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miR-451a abrogates treatment resistance in FLT3-ITD-positive acute myeloid leukemia.

Krakowsky, Rosanna H. E., Wurm, Alexander A., Gerloff, Dennis, Katzerke, Christiane, Bräuer-Hartmann, Daniela, Hartmann, Jens-Uwe, Wilke, Franziska, Thiede, Christian, Müller-Tidow, Carsten, Niederwieser, Dietger, Behre, Gerhard·2018·Blood Cancer Journal

Abstract

Acute myeloid leukemia (AML) is a fatal disease with up to 95% of patients remaining incurable. While supportive care has been increased in quantity and quality; substantial progress of AML therapy itself is still lacking. Primarily two predicaments challenge current therapy: first, the heterogeneity of the disease; second, the phenomenon of treatment resistance. Although many AML patients initially respond to therapy, the majority of patients relapse caused by chemoresistant clones, ultimately leading to the incurability of the disease 1 , 2 , 3 .

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Crossref · 10.1038/s41408-018-0070-y

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Fig. 1 FLT3-ITD downregulates miR-451a. a NGS of bone marrow mononuclear cells from healthy donors and normal karyotype AML patients with FLT3-WT, FLT3-ITD or FLT3-TKD. Heatmap of the top 50 miRs differentially expressed in AML samples compared to healthy donors ranked by p-value. miR-451a exhibited the lowest p-value. b Median expression levels of miR-451a are lowest in FLT3-ITD+ AML samples. Significance was determined by Wilcoxon test (two-tailed **p < 0.01). c MiR-451a expression among FLT3-WT and FLT3-ITD AML patients of the TCGA cohort. Patients depicted were of normal karyotype. Significance was determined by Wilcoxon test (two-tailed *p < 0.05). d,e Transduction of U937 and 32D cells with FLT3-ITD led to significant decrease of miR-451a levels, measured by qPCR. (two-tailed t-test *p < 0.05; **p < 0.01). f MiR-451a levels of MV4;11 cells after 48 h treatment with FLT3 inhibitors quizartinib (black bars) and gilteritinib (gray bars). Both FLT3 inhibitors raised significantly miR-451a levels measured by qPCR. (two-tailed t-test *p < 0.05; **p < 0.01). g MiR-451a expression in umbilical cord blood (UCB) cells does not change upon 48 h treatment with quizartinib and gilteritinib. (two-tailed t-test; n.s. p > 0.05). All experiments were performed at least three times
Fig. 1 FLT3-ITD downregulates miR-451a. a NGS of bone marrow mononuclear cells from healthy donors and normal karyotype AML patients with FLT3-WT, FLT3-ITD or FLT3-TKD. Heatmap of the top 50 miRs differentially expressed in AML samples compared to healthy donors ranked by p-value. miR-451a exhibited the lowest p-value. b Median expression levels of miR-451a are lowest in FLT3-ITD+ AML samples. Significance was determined by Wilcoxon test (two-tailed **p < 0.01). c MiR-451a expression among FLT3-WT and FLT3-ITD AML patients of the TCGA cohort. Patients depicted were of normal karyotype. Significance was determined by Wilcoxon test (two-tailed *p < 0.05). d,e Transduction of U937 and 32D cells with FLT3-ITD led to significant decrease of miR-451a levels, measured by qPCR. (two-tailed t-test *p < 0.05; **p < 0.01). f MiR-451a levels of MV4;11 cells after 48 h treatment with FLT3 inhibitors quizartinib (black bars) and gilteritinib (gray bars). Both FLT3 inhibitors raised significantly miR-451a levels measured by qPCR. (two-tailed t-test *p < 0.05; **p < 0.01). g MiR-451a expression in umbilical cord blood (UCB) cells does not change upon 48 h treatment with quizartinib and gilteritinib. (two-tailed t-test; n.s. p > 0.05). All experiments were performed at least three timesCC BY · PubMed Central
