Lithium, a classic drug in psychiatry, improves nilotinib-mediated antileukemic effects - 21/02/18
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Graphical abstract |
Highlights |
• | Lithium improves nilotinib effects against K-562 leukemia cells inducing caspase-dependent cell death. |
• | Combination of L + N increased LC3II protein levels, reduced the Bcr-Abl oncoprotein and phosphorylated the GSK-3β. |
• | Lithium and nilotinib separately phosphorylated GSK-3β. |
• | Combination of L + N, lithium as well as nilotinib separately decreased the clonogenicity of CML progenitor cells. |
Abstract |
Although Tyrosine kinase inhibitors (TKIs) that target Bcr-Abl play a key role in Chronic Myeloid Leukemia (CML) therapy, they do not eradicate CML-initiating cells, which lead to the emergence of drug resistance. Here we used the lithium, a GSK-3 inhibitor, to attempt to potentiate the effects of nilotinib against leukemia cells. For this purpose, a K562 leukemia cell line and bone marrow cells from untreated Chronic Myeloid Leukemia (CML) patients, prior to any exposure to TKIs, were used as a model. Our results demonstrated that the combination of lithium + nilotinib (L + N) induced K562-cell death and cleaved caspase-3 when compared to lithium or nilotinib alone, accompanied by GSK-3β phosphorylation and Bcr-Abl oncoprotein levels reduction. Interestingly, these events were related to autophagy induction, expressed by increased LC3II protein levels in the group treated with L + N. Furthermore, the clonogenic capacity of progenitor cells from CML patients was drastically reduced by L + N, as well as lithium and nilotinib when used separately. The number of cell aggregates (clusters), were increased by all treatments (L + N, lithium, and nilotinib). This pioneering research has demonstrated that lithium might be of therapeutic value when targeting Bcr-Abl cells with nilotinib because it triggers cell death in addition to exerting classical antiproliferative effects, opening new perspectives for novel target and therapeutic approaches to eradicate CML.
Le texte complet de cet article est disponible en PDF.Keywords : Nilotinib, Lithium, Cell death, Autophagy, Bcr-Abl, GSK-3β, Clonogenicity, Leukemia cells
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Vol 99
P. 237-244 - mars 2018 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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