BCR-ABL mutants spread resistance to non-mutated cells through a paracrine mechanism

Leukemia. 2008 Apr;22(4):791-9. doi: 10.1038/leu.2008.3. Epub 2008 Jan 24.

Abstract

Patients with chronic myeloid leukemia who become resistant to the Abl kinase inhibitor imatinib can be treated with dasatinib. This sequential treatment can lead to BCR-ABL mutations conferring broad resistance to kinase inhibitors. To model the evolution of resistance, we exposed the mouse DA1-3b BCR-ABL(+) leukemic cell line to imatinib for several months, and obtained resistant cells carrying the E255K mutation. We then exposed these cells to dasatinib, and obtained dasatinib-resistant cells with composite E255K+T315I mutations. Subcloning isolated a minor clone also carrying V299L. In co-culture, mutated cells were able to spread resistance to non-mutated cells through overexpression of interleukin 3, activation of MEK/ERK and JAK2/STAT5 pathways, and downregulation of Bim. Even the presence of less than 10% of mutated cells was sufficient to protect non-mutated cells. Blocking JAK2 and MEK1/2 inhibited the protective effect of co-culture. Mutated cells were also sensitive to JAK2 inhibition, but blocking MEK1/2 alone, or in association with kinase inhibitors, had little effect. These data indicate that sequential Abl kinase inhibitor therapy can generate sub-populations of mutated cells, which may coexist with non-mutated cells and protect them through a paracrine mechanism. Targeting JAK2 could eliminate both populations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Benzamides
  • Cell Line
  • Coculture Techniques
  • Dasatinib
  • Drug Resistance, Neoplasm*
  • Extracellular Signal-Regulated MAP Kinases
  • Fusion Proteins, bcr-abl / genetics*
  • Imatinib Mesylate
  • Interleukin-3
  • Janus Kinase 2 / antagonists & inhibitors*
  • Janus Kinase 2 / metabolism
  • Mice
  • Mitogen-Activated Protein Kinase Kinases
  • Models, Animal
  • Mutation, Missense*
  • Paracrine Communication*
  • Piperazines / pharmacology
  • Pyrimidines / pharmacology
  • STAT5 Transcription Factor
  • Signal Transduction
  • Thiazoles / pharmacology

Substances

  • Benzamides
  • Interleukin-3
  • Piperazines
  • Pyrimidines
  • STAT5 Transcription Factor
  • Thiazoles
  • Imatinib Mesylate
  • Fusion Proteins, bcr-abl
  • Jak2 protein, mouse
  • Janus Kinase 2
  • Extracellular Signal-Regulated MAP Kinases
  • Mitogen-Activated Protein Kinase Kinases
  • Dasatinib