Gene expression signatures associated with the resistance to imatinib

Imatinib (imatinib mesylate, STI-571, Gleevec) is a selective BCR-ABL tyrosine kinase inhibitor that has been used as a highly effective chemoagent for treating chronic myelogenous leukemia. However, the initial response to imatinib is often followed by the recurrence of a resistant form of the dise...

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Veröffentlicht in:Leukemia 2006-09, Vol.20 (9), p.1542-1550
Hauptverfasser: CHUNG, Y.-J, KIM, T.-M, KANG, H.-M, KIM, J. W, KIM, D.-W, NAMKOONG, H, KIM, H. K, HA, S.-A, KIM, S, SHIN, S. M, KIM, J.-H, LEE, Y.-J
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container_end_page 1550
container_issue 9
container_start_page 1542
container_title Leukemia
container_volume 20
creator CHUNG, Y.-J
KIM, T.-M
KANG, H.-M
KIM, J. W
KIM, D.-W
NAMKOONG, H
KIM, H. K
HA, S.-A
KIM, S
SHIN, S. M
KIM, J.-H
LEE, Y.-J
description Imatinib (imatinib mesylate, STI-571, Gleevec) is a selective BCR-ABL tyrosine kinase inhibitor that has been used as a highly effective chemoagent for treating chronic myelogenous leukemia. However, the initial response to imatinib is often followed by the recurrence of a resistant form of the disease, which is major obstacle to many therapeutic modalities. The aim of this study was to identify the gene expression signatures that confer resistance to imatinib. A series of four resistant K562 sublines was established with different imatinib dosage (200, 400, 600 and 800 nM) and analyzed using microarray technology. The transcripts of the genes showing universal or dose-dependent expression changes across the resistant sublines were identified. The gene sets associated with the imatinib-resistance were also identified using gene set enrichment analysis. In the resistant K562 sublines, the transcription- and apoptosis-related expression signatures were upregulated, whereas those related to the protein and energy metabolism were downregulated. Several genes identified in this study such as IGF1 and RAB11A have the potential to become surrogate markers useful in a clinical evaluation of imatinib-resistant patients without BCR-ABL mutation. The expression signatures identified in this study provide insights into the mechanism of imatinib-resistance and are expected to facilitate the development of an effective diagnostic and therapeutic strategy.
doi_str_mv 10.1038/sj.leu.2404310
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subjects Antineoplastic Agents - pharmacology
Antineoplastic Agents - therapeutic use
Apoptosis
BCR-ABL protein
Benzamides
Biological and medical sciences
Chronic myeloid leukemia
DNA microarrays
Drug dosages
Drug Resistance, Neoplasm - genetics
Energy metabolism
Enzyme inhibitors
Fusion protein
Gene expression
Gene Expression Profiling
Gene set enrichment analysis
Genes
Genomes
Hematologic and hematopoietic diseases
Humans
Hybridization
Imatinib
Imatinib Mesylate
Insulin-like growth factor I
K562 Cells
Kinases
Leukemia
Leukemia, Myelogenous, Chronic, BCR-ABL Positive - drug therapy
Leukemia, Myelogenous, Chronic, BCR-ABL Positive - genetics
Medical schools
Medical sciences
Medicine
Mutation
Myeloid leukemia
Piperazines - pharmacology
Piperazines - therapeutic use
Polymerase Chain Reaction
Protein turnover
Protein-tyrosine kinase
Pyrimidines - pharmacology
Pyrimidines - therapeutic use
RNA, Messenger - genetics
Signatures
Transcription
Tyrosine
title Gene expression signatures associated with the resistance to imatinib
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