Division of Cellular Therapy, The Institute of Medical Science, University of Tokyo, Minato-ku, Tokyo, Japan.
Division of Cellular Therapy, The Institute of Medical Science, University of Tokyo, Minato-ku, Tokyo, Japan.
Exp Hematol. 2020 Oct;90:46-51.e2. doi: 10.1016/j.exphem.2020.09.186. Epub 2020 Sep 7.
Chronic myeloid leukemia (CML) is a hematopoietic stem cell disorder caused by constitutively active BCR-ABL1 tyrosine kinase resulting from the t(9;22) Philadelphia translocation. Imatinib, a BCR-ABL1 tyrosine kinase inhibitor (TKI), is a revolutionary molecular target inhibitor for CML. However, leukemic stem cells (LSCs) eventually become resistant to imatinib and thereby cause relapse. The next-generation BCR-ABL1 TKI dasatinib is also unable to eliminate CML LSCs. On the other hand, the third-generation BCR-ABL1 TKI ponatinib is not well studied in terms of its efficacy on CML LSCs. Here, we evaluate the efficacy of ponatinib against CML LSC-containing linSca-1c-Kit (LSK) cells using a mouse CML-like model. To this end, we compared the efficacy of imatinib, dasatinib, and ponatinib on CML LSK cells and showed that ponatinib is more effective at eliminating CML LSK cells. Our results suggest that ponatinib could be potentially useful for achieving treatment-free remission in CML patients.
慢性髓性白血病(CML)是一种造血干细胞疾病,由 t(9;22)费城易位导致的 BCR-ABL1 酪氨酸激酶的持续激活引起。伊马替尼是一种 BCR-ABL1 酪氨酸激酶抑制剂(TKI),是一种针对 CML 的革命性分子靶向抑制剂。然而,白血病干细胞(LSCs)最终会对伊马替尼产生耐药性,从而导致复发。下一代 BCR-ABL1 TKI 达沙替尼也无法消除 CML LSCs。另一方面,第三代 BCR-ABL1 TKI 普纳替尼在治疗 CML LSCs 方面的疗效尚未得到充分研究。在这里,我们使用类似于 CML 的小鼠模型评估了普纳替尼对 CML LSC 中含有 linSca-1c-Kit(LSK)细胞的疗效。为此,我们比较了伊马替尼、达沙替尼和普纳替尼对 CML LSK 细胞的疗效,并表明普纳替尼更有效地消除了 CML LSK 细胞。我们的结果表明,普纳替尼可能对实现 CML 患者无治疗缓解有潜在的用途。