Department of Pharmacy, Sixth People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai, 200233, China.
Department of Pharmacy, Jing'an District Central Hospital, No 259 Xikang Road, Jing'an District, Shanghai, 200040, China.
Mol Med. 2021 Nov 15;27(1):148. doi: 10.1186/s10020-021-00395-z.
Imatinib (IM), targeting of BCR-ABL1 tyrosine kinase, is currently one of the first-line choices in the treatment of chronic myeloid leukemia (CML). This study aims to explore the molecular mechanisms underlying IM resistance in CML treatment. 108 CML patients were recruited and grouped according to their sensitivity to IM as the responder group (N = 66) and the non-responder group (N = 42). Real-time quantitative PCR (RT-qPCR) was performed to evaluate the expression of candidate circular RNAs (circRNAs), microRNA (miRNAs) and messenger RNA (mRNAs). No significant difference was noted regarding demographic and clinicopathological characteristics between the responder group and the non-responder group. The expression of circ_0080145, circ_0051886 and ABL1 mRNA was significantly increased, while the expression of miR-203 and miR-637 was decreased in the non-responder group as compared with the responders. By using in-silicon analysis, it was predicted that circ_0080145 and circ_0051886 targeted miR-203 and miR-637 respectively, and ABL1 was found to be shared direct target gene of miR-203 and miR-637. Ectopic over-expression of circ_0080145 and circ_0051886 respectively reduced the expression of miR-203 and miR-637. The expression of ABL1 mRNA/protein was most upregulated in culture cells co-transfected with circ_0080145 and circ_0051886 as compared with those cells individually transfected. This study established the signaling pathways of circ_0080145/miR-203/ABL1 and circ 0051886/miR-637/ABL1. The deregulation of circ_0080145 and circ_0051886 is, at least partially, responsible for the development of IM chemoresistance in CML by regulating expression of ABL1 via modulating expression of miR-203 and miR-637.
伊马替尼(IM)靶向 BCR-ABL1 酪氨酸激酶,是目前治疗慢性髓性白血病(CML)的一线选择之一。本研究旨在探讨 CML 治疗中 IM 耐药的分子机制。招募了 108 例 CML 患者,根据对 IM 的敏感性分为应答组(N=66)和无应答组(N=42)。采用实时定量 PCR(RT-qPCR)评估候选环状 RNA(circRNA)、microRNA(miRNA)和信使 RNA(mRNA)的表达。应答组和无应答组之间在人口统计学和临床病理特征方面无显著差异。无应答组中 circ_0080145、circ_0051886 和 ABL1 mRNA 的表达明显升高,而 miR-203 和 miR-637 的表达则降低。通过计算机分析预测 circ_0080145 和 circ_0051886 分别靶向 miR-203 和 miR-637,而 ABL1 是 miR-203 和 miR-637 的直接共享靶基因。外源性过表达 circ_0080145 和 circ_0051886 分别降低了 miR-203 和 miR-637 的表达。与单独转染相比,共转染 circ_0080145 和 circ_0051886 的培养细胞中 ABL1 mRNA/蛋白的表达上调最明显。本研究建立了 circ_0080145/miR-203/ABL1 和 circ0051886/miR-637/ABL1 的信号通路。circ_0080145 和 circ_0051886 的失调至少部分通过调节 miR-203 和 miR-637 的表达来调节 ABL1 的表达,从而导致 CML 中 IM 耐药的发生。