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A Pan-BCL2 inhibitor renders bone-marrow-resident human leukemia stem cells sensitive to tyrosine kinase inhibition.


ABSTRACT: Leukemia stem cells (LSCs) play a pivotal role in the resistance of chronic myeloid leukemia (CML) to tyrosine kinase inhibitors (TKIs) and its progression to blast crisis (BC), in part, through the alternative splicing of self-renewal and survival genes. To elucidate splice-isoform regulators of human BC LSC maintenance, we performed whole-transcriptome RNA sequencing, splice-isoform-specific quantitative RT-PCR (qRT-PCR), nanoproteomics, stromal coculture, and BC LSC xenotransplantation analyses. Cumulatively, these studies show that the alternative splicing of multiple prosurvival BCL2 family genes promotes malignant transformation of myeloid progenitors into BC LSCS that are quiescent in the marrow niche and that contribute to therapeutic resistance. Notably, sabutoclax, a pan-BCL2 inhibitor, renders marrow-niche-resident BC LSCs sensitive to TKIs at doses that spare normal progenitors. These findings underscore the importance of alternative BCL2 family splice-isoform expression in BC LSC maintenance and suggest that the combinatorial inhibition of prosurvival BCL2 family proteins and BCR-ABL may eliminate dormant LSCs and obviate resistance.

SUBMITTER: Goff DJ 

PROVIDER: S-EPMC3968867 | biostudies-literature | 2013 Mar

REPOSITORIES: biostudies-literature

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A Pan-BCL2 inhibitor renders bone-marrow-resident human leukemia stem cells sensitive to tyrosine kinase inhibition.

Goff Daniel J DJ   Court Recart Angela A   Sadarangani Anil A   Chun Hye-Jung HJ   Barrett Christian L CL   Krajewska Maryla M   Leu Heather H   Low-Marchelli Janine J   Ma Wenxue W   Shih Alice Y AY   Wei Jun J   Zhai Dayong D   Geron Ifat I   Pu Minya M   Bao Lei L   Chuang Ryan R   Balaian Larisa L   Gotlib Jason J   Minden Mark M   Martinelli Giovanni G   Rusert Jessica J   Dao Kim-Hien KH   Shazand Kamran K   Wentworth Peggy P   Smith Kristen M KM   Jamieson Christina A M CA   Morris Sheldon R SR   Messer Karen K   Goldstein Lawrence S B LS   Hudson Thomas J TJ   Marra Marco M   Frazer Kelly A KA   Pellecchia Maurizio M   Reed John C JC   Jamieson Catriona H M CH  

Cell stem cell 20130117 3


Leukemia stem cells (LSCs) play a pivotal role in the resistance of chronic myeloid leukemia (CML) to tyrosine kinase inhibitors (TKIs) and its progression to blast crisis (BC), in part, through the alternative splicing of self-renewal and survival genes. To elucidate splice-isoform regulators of human BC LSC maintenance, we performed whole-transcriptome RNA sequencing, splice-isoform-specific quantitative RT-PCR (qRT-PCR), nanoproteomics, stromal coculture, and BC LSC xenotransplantation analys  ...[more]

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