Abstract
Chronic myeloid leukemia (CML) is a clonal malignant disease caused by the expression of BCR/ABL. MDM2 (human homolog of the murine double minute-2) inhibitors such as Nutlin-3 have been shown to induce apoptosis in a p53-dependent manner in CML cells and sensitize cells to Imatinib. Here, we demonstrate that JNJ-26854165, an inhibitor of MDM2, inhibits proliferation and triggers cell death in a p53-independent manner in various BCR/ABL-expressing cells, which include primary leukemic cells from patients with CML blast crisis and cells expressing the Imatinib-resistant T315I BCR/ABL mutant. The response to JNJ-26854165 is associated with the downregulation of BCR/ABL dependently of proteosome activation. Moreover, in all tested CML cells, with the exception of T315I mutation cells, combining JNJ-26854165 and tyrosine kinase inhibitor (TKI) Imatinib or PD180970 leads to a synergistic effect. In conclusion, our results suggest that JNJ-26854165, used either alone or in combination with TKIs, represents a promising novel targeted approach to overcome TKI resistance and improve patient outcome in CML.
Keywords:
BCR/ABL; JNJ-26854165; T315I mutation; chronic myeloid leukemia.
MeSH terms
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Animals
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Antineoplastic Agents / pharmacology*
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Antineoplastic Combined Chemotherapy Protocols / pharmacology
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Biomarkers, Tumor / antagonists & inhibitors
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Biomarkers, Tumor / genetics*
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Biomarkers, Tumor / metabolism
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Cell Death / drug effects
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Cell Proliferation / drug effects
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Dose-Response Relationship, Drug
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Drug Resistance, Neoplasm
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Drug Synergism
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Enzyme Inhibitors / pharmacology*
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Fusion Proteins, bcr-abl / antagonists & inhibitors
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Fusion Proteins, bcr-abl / genetics*
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Fusion Proteins, bcr-abl / metabolism
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Gene Expression Regulation, Neoplastic
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Humans
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Imatinib Mesylate / pharmacology
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K562 Cells
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Leukemia, Myelogenous, Chronic, BCR-ABL Positive / drug therapy*
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Leukemia, Myelogenous, Chronic, BCR-ABL Positive / enzymology
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Leukemia, Myelogenous, Chronic, BCR-ABL Positive / genetics
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Leukemia, Myelogenous, Chronic, BCR-ABL Positive / pathology
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Mice, SCID
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Mutation*
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Proteasome Endopeptidase Complex / metabolism*
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Protein Kinase Inhibitors / pharmacology
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Proteolysis
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Proto-Oncogene Proteins c-mdm2 / antagonists & inhibitors*
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Proto-Oncogene Proteins c-mdm2 / metabolism
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Time Factors
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Tryptamines / pharmacology*
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Tumor Cells, Cultured
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Tumor Suppressor Protein p53 / genetics
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Tumor Suppressor Protein p53 / metabolism
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Xenograft Model Antitumor Assays
Substances
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Antineoplastic Agents
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BCR-ABL1 fusion protein, human
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Biomarkers, Tumor
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Enzyme Inhibitors
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Protein Kinase Inhibitors
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TP53 protein, human
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Tryptamines
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Tumor Suppressor Protein p53
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JNJ 26854165
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Imatinib Mesylate
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MDM2 protein, human
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Proto-Oncogene Proteins c-mdm2
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Fusion Proteins, bcr-abl
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Proteasome Endopeptidase Complex