Department of Clinical Hematology, Key Laboratory of Laboratory Medical Diagnostics Designated by the Ministry of Education, Chongqing Medical University, Chongqing, 400016, People's Republic of China.
J Transl Med. 2022 Sep 4;20(1):395. doi: 10.1186/s12967-022-03586-2.
The BCR-ABL fusion protein is the key factor that results in the occurrence of chronic myeloid leukemia (CML). Imatinib (IM) is a targeted inhibitor of BCR-ABL to achieve complete remission. However, remission failure occurs due to acquired resistance caused by secondary BCR-ABL mutations, underlining the need for novel BCR-ABL-targeting strategies. Circular RNAs (circRNAs) derived from tumor-related genes have been revealed as possible therapeutic targets for relevant cancers in recent investigations. In CML, the roles of this kind of circRNA are yet obscure.
Firstly, RT-qPCR was used for determining circCRKL expression level in cell lines and clinical samples, RNase R and Actinomycin D were employed to verify the stability of circCRKL. Then shRNAs were designed to specifically knockdown circCRKL. The function of circCRKL in vitro was investigated using CCK-8, colony formation assay, and flow cytometry, while a CML mouse model was constructed to explore the function in vivo. Finally, a dual-luciferase reporter assay, RNA pull-down, RNA immunoprecipitation, and rescue experiments were conducted to investigate the mechanism of circCRKL functioning.
Here, we determined circCRKL, which derives from CML-relevant gene CRKL, is over-expressed in BCR-ABL cells. Then we noticed knocking down circCRKL using shRNA lentivirus dampens the proliferation of BCR-ABL cells both in vitro and in vivo, and augments susceptibility of resistant cells to IM. Intriguingly, we observed that circCRKL has a considerable impact on the expression level of BCR-ABL. Mechanistically, circCRKL could behave like a decoy for miR-877-5p to enhance the BCR-ABL level, allowing BCR-ABL cells to maintain viability.
Overall, the current study uncovers that circCRKL is specifically expressed and regulates BCR-ABL expression level via decoying miR-877-5p in BCR-ABL cells, highlighting that targeting circCRKL along with imatinib treatment could be utilized as a potential therapeutic strategy for CML patients.
BCR-ABL 融合蛋白是导致慢性髓系白血病(CML)发生的关键因素。伊马替尼(IM)是一种针对 BCR-ABL 的靶向抑制剂,可实现完全缓解。然而,由于继发的 BCR-ABL 突变导致获得性耐药,缓解失败,这凸显了需要新的 BCR-ABL 靶向策略。最近的研究表明,源自肿瘤相关基因的环状 RNA(circRNA)可能成为相关癌症的潜在治疗靶点。在 CML 中,这种 circRNA 的作用尚不清楚。
首先,使用 RT-qPCR 测定细胞系和临床样本中 circCRKL 的表达水平,使用 RNase R 和 Actinomycin D 验证 circCRKL 的稳定性。然后设计 shRNA 特异性敲低 circCRKL。使用 CCK-8、集落形成测定和流式细胞术体外研究 circCRKL 的功能,构建 CML 小鼠模型体内研究功能。最后,进行双荧光素酶报告基因检测、RNA 下拉、RNA 免疫沉淀和挽救实验,以研究 circCRKL 作用的机制。
在这里,我们确定了源自 CML 相关基因 CRKL 的 circCRKL 在 BCR-ABL 细胞中过度表达。然后,我们注意到使用 shRNA 慢病毒敲低 circCRKL 可在体外和体内均抑制 BCR-ABL 细胞的增殖,并增强耐药细胞对 IM 的敏感性。有趣的是,我们观察到 circCRKL 对 BCR-ABL 的表达水平有相当大的影响。机制上,circCRKL 可以作为 miR-877-5p 的诱饵来增强 BCR-ABL 水平,使 BCR-ABL 细胞保持活力。
总的来说,本研究揭示了 circCRKL 通过在 BCR-ABL 细胞中充当 miR-877-5p 的诱饵来特异性表达并调节 BCR-ABL 表达水平,突出了靶向 circCRKL 联合伊马替尼治疗可能成为 CML 患者的潜在治疗策略。