Fig. 2 MiR-451a sensitizes FLT3-ITD+ cells to chemotherapy. a Stable transduction of U937 cells with FLT3-ITD and GFP. In comparison to the GFP control, transduced FLT3-ITD led to increased MDR1 levels in U937 cells (two-tailed t-test ***p < 0.001). b Western blot analysis revealed increased MDR1 protein levels in FLT3-ITD transduced U937 cells in comparison to GFP control (c) MV4;11 cells treated for 48 h with quizartinib and gilteritinib. Flow cytometric analysis exhibited decreased MDR1 protein levels (two-tailed t-test *p < 0.05; **p < 0.01). d Transient transfection of miR-451a resulted in enhanced sensitivity of MV4;11 cells toward cytarabine. Cell viability was measured by MTS-assay (two-tailed t-test *p < 0.05). e Annexin V levels of stable miR-451a-transduced MV4;11 parental cells after 48 h treatment. Flow cytometry revealed a significant increment of Annexin V+ cells in miR-451a transduced cells compared to the non-silencing control (NSC) (two-tailed t-test *p < 0.05). f MiR-451a abrogates treatment resistance of MV4;11-R cells. Resistant MV4;11 cells were stably transduced with miR-451a and treated for 48 h with quizartinib or gilteritinib. NSC non-silencing control (two-tailed t-test *p < 0.05; **p < 0.01). g MV4;11-R cells transduced with miR-451a showed decreased MDR1 levels compared to the NSC. All experiments were performed at least three times (two-tailed t-test *p < 0.05). h Western blot analysis revealed reduced MDR1 protein levels in miR-451a transduced MV4;11-R cells in comparison to NSC control. i Proposed scheme of the FLT3-ITD-MDR1-miR-451a axis
Fig. 2 MiR-451a sensitizes FLT3-ITD+ cells to chemotherapy. a Stable transduction of U937 cells with FLT3-ITD and GFP. In comparison to the GFP control, transduced FLT3-ITD led to increased MDR1 levels in U937 cells (two-tailed t-test ***p < 0.001). b Western blot analysis revealed increased MDR1 protein levels in FLT3-ITD transduced U937 cells in comparison to GFP control (c) MV4;11 cells treated for 48 h with quizartinib and gilteritinib. Flow cytometric analysis exhibited decreased MDR1 protein levels (two-tailed t-test *p < 0.05; **p < 0.01). d Transient transfection of miR-451a resulted in enhanced sensitivity of MV4;11 cells toward cytarabine. Cell viability was measured by MTS-assay (two-tailed t-test *p < 0.05). e Annexin V levels of stable miR-451a-transduced MV4;11 parental cells after 48 h treatment. Flow cytometry revealed a significant increment of Annexin V+ cells in miR-451a transduced cells compared to the non-silencing control (NSC) (two-tailed t-test *p < 0.05). f MiR-451a abrogates treatment resistance of MV4;11-R cells. Resistant MV4;11 cells were stably transduced with miR-451a and treated for 48 h with quizartinib or gilteritinib. NSC non-silencing control (two-tailed t-test *p < 0.05; **p < 0.01). g MV4;11-R cells transduced with miR-451a showed decreased MDR1 levels compared to the NSC. All experiments were performed at least three times (two-tailed t-test *p < 0.05). h Western blot analysis revealed reduced MDR1 protein levels in miR-451a transduced MV4;11-R cells in comparison to NSC control. i Proposed scheme of the FLT3-ITD-MDR1-miR-451a axisCC BY · PubMed Central

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Metadata

Authors
Krakowsky, R. H. E., Wurm, A. A., Gerloff, D., Katzerke, C., Bräuer-Hartmann, D., Hartmann, J.-U., Wilke, F., Thiede, C., Müller-Tidow, C., Niederwieser, D., & Behre, G.
Venue
Blood Cancer Journal
Published
2018-03-21
Volume
8
Issue
3
ISSN
2044-5385
Cited by
18
References
15
Language
en
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CoChat. (2026). Citation check: miR-451a abrogates treatment resistance in FLT3-ITD-positive acute myeloid leukemia. https://app.cochat.ai/papers/10.1038/s41408-018-0070-y
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Krakowsky, R. H. E., Wurm, A. A., Gerloff, D., Katzerke, C., Bräuer-Hartmann, D., Hartmann, J.-U., Wilke, F., Thiede, C., Müller-Tidow, C., Niederwieser, D., & Behre, G. (2018). miR-451a abrogates treatment resistance in FLT3-ITD-positive acute myeloid leukemia. Blood Cancer Journal. https://doi.org/10.1038/s41408-018-0070-y

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