Heme oxygenase 1 confers gilteritinib resistance in FLT3-ITD acute myeloid leukemia in a STAT6-dependent manner.

IF 6 2区 医学 Q1 ONCOLOGY Cancer Cell International Pub Date : 2025-04-04 DOI:10.1186/s12935-025-03757-3
Tianzhuo Zhang, Danna Wei, Yun Zhan, Zhengmei Long, Tingting Lu, Peng Zhao, Rui Gao, Qian Kang, Luxin Zhang, Min Liu, Xueying Yang, Jishi Wang
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Abstract

Background: Acute myeloid leukemia (AML) is the most common type of acute leukemia in adults. We previously discovered that heme oxygenase 1 (HO1) is crucial for chemoresistance in AML, but the detailed molecular mechanism of that remains unclear.

Methods: RNA sequencing was conducted to assess transcriptomic changes in three pairs of AML cells after regulating the expression of HO1. The molecular mechanism by which HO1 induces gilteritinib resistance in FLT3-ITD (FMS-like tyrosine kinase 3 (FLT3) internal tandem duplication (ITD)) AML was evaluated by quantitative real-time PCR (qRT-PCR), CCK-8, flow cytometry, and western blotting. FLT3-ITD AML mouse models were established to investigate the effects of HO1 expression on gilteritinib resistance in vivo.

Results: In these three pairs of AML cells, we discovered that HO1-mediated drug resistance is connected to the interleukin-4-mediated signaling pathway (specifically STAT6) only in MV4-11 cells with the FLT3-ITD mutation. Further findings revealed that HO1 overexpression confers gilteritinib resistance in FLT3-ITD AML cell lines and primary individual specimens. While suppression of HO1 sensitized FLT3-ITD AML cell lines and primary individual specimens to gilteritinib. Mechanistically, western blotting and flow cytometry confirmed that HO1-mediated gilteritinib resistance is related to STAT6 phosphorylation in FLT3-ITD AML cell lines and primary individual specimens. Moreover, tumor-bearing mice were employed to determine that HO1 overexpression conferred gilteritinib resistance in vivo.

Conclusions: Collectively, these studies illustrate that HO1 may act as a successful treatment target for gilteritinib-resistant FLT3-ITD AML patients.

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血红素加氧酶1以stat6依赖的方式赋予FLT3-ITD急性髓性白血病吉特替尼耐药性。
背景:急性髓系白血病(AML)是成人最常见的急性白血病类型。我们之前发现血红素加氧酶1 (HO1)对AML的化疗耐药至关重要,但其详细的分子机制尚不清楚。方法:通过RNA测序,评估三对AML细胞在调节HO1表达后的转录组学变化。采用实时荧光定量PCR (qRT-PCR)、CCK-8、流式细胞术、western blotting等方法研究HO1诱导FLT3-ITD (FMS-like tyrosine kinase 3 (FLT3) internal tandem duplication (ITD)) AML耐药的分子机制。建立FLT3-ITD AML小鼠模型,研究HO1表达对体内吉特替尼耐药的影响。结果:在这三对AML细胞中,我们发现ho1介导的耐药仅在FLT3-ITD突变的MV4-11细胞中与白细胞介素-4介导的信号通路(特别是STAT6)相关。进一步的研究结果显示,在FLT3-ITD AML细胞系和原代个体标本中,HO1过表达赋予吉特替尼耐药性。而抑制HO1使FLT3-ITD AML细胞系和原代个体标本对吉特替尼增敏。在机制上,western blotting和流式细胞术证实,FLT3-ITD AML细胞系和原代个体标本中,ho1介导的吉特替尼耐药与STAT6磷酸化有关。此外,利用荷瘤小鼠来确定HO1过表达是否会在体内产生吉特替尼抗性。结论:总的来说,这些研究表明HO1可能作为吉特替尼耐药FLT3-ITD AML患者的成功治疗靶点。
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来源期刊
CiteScore
10.90
自引率
1.70%
发文量
360
审稿时长
1 months
期刊介绍: Cancer Cell International publishes articles on all aspects of cancer cell biology, originating largely from, but not limited to, work using cell culture techniques. The journal focuses on novel cancer studies reporting data from biological experiments performed on cells grown in vitro, in two- or three-dimensional systems, and/or in vivo (animal experiments). These types of experiments have provided crucial data in many fields, from cell proliferation and transformation, to epithelial-mesenchymal interaction, to apoptosis, and host immune response to tumors. Cancer Cell International also considers articles that focus on novel technologies or novel pathways in molecular analysis and on epidemiological studies that may affect patient care, as well as articles reporting translational cancer research studies where in vitro discoveries are bridged to the clinic. As such, the journal is interested in laboratory and animal studies reporting on novel biomarkers of tumor progression and response to therapy and on their applicability to human cancers.
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