PTEN regulates BCRP/ABCG2 and the side population through the PI3K/Akt pathway in chronic myeloid leukemia

A small population of cancer stem cells named the "side population" (SP) has been demonstrated to be responsible for the persistence of many solid tumors. However, the role of the SP in leukemic pathogenesis remains controversial. The resistance of leukemic stem cells to targeted therapies...

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Veröffentlicht in:PloS one 2014-03, Vol.9 (3), p.e88298-e88298
Hauptverfasser: Huang, Fang-Fang, Zhang, Li, Wu, Deng-Shu, Yuan, Xiao-Yu, Yu, Yan-Hui, Zhao, Xie-Lan, Chen, Fang-Ping, Zeng, Hui
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container_title PloS one
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creator Huang, Fang-Fang
Zhang, Li
Wu, Deng-Shu
Yuan, Xiao-Yu
Yu, Yan-Hui
Zhao, Xie-Lan
Chen, Fang-Ping
Zeng, Hui
description A small population of cancer stem cells named the "side population" (SP) has been demonstrated to be responsible for the persistence of many solid tumors. However, the role of the SP in leukemic pathogenesis remains controversial. The resistance of leukemic stem cells to targeted therapies, such as tyrosine kinase inhibitors (TKIs), results in therapeutic failure or refractory/relapsed disease in chronic myeloid leukemia (CML). The drug pump, ATP-binding cassette sub-family G member 2 (ABCG2), is well known as a specific marker of the SP and could be controlled by several pathways, including the PI3K/Akt pathway. Our data demonstrated that compared with wild-type K562 cells, the higher percentage of ABCG2+ cells corresponded to the higher SP fraction in K562/ABCG2 (ABCG2 overexpressing) and K562/IMR (resistance to imatinib) cells, which exhibited enhanced drug resistance along with downregulated phosphatase and tensin homologue deleted on chromosome -10 (PTEN) and activated phosphorylated-Akt (p-Akt). PTEN and p-Akt downregulation could be abrogated by both the PI3K inhibitor LY294002 and the mTOR inhibitor rapamycin. Moreover, in CML patients in the accelerated phase/blastic phase (AP/BP), increased SP phenotype rather than ABCG2 expression was accompanied by the loss of PTEN protein and the up-regulation of p-Akt expression. These results suggested that the expression of ABCG2 and the SP may be regulated by PTEN through the PI3K/Akt pathway, which would be a potentially effective strategy for targeting CML stem cells.
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However, the role of the SP in leukemic pathogenesis remains controversial. The resistance of leukemic stem cells to targeted therapies, such as tyrosine kinase inhibitors (TKIs), results in therapeutic failure or refractory/relapsed disease in chronic myeloid leukemia (CML). The drug pump, ATP-binding cassette sub-family G member 2 (ABCG2), is well known as a specific marker of the SP and could be controlled by several pathways, including the PI3K/Akt pathway. Our data demonstrated that compared with wild-type K562 cells, the higher percentage of ABCG2+ cells corresponded to the higher SP fraction in K562/ABCG2 (ABCG2 overexpressing) and K562/IMR (resistance to imatinib) cells, which exhibited enhanced drug resistance along with downregulated phosphatase and tensin homologue deleted on chromosome -10 (PTEN) and activated phosphorylated-Akt (p-Akt). PTEN and p-Akt downregulation could be abrogated by both the PI3K inhibitor LY294002 and the mTOR inhibitor rapamycin. Moreover, in CML patients in the accelerated phase/blastic phase (AP/BP), increased SP phenotype rather than ABCG2 expression was accompanied by the loss of PTEN protein and the up-regulation of p-Akt expression. These results suggested that the expression of ABCG2 and the SP may be regulated by PTEN through the PI3K/Akt pathway, which would be a potentially effective strategy for targeting CML stem cells.