雷帕霉素通过抑制慢性髓性白血病中的 mTOR 信号提供了一种治疗选择。
Rapamycin provides a therapeutic option through inhibition of mTOR signaling in chronic myelogenous leukemia.
机构信息
Department of Hematology, the Second Hospital, Hebei Medical University, Shijiazhuang 050017, PR China.
出版信息
Oncol Rep. 2012 Feb;27(2):461-6. doi: 10.3892/or.2011.1502. Epub 2011 Oct 12.
Chronic myelogenous leukemia (CML) is a neoplasm of myeloid progenitor cells expressing Bcr-Abl fusion protein. However, some patients with CML are less likely to respond to imatinib, the inhibitor of Bcr-Abl kinase. Recent studies showed that mTOR pathway can increase responses to imatinib. The analysis of mTOR pathway in CML may provide new insights into possible targets of novel therapies. Therefore, we examined the expression of mTOR pathway molecules in bone marrow cells from CML patients and effect of rapamycin on K562 cells in vitro. Western blot analysis showed the visibly higher phosphorylation of mTOR (70.6%), 4E-BP1 (76.5%) and p70S6K (73.5%) in bone marrow cells from CML patients. Moreover, treatment of CML cell line (K562) with rapamycin resulted in a decrease of phosphorylation of mTOR, 4E-BP1 and p70S6K. In vitro, the cell viability in groups with rapamycin treatment displayed a significant decrease in a dose-dependent manner by MTT. The data presented an increase of G0/G1 phase cells and decrease of S phase cells after rapamycin treatment, and the decreased expression of cyclinD1, higher expression of p21 at mRNA level was also detected in K562 with rapamycin. Treatment with 20 nmol/l or more rapamycin could increase apoptotic cells, decrease expression of bcl-2 and activate caspase-3. In conclusion, the mTOR pathway might be involved in chronic myelogenous leukemia. Inhibition of mTOR pathway could interfer with cell proliferation and increase cell apoptosis in K562 cells. It suggested that mTOR might be an important therapeutic target for myelogenous leukemia.
慢性髓性白血病(CML)是一种表达 Bcr-Abl 融合蛋白的骨髓祖细胞肿瘤。然而,一些 CML 患者对伊马替尼(Bcr-Abl 激酶抑制剂)的反应较差。最近的研究表明,mTOR 途径可以增加对伊马替尼的反应。分析 CML 中的 mTOR 途径可能为新疗法的可能靶点提供新的见解。因此,我们检查了 CML 患者骨髓细胞中 mTOR 途径分子的表达和雷帕霉素对 K562 细胞的体外作用。Western blot 分析显示,CML 患者骨髓细胞中 mTOR(70.6%)、4E-BP1(76.5%)和 p70S6K(73.5%)的磷酸化明显升高。此外,雷帕霉素处理 CML 细胞系(K562)导致 mTOR、4E-BP1 和 p70S6K 的磷酸化减少。在体外,MTT 显示雷帕霉素处理组的细胞活力呈剂量依赖性显著下降。数据显示雷帕霉素处理后 G0/G1 期细胞增加,S 期细胞减少,K562 中 cyclinD1 表达减少,p21mRNA 水平表达增加。用 20 nmol/L 或更高浓度的雷帕霉素处理可增加凋亡细胞,减少 bcl-2 的表达并激活 caspase-3。总之,mTOR 途径可能参与慢性髓性白血病。抑制 mTOR 途径可干扰 K562 细胞的增殖并增加细胞凋亡。这表明 mTOR 可能是髓性白血病的重要治疗靶点。