Role of BCR/ABL gene-expression levels in determining the phenotype and imatinib sensitivity of transformed human hematopoietic cells

Blood. 2007 Jun 15;109(12):5411-21. doi: 10.1182/blood-2006-06-032490. Epub 2007 Mar 8.

Abstract

Increased levels of Bcr-Abl expression in chronic myelogenous leukemia (CML) cells are associated with disease progression and imatinib (IM) resistance. However, it is not clear if these associations are a direct result of elevated Bcr-Abl expression. We used a human transduction model of CML to directly investigate the role of varying Bcr-Abl expression levels in determining the phenotype and IM sensitivity of hematopoietic cells. CD34(+) cells were transduced with vectors coexpressing Bcr-Abl and GFP, and cells expressing low and high levels of GFP and Bcr-Abl (BA(lo) and BA(hi)) were selected. BA(hi) cells demonstrated enhanced activation of downstream proliferative and antiapoptotic signaling and enhanced proliferation and survival compared to BA(lo) cells. Freshly isolated BA(hi) CD34(+) cells and cell lines demonstrated increased IM-mediated growth inhibition likely reflecting Bcr-Abl dependence for growth and survival. CD34(+) cells expressing BCR/ABL kinase-mutant genes demonstrated resistance to IM-mediated inhibition of proliferation and viability, which was not enhanced by increased expression of BCR/ABL kinase-mutant genes. We conclude that Bcr-Abl overexpression results in increased proliferation and antiapoptotic signaling in CD34(+) cells, but may not play a direct role in IM resistance in progenitor cells expressing either wild-type or mutant BCR/ABL genes.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Benzamides
  • Cell Line, Transformed
  • Cell Proliferation
  • Cell Survival
  • Drug Resistance, Neoplasm*
  • Fusion Proteins, bcr-abl / genetics*
  • Gene Expression Regulation, Neoplastic*
  • Hematopoietic Stem Cells / pathology*
  • Humans
  • Imatinib Mesylate
  • Phenotype
  • Piperazines / pharmacology*
  • Pyrimidines / pharmacology*
  • Transduction, Genetic

Substances

  • Benzamides
  • Piperazines
  • Pyrimidines
  • Imatinib Mesylate
  • Fusion Proteins, bcr-abl