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0088298</identifier><identifier>PMID: 24603487</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>1-Phosphatidylinositol 3-kinase ; Adult ; Aged ; AKT protein ; Apoptosis - drug effects ; ATP Binding Cassette Transporter, Sub-Family G, Member 2 ; ATP-Binding Cassette Transporters - genetics ; ATP-Binding Cassette Transporters - metabolism ; Biology ; Blotting, Western ; Cancer ; Cell Survival - drug effects ; Chromones - pharmacology ; Chronic myeloid leukemia ; Comparative analysis ; Drug resistance ; Enzyme Inhibitors - pharmacology ; Female ; Health aspects ; Homology ; Humans ; Imatinib ; Inhibitors ; K562 Cells ; Leukemia ; Leukemia, Myelogenous, Chronic, BCR-ABL Positive - genetics ; Leukemia, Myelogenous, Chronic, BCR-ABL Positive - metabolism ; Leukemia, Myelogenous, Chronic, BCR-ABL Positive - pathology ; Male ; Medicine ; Middle Aged ; Mitoxantrone - pharmacology ; Morpholines - pharmacology ; Myeloid leukemia ; Neoplasm Proteins - genetics ; Neoplasm Proteins - metabolism ; Neoplastic Stem Cells - metabolism ; Neoplastic Stem Cells - pathology ; Pathogenesis ; Phosphatases ; Phosphatidylinositol 3-Kinases - antagonists &amp; inhibitors ; Phosphatidylinositol 3-Kinases - metabolism ; Protein-tyrosine kinase ; Proto-Oncogene Proteins c-akt - metabolism ; PTEN Phosphohydrolase - genetics ; PTEN Phosphohydrolase - metabolism ; PTEN protein ; Rapamycin ; Reverse Transcriptase Polymerase Chain Reaction ; RNA Interference ; Side-Population Cells - metabolism ; Signal Transduction - drug effects ; Sirolimus - pharmacology ; Solid tumors ; Stem cell transplantation ; Stem cells ; Tensin ; TOR protein ; Tumors ; Tyrosine ; Young Adult</subject><ispartof>PloS one, 2014-03, Vol.9 (3), p.e88298-e88298</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Huang et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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However, the role of the SP in leukemic pathogenesis remains controversial. The resistance of leukemic stem cells to targeted therapies, such as tyrosine kinase inhibitors (TKIs), results in therapeutic failure or refractory/relapsed disease in chronic myeloid leukemia (CML). The drug pump, ATP-binding cassette sub-family G member 2 (ABCG2), is well known as a specific marker of the SP and could be controlled by several pathways, including the PI3K/Akt pathway. Our data demonstrated that compared with wild-type K562 cells, the higher percentage of ABCG2+ cells corresponded to the higher SP fraction in K562/ABCG2 (ABCG2 overexpressing) and K562/IMR (resistance to imatinib) cells, which exhibited enhanced drug resistance along with downregulated phosphatase and tensin homologue deleted on chromosome -10 (PTEN) and activated phosphorylated-Akt (p-Akt). PTEN and p-Akt downregulation could be abrogated by both the PI3K inhibitor LY294002 and the mTOR inhibitor rapamycin. Moreover, in CML patients in the accelerated phase/blastic phase (AP/BP), increased SP phenotype rather than ABCG2 expression was accompanied by the loss of PTEN protein and the up-regulation of p-Akt expression. These results suggested that the expression of ABCG2 and the SP may be regulated by PTEN through the PI3K/Akt pathway, which would be a potentially effective strategy for targeting CML stem cells.