BCL6-mediated repression of p53 is critical for leukemia stem cell survival in chronic myeloid leukemia.
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BCL6-mediated repression of p53 is critical for leukemia stem cell survival in chronic myeloid leukemia. / Hurtz, Christian; Hatzi, Katerina; Cerchietti, Leandro; Balabanov, Melanie; Park, Eugene; Kim, Yong-mi; Herzog, Sebastian; Ramezani-Rad, Parham; Jumaa, Hassan; Müller, Martin C; Hofmann, Wolf-Karsten; Hochhaus, Andreas; Ye, B Hilda; Agarwal, Anupriya; Druker, Brian J; Shah, Neil P; Melnick, Ari M; Müschen, Markus.
In: J EXP MED, Vol. 208, No. 11, 11, 2011, p. 2163-2174.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - BCL6-mediated repression of p53 is critical for leukemia stem cell survival in chronic myeloid leukemia.
AU - Hurtz, Christian
AU - Hatzi, Katerina
AU - Cerchietti, Leandro
AU - Balabanov, Melanie
AU - Park, Eugene
AU - Kim, Yong-mi
AU - Herzog, Sebastian
AU - Ramezani-Rad, Parham
AU - Jumaa, Hassan
AU - Müller, Martin C
AU - Hofmann, Wolf-Karsten
AU - Hochhaus, Andreas
AU - Ye, B Hilda
AU - Agarwal, Anupriya
AU - Druker, Brian J
AU - Shah, Neil P
AU - Melnick, Ari M
AU - Müschen, Markus
PY - 2011
Y1 - 2011
N2 - Chronic myeloid leukemia (CML) is induced by the oncogenic BCR-ABL1 tyrosine kinase and can be effectively treated for many years with tyrosine kinase inhibitors (TKIs). However, unless CML patients receive life-long TKI treatment, leukemia will eventually recur; this is attributed to the failure of TKI treatment to eradicate leukemia-initiating cells (LICs). Recent work demonstrated that FoxO factors are critical for maintenance of CML-initiating cells; however, the mechanism of FoxO-dependent leukemia initiation remained elusive. Here, we identified the BCL6 protooncogene as a critical effector downstream of FoxO in self-renewal signaling of CML-initiating cells. BCL6 represses Arf and p53 in CML cells and is required for colony formation and initiation of leukemia. Importantly, peptide inhibition of BCL6 in human CML cells compromises colony formation and leukemia initiation in transplant recipients and selectively eradicates CD34(+) CD38(-) LICs in patient-derived CML samples. These findings suggest that pharmacological inhibition of BCL6 may represent a novel strategy to eradicate LICs in CML. Clinical validation of this concept could limit the duration of TKI treatment in CML patients, which is currently life-long, and substantially decrease the risk of blast crisis transformation.
AB - Chronic myeloid leukemia (CML) is induced by the oncogenic BCR-ABL1 tyrosine kinase and can be effectively treated for many years with tyrosine kinase inhibitors (TKIs). However, unless CML patients receive life-long TKI treatment, leukemia will eventually recur; this is attributed to the failure of TKI treatment to eradicate leukemia-initiating cells (LICs). Recent work demonstrated that FoxO factors are critical for maintenance of CML-initiating cells; however, the mechanism of FoxO-dependent leukemia initiation remained elusive. Here, we identified the BCL6 protooncogene as a critical effector downstream of FoxO in self-renewal signaling of CML-initiating cells. BCL6 represses Arf and p53 in CML cells and is required for colony formation and initiation of leukemia. Importantly, peptide inhibition of BCL6 in human CML cells compromises colony formation and leukemia initiation in transplant recipients and selectively eradicates CD34(+) CD38(-) LICs in patient-derived CML samples. These findings suggest that pharmacological inhibition of BCL6 may represent a novel strategy to eradicate LICs in CML. Clinical validation of this concept could limit the duration of TKI treatment in CML patients, which is currently life-long, and substantially decrease the risk of blast crisis transformation.
KW - Animals
KW - Humans
KW - Disease Models, Animal
KW - Mice
KW - Mice, Knockout
KW - Tumor Cells, Cultured
KW - Neoplasm Transplantation
KW - Cell Survival
KW - Mice, SCID
KW - Mice, Inbred NOD
KW - Antigens, CD34/metabolism
KW - DNA-Binding Proteins/antagonists & inhibitors/genetics/metabolism
KW - Forkhead Transcription Factors/metabolism
KW - Hematopoietic Stem Cells/cytology/physiology
KW - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/drug therapy/pathology/physiopathology
KW - Neoplastic Stem Cells/physiology
KW - Piperazines/therapeutic use
KW - Protein Kinase Inhibitors/therapeutic use
KW - Protein-Tyrosine Kinases/antagonists & inhibitors
KW - Pyrimidines/therapeutic use
KW - Tumor Suppressor Protein p53/genetics/metabolism
KW - Animals
KW - Humans
KW - Disease Models, Animal
KW - Mice
KW - Mice, Knockout
KW - Tumor Cells, Cultured
KW - Neoplasm Transplantation
KW - Cell Survival
KW - Mice, SCID
KW - Mice, Inbred NOD
KW - Antigens, CD34/metabolism
KW - DNA-Binding Proteins/antagonists & inhibitors/genetics/metabolism
KW - Forkhead Transcription Factors/metabolism
KW - Hematopoietic Stem Cells/cytology/physiology
KW - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/drug therapy/pathology/physiopathology
KW - Neoplastic Stem Cells/physiology
KW - Piperazines/therapeutic use
KW - Protein Kinase Inhibitors/therapeutic use
KW - Protein-Tyrosine Kinases/antagonists & inhibitors
KW - Pyrimidines/therapeutic use
KW - Tumor Suppressor Protein p53/genetics/metabolism
M3 - SCORING: Journal article
VL - 208
SP - 2163
EP - 2174
JO - J EXP MED
JF - J EXP MED
SN - 0022-1007
IS - 11
M1 - 11
ER -