Cited by 147Chronic Myeloid Leukemia TreatmentsProtein Kinase Regulation and GTPase SignalingProtein Tyrosine Phosphatases

The DOI matches its Crossref record; 56 of the 58 references it cites were found in a registry or an index; none of the 53 sources its claims cite is checked for support yet.

Rac Guanosine Triphosphatases Represent Integrating Molecular Therapeutic Targets for BCR-ABL-Induced Myeloproliferative Disease

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Abstract

Chronic myelogenous leukemia (CML) is a clonal myeloproliferative disease (MPD) initiated by expression of the p210-BCR-ABL fusion protein. We demonstrate in a murine model of p210-BCR-ABL-induced MPD that gene targeting of Rac1 and Rac2 significantly delays or abrogates disease development. Attenuation of the disease phenotype is associated with severely diminished p210-BCR-ABL-induced downstream signaling in primary hematopoietic cells. We utilize NSC23766, a small molecule antagonist of Rac activation, to validate biochemically and functionally Rac as a molecular target in both a relevant animal model and in primary human CML cells in vitro and in a xenograft model in vivo, including in Imatinib-resistant p210-BCR-ABL disease. These data demonstrate that Rac is an additional therapeutic target in p210-BCR-ABL-mediated MPD.

Overview

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TL;DR

In a murine p210-BCR-ABL myeloproliferative disease model, combined Rac1/Rac2 deficiency significantly delays or abrogates disease, and the Rac inhibitor NSC23766 impairs p210-BCR-ABL-driven proliferation and leukemogenesis, including Imatinib-resistant T315I disease. These data identify Rac GTPases as integrating therapeutic targets in p210-BCR-ABL-mediated MPD.

Key findings

  • Rac1, Rac2, and to a lesser degree Rac3 were hyperactivated in CD34+ cells from two chronic-phase CML patients; p210-BCR-ABL expression in murine LDBM cells led to a >2-fold increase in GTP-bound Rac.
  • Mice transplanted with p210-BCR-ABL-expressing Rac1^D/D;Rac2^-/- cells showed significantly prolonged survival versus WT and Rac1^D/D mice (p < 0.001), with nearly 50% alive at 100 days posttransplant; Rac2^-/- survival was intermediate and also significantly longer than WT/Rac1^D/D (p < 0.001).
  • NSC23766 inhibited p210-BCR-ABL-induced proliferation dose-dependently; in Imatinib-resistant Ba/F3 T315I-p210-BCR-ABL cells, up to 3 µM Imatinib alone caused <10% inhibition, whereas NSC23766 alone or with Imatinib caused >90% inhibition.
  • In vivo, NSC23766 significantly increased survival of mice with p210-BCR-ABL-induced disease (p < 0.01), and in NOD/SCID mice transplanted with human chronic-phase CML CD34+ cells, NSC23766 induced ~85% reduction in human CML by 17 days posttransplant.

Methods

  • Murine retroviral p210-BCR-ABL MPD model using 5-FU-treated LDBM cells from Cre-Tg+;WT, Rac1^flox/flox, Rac2^-/-, and Rac1^flox/flox;Rac2^-/- mice; EGFP+ transduced cells were transplanted into irradiated C57Bl/6 mice, with polyI:C-induced Rac1 deletion 10 days posttransplant.
  • Analyses included survival curves, blood counts/differentials, LAM-PCR and Southern blot for clonality, PBD pull-down assays for Rac activation, immunoblotting for ERK/JNK/p38/Akt/STAT5/CrkL phosphorylation, proliferation assays, and CFU-GM assays.
  • Human specimens included CD34+ peripheral blood CML cells from two patients and normal BM; NSC23766 was tested in vitro, in Ba/F3 T315I-p210-BCR-ABL cells, and in vivo via osmotic pumps in murine and NOD/SCID xenograft models. Statistics used unpaired Student’s t test and log rank test for survival, with p < 0.05 considered significant.

Limitations

  • The paper does not include a formal limitations section.
  • Evident from the text: NSC23766 inhibition of Rac activation is reversible and less complete than genetic deletion, and it is described as a first-generation small molecule inhibitor.
  • Evident from the text: human primary CML validation used cells from two patients, and the role of Rac3 in hematopoiesis/disease is not fully defined; the authors state studies are underway using Rac3^-/- mice bred into the Rac1^flox/flox;Rac2^-/- line.

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Integrity signals

Registry

Crossref · 10.1016/j.ccr.2007.10.015

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Metadata

Authors
Thomas, E. K., Cancelas, J. A., Chae, H.-D., Cox, A. D., Keller, P. J., Perrotti, D., Neviani, P., Druker, B. J., Setchell, K. D. R., Zheng, Y., Harris, C. E., & Williams, D. A.
Affiliations
  • Cincinnati Children's Hospital Medical Center (US)
  • University of North Carolina at Chapel Hill (US)
  • The Ohio State University (US)
  • Oregon Health & Science University (US)
Corresponding author
Williams, David A.
Venue
Cancer Cell
Publisher
Elsevier BV
Published
2007-11
Volume
12
Issue
5
Pages
467-478
ISSN
1535-6108 (ISSN-L)
OpenAlex
W2058761715
Cited by
147
References
58
Citations by year
2026: 2 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 5 · 2021: 7 · 2020: 5 · 2019: 3 · 2018: 11 · 2017: 10 · 2016: 6 · 2015: 11 · 2014: 8 · 2013: 11 · 2012: 14
FWCI
6.83
Type
journal article
Language
en
Open access
Locations
  • Cancer Cell (publishedVersion)
  • PubMed (publishedVersion)
  • Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
  • UNC Libraries
Funders
  • U.S. Department of Defense
  • National Heart, Lung, and Blood Institute (P01HL069974)
  • National Cancer Institute (R01CA095512)
  • National Institute of Diabetes and Digestive and Kidney Diseases (R01DK062757)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (T32HD046387)
Topics
  • Health Sciences › Medicine › Hematology › Chronic Myeloid Leukemia Treatments
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Kinase Regulation and GTPase Signaling
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Tyrosine Phosphatases
Keywords
Rac1, Rac2, BCR-ABL, chronic myeloid leukemia, myeloproliferative neoplasms, p210 BCR-ABL, NSC23766, Rac inhibitor, imatinib resistance, therapeutic target, downstream signaling, xenograft models, gene targeting
MeSH terms
RAC2 GTP-Binding Protein, Aminoquinolines, Animals, Dose-Response Relationship, Drug, Hematopoietic Stem Cells, Humans, Myeloproliferative Disorders, Neoplasm Transplantation, Phenotype, Pyrimidines, Leukemia, Myelogenous, Chronic, BCR-ABL Positive, Gene Expression Regulation, Leukemic, Fusion Proteins, bcr-abl, Antigens, CD34, rac GTP-Binding Proteins, rac1 GTP-Binding Protein, Cell Line, Tumor, Mice

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