</description><subject>1-Phosphatidylinositol 3-kinase</subject><subject>Adult</subject><subject>Aged</subject><subject>AKT protein</subject><subject>Apoptosis - drug effects</subject><subject>ATP Binding Cassette Transporter, Sub-Family G, Member 2</subject><subject>ATP-Binding Cassette Transporters - genetics</subject><subject>ATP-Binding Cassette Transporters - metabolism</subject><subject>Biology</subject><subject>Blotting, Western</subject><subject>Cancer</subject><subject>Cell Survival - drug effects</subject><subject>Chromones - pharmacology</subject><subject>Chronic myeloid leukemia</subject><subject>Comparative analysis</subject><subject>Drug resistance</subject><subject>Enzyme Inhibitors - pharmacology</subject><subject>Female</subject><subject>Health aspects</subject><subject>Homology</subject><subject>Humans</subject><subject>Imatinib</subject><subject>Inhibitors</subject><subject>K562 Cells</subject><subject>Leukemia</subject><subject>Leukemia, Myelogenous, Chronic, BCR-ABL Positive - genetics</subject><subject>Leukemia, Myelogenous, Chronic, BCR-ABL Positive - metabolism</subject><subject>Leukemia, Myelogenous, Chronic, BCR-ABL Positive - pathology</subject><subject>Male</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Mitoxantrone - pharmacology</subject><subject>Morpholines - pharmacology</subject><subject>Myeloid leukemia</subject><subject>Neoplasm Proteins - genetics</subject><subject>Neoplasm Proteins - metabolism</subject><subject>Neoplastic Stem Cells - metabolism</subject><subject>Neoplastic Stem Cells - pathology</subject><subject>Pathogenesis</subject><subject>Phosphatases</subject><subject>Phosphatidylinositol 3-Kinases - antagonists &amp; inhibitors</subject><subject>Phosphatidylinositol 3-Kinases - metabolism</subject><subject>Protein-tyrosine kinase</subject><subject>Proto-Oncogene Proteins c-akt - metabolism</subject><subject>PTEN Phosphohydrolase - genetics</subject><subject>PTEN Phosphohydrolase - metabolism</subject><subject>PTEN protein</subject><subject>Rapamycin</subject><subject>Reverse Transcriptase Polymerase Chain Reaction</subject><subject>RNA Interference</subject><subject>Side-Population Cells - metabolism</subject><subject>Signal Transduction - drug effects</subject><subject>Sirolimus - pharmacology</subject><subject>Solid tumors</subject><subject>Stem cell transplantation</subject><subject>Stem cells</subject><subject>Tensin</subject><subject>TOR protein</subject><subject>Tumors</subject><subject>Tyrosine</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk1Fv0zAQxyMEYmPwDRBEQkLw0M6O7Th-mdRVY1RMrBqDV8uNL4m7NA5xAvTb47TZ1KA9ID_Yuvvd_-w7XxC8xmiKCcena9s1lSqnta1gilCSRCJ5EhxjQaJJHCHy9OB8FLxwbo0QI0kcPw-OIhojQhN-HKyXtxdfwwbyrlQtuPB8frM8nZ3PL6NQVTpsCwid0RDWtu4JYytva2yXFzvfckG-nM7u2rBWbfFbbUNThan3VyYNN1sordFhCd0dbIx6GTzLVOng1bCfBN8_XdzOP0-uri8X89nVJOUsaScCOKVEYIIwUZniEQWhWRxrTblmQhMBsY4xCEFWKeZUAFGAKVYrghRLETkJ3u5169I6OZTJScwQ5RwnEfXEYk9oq9aybsxGNVtplZE7g21yqZrWpCVIyjTnDGuNKNAkhRVKsKKZQpHQEeHKa50N2brVBnQKVduociQ69lSmkLn9JYmgjLP-Mh8Ggcb-7MC1cmNcCmWpKrDd7t4sYtz316Pv_kEff91A5co_wFSZ9XnTXlTOKE84p762npo-Qvmlfa9S_6cy4-2jgI-jAM-08KfNVeecXHy7-X_2-seYfX_AFqDKtnC27Pq_5sYg3YNpY51rIHsoMkayH4n7ash-JOQwEj7szWGDHoLuZ4D8BZ4RBDg</recordid><startdate>20140306</startdate><enddate>20140306</enddate><creator>Huang, Fang-Fang</creator><creator>Zhang, Li</creator><creator>Wu, Deng-Shu</creator><creator>Yuan, Xiao-Yu</creator><creator>Yu, Yan-Hui</creator><creator>Zhao, Xie-Lan</creator><creator>Chen, Fang-Ping</creator><creator>Zeng, Hui</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20140306</creationdate><title>PTEN regulates BCRP/ABCG2 and the side population through the PI3K/Akt pathway in chronic myeloid leukemia</title><author>Huang, Fang-Fang ; 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Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Meteorological &amp; Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huang, Fang-Fang</au><au>Zhang, Li</au><au>Wu, Deng-Shu</au><au>Yuan, Xiao-Yu</au><au>Yu, Yan-Hui</au><au>Zhao, Xie-Lan</au><au>Chen, Fang-Ping</au><au>Zeng, Hui</au><au>Viglietto, Giuseppe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>PTEN