An ARC-Regulated IL1?/Cox-2/PGE2/?-Catenin/ARC Circuit Controls Leukemia-Microenvironment Interactions and Confers Drug Resistance in AML.
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ABSTRACT: The apoptosis repressor with caspase recruitment domain (ARC) protein is a strong independent adverse prognostic marker in acute myeloid leukemia (AML). We previously reported that ARC regulates leukemia-microenvironment interactions through the NF?B/IL1? signaling network. Malignant cells have been reported to release IL1?, which induces PGE2 synthesis in mesenchymal stromal cells (MSC), in turn activating ?-catenin signaling and inducing the cancer stem cell phenotype. Although Cox-2 and its enzymatic product PGE2 play major roles in inflammation and cancer, the regulation and role of PGE2 in AML are largely unknown. Here, we report that AML-MSC cocultures greatly increase Cox-2 expression in MSC and PGE2 production in an ARC/IL1?-dependent manner. PGE2 induced the expression of ?-catenin, which regulated ARC and augmented chemoresistance in AML cells; inhibition of ?-catenin decreased ARC and sensitized AML cells to chemotherapy. NOD/SCIDIL2R?Null-3/GM/SF mice transplanted with ARC-knockdown AML cells had significantly lower leukemia burden, lower serum levels of IL1?/PGE2, and lower tissue human ARC and ?-catenin levels, prolonged survival, and increased sensitivity to chemotherapy than controls. Collectively, we present a new mechanism of action of antiapoptotic ARC by which ARC regulates PGE2 production in the tumor microenvironment and microenvironment-mediated chemoresistance in AML.Significance: The antiapoptotic protein ARC promotes AML aggressiveness by enabling detrimental cross-talk with bone marrow mesenchymal stromal cells.
SUBMITTER: Carter BZ
PROVIDER: S-EPMC6420856 | biostudies-literature | 2019 Mar
REPOSITORIES: biostudies-literature
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