not with IM also reduced Bcr-Abl protein and pTyr177 levels. In vitro kinase experiments performed with recombinant Jak2 showed that Jak2 readily phosphorylated Tyr177 of Bcr-Abl (a Jak2 consensus site, YvnV) whereas c-Abl did not. Importantly, Jak2 inhibition decreased pTyr177 Bcr-Abl in immune complexes but did not reduce levels of Bcr-Abl, suggesting that the reduction of Bcr-Abl by Jak2 inhibition is a separate event from phosphorylation of Tyr177. Jak2 inhibition by chemical inhibitors (TG101209/WP1193) and Jak2 knockdown diminished the activation of Ras, PI-3 kinase pathways and reduced levels of pTyrSTAT5. These findings suggest that Bcr-Abl stability and oncogenic signaling in CML cells are under the control of Jak2.
尽管甲磺酸伊马替尼(IM)在慢性髓性白血病(CML)的早期慢性期取得了成功,但患者在 CML 的后期阶段对 IM 和其他激酶抑制剂仍具有耐药性。我们的研究结果表明,抑制 Bcr-Abl+细胞中的 Janus 激酶 2(Jak2)可以克服 IM 耐药性,尽管 Jak2 作用的确切机制尚不清楚。在 Bcr-Abl+细胞中敲低 Jak2 会降低 Bcr-Abl 蛋白的水平,也会降低 Bcr-Abl 的 Tyr177 磷酸化水平,而 Jak2 的过表达则挽救了这些敲低作用。用 Jak2 抑制剂处理 Bcr-Abl+细胞 4-6 小时而非用 IM 处理也会降低 Bcr-Abl 蛋白和 pTyr177 水平。用重组 Jak2 进行的体外激酶实验表明,Jak2 很容易磷酸化 Bcr-Abl 的 Tyr177(Jak2 共有位点,YvnV),而 c-Abl 则不会。重要的是,Jak2 抑制减少了免疫复合物中的 pTyr177 Bcr-Abl,但并未降低 Bcr-Abl 的水平,这表明 Jak2 抑制对 Bcr-Abl 的减少与 Tyr177 的磷酸化是分开的事件。化学抑制剂(TG101209/WP1193)和 Jak2 敲低抑制 Jak2 会减少 Ras、PI-3 激酶途径的激活,并降低 pTyrSTAT5 的水平。这些发现表明,CML 细胞中 Bcr-Abl 的稳定性和致癌信号受到 Jak2 的控制。