regulates BCRP/ABCG2 and the side population through the PI3K/Akt pathway in chronic myeloid leukemia</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-03-06</date><risdate>2014</risdate><volume>9</volume><issue>3</issue><spage>e88298</spage><epage>e88298</epage><pages>e88298-e88298</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>A small population of cancer stem cells named the "side population" (SP) has been demonstrated to be responsible for the persistence of many solid tumors. However, the role of the SP in leukemic pathogenesis remains controversial. The resistance of leukemic stem cells to targeted therapies, such as tyrosine kinase inhibitors (TKIs), results in therapeutic failure or refractory/relapsed disease in chronic myeloid leukemia (CML). The drug pump, ATP-binding cassette sub-family G member 2 (ABCG2), is well known as a specific marker of the SP and could be controlled by several pathways, including the PI3K/Akt pathway. Our data demonstrated that compared with wild-type K562 cells, the higher percentage of ABCG2+ cells corresponded to the higher SP fraction in K562/ABCG2 (ABCG2 overexpressing) and K562/IMR (resistance to imatinib) cells, which exhibited enhanced drug resistance along with downregulated phosphatase and tensin homologue deleted on chromosome -10 (PTEN) and activated phosphorylated-Akt (p-Akt). PTEN and p-Akt downregulation could be abrogated by both the PI3K inhibitor LY294002 and the mTOR inhibitor rapamycin. Moreover, in CML patients in the accelerated phase/blastic phase (AP/BP), increased SP phenotype rather than ABCG2 expression was accompanied by the loss of PTEN protein and the up-regulation of p-Akt expression. These results suggested that the expression of ABCG2 and the SP may be regulated by PTEN through the PI3K/Akt pathway, which would be a potentially effective strategy for targeting CML stem cells.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24603487</pmid><doi>10.1371/journal.pone.0088298</doi><tpages>e88298</tpages><oa>free_for_read</oa></addata></record>
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subjects 1-Phosphatidylinositol 3-kinase
Adult
Aged
AKT protein
Apoptosis - drug effects
ATP Binding Cassette Transporter, Sub-Family G, Member 2
ATP-Binding Cassette Transporters - genetics
ATP-Binding Cassette Transporters - metabolism
Biology
Blotting, Western
Cancer
Cell Survival - drug effects
Chromones - pharmacology
Chronic myeloid leukemia
Comparative analysis
Drug resistance
Enzyme Inhibitors - pharmacology
Female
Health aspects
Homology
Humans
Imatinib
Inhibitors
K562 Cells
Leukemia
Leukemia, Myelogenous, Chronic, BCR-ABL Positive - genetics
Leukemia, Myelogenous, Chronic, BCR-ABL Positive - metabolism
Leukemia, Myelogenous, Chronic, BCR-ABL Positive - pathology
Male
Medicine
Middle Aged
Mitoxantrone - pharmacology
Morpholines - pharmacology
Myeloid leukemia
Neoplasm Proteins - genetics
Neoplasm Proteins - metabolism
Neoplastic Stem Cells - metabolism
Neoplastic Stem Cells - pathology
Pathogenesis
Phosphatases
Phosphatidylinositol 3-Kinases - antagonists & inhibitors
Phosphatidylinositol 3-Kinases - metabolism
Protein-tyrosine kinase
Proto-Oncogene Proteins c-akt - metabolism
PTEN Phosphohydrolase - genetics
PTEN Phosphohydrolase - metabolism
PTEN protein
Rapamycin
Reverse Transcriptase Polymerase Chain Reaction
RNA Interference
Side-Population Cells - metabolism
Signal Transduction - drug effects
Sirolimus - pharmacology
Solid tumors
Stem cell transplantation
Stem cells
Tensin
TOR protein
Tumors
Tyrosine
Young Adult
title PTEN regulates BCRP/ABCG2 and the side population through the PI3K/Akt pathway in chronic myeloid leukemia
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