EHA Library - The official digital education library of European Hematology Association (EHA)

TARGETING THE LEUKEMIC STEM CELL NICHE BY PI3K INHIBITORS IN CHRONIC MYELOID LEUKEMIA TO OVERCOME LEUKEMIC STEM CELL RESISTANCE
Author(s): ,
Yüksel Filik
Affiliations:
Ludwig Boltzmann Institute for Hematology and Oncology,Medical University of Vienna,Vienna,Austria;Department for Internal Medicine I, Division of Hematology and Hemostaseology,Medical University of Vienna,Vienna,Austria
,
Karin Bauer
Affiliations:
Ludwig Boltzmann Institute for Hematology and Oncology,Medical University of Vienna,Vienna,Austria;Department for Internal Medicine I, Division of Hematology and Hemostaseology,Medical University of Vienna,Vienna,Austria
,
Emir Hadzijusufovic
Affiliations:
Ludwig Boltzmann Institute for Hematology and Oncology,Medical University of Vienna,Vienna,Austria;Department for Internal Medicine I, Division of Hematology and Hemostaseology,Medical University of Vienna,Vienna,Austria;Department/Hospital for Companion Animals and Horses, University Hospital for Small Animals, Internal Medicine Small Animals,University of Veterinary Medicine Vienna,Vienna,Austri
,
Wolfgang R. Sperr
Affiliations:
Ludwig Boltzmann Institute for Hematology and Oncology,Medical University of Vienna,Vienna,Austria;Department for Internal Medicine I, Division of Hematology and Hemostaseology,Medical University of Vienna,Vienna,Austria
Peter Valent
Affiliations:
Ludwig Boltzmann Institute for Hematology and Oncology,Medical University of Vienna,Vienna,Austria;Department for Internal Medicine I, Division of Hematology and Hemostaseology,Medical University of Vienna,Vienna,Austria
EHA Library. Filik Y. 06/09/21; 325424; EP664
Yüksel Filik
Yüksel Filik
Contributions
Abstract
Presentation during EHA2021: All e-poster presentations will be made available as of Friday, June 11, 2021 (09:00 CEST) and will be accessible for on-demand viewing until August 15, 2021 on the Virtual Congress platform.

Abstract: EP664

Type: E-Poster Presentation

Session title: Chronic myeloid leukemia - Biology & Translational Research

Background
Recent data suggest that the disease-related microenvironment (stem cell niche) is critically involved in drug resistance of leukemic stem cells (LSC) in chronic myeloid leukemia (CML). Attacking the stem cell niche in CML may thus be an effective approach to overcome LSC resistance. We have recently shown that osteoblasts induce substantial LSC resistance against tyrosine kinase inhibitors (TKI) in CML. We also found that several BCR-ABL1 TKI, like ponatinib or nilotinib, exert growth-inhibitory effects on endothelial cells. 

Aims
In the current study, we screened for drugs that are able to suppress the growth and viability of osteoblasts and endothelial cells in the CML context.

Methods
Proliferation was analyzed by measuring 3H-thymidine uptake in niche-related cells and apoptosis was measured by AnnexinV/DAPI-staining. 

Results
We found that PI3K/mTOR blocker BEZ235 and pan-PI3K inhibitor copanlisib suppress growth and viability of primary osteoblasts (BEZ235 IC50: 0.05 µM, copanlisib IC50: 0.05 µM), the osteoblastic cell line CAL-72 (BEZ235 IC50: 0.5 µM; copanlisib IC50: 1 µM), primary umbilical vein-derived endothelial cells (BEZ235 IC50: 0.5 µM; copanlisib IC50: 0.5 µM), and the endothelial cell line HMEC-1 (BEZ235 IC50: 1 µM; copanlisib IC50: 1 µM). Moreover, we found that BEZ235 and copanlisib cooperate with nilotinib and ponatinib in suppressing growth and viability of osteoblasts and endothelial cells. Finally, BEZ235 and copanlisib were found to overcome osteoblast-induced resistance of K562 cells, KU812 cells, and primary CD34+/CD38 CML LSC against nilotinib and ponatinib.

Conclusion

Together our data suggest that targeting niche cells by BEZ235 and copanlisib is an effective approach to overcome niche-induced TKI resistance in CML.

Keyword(s): BCR-ABL, PI3K, Stem cell niche

Presentation during EHA2021: All e-poster presentations will be made available as of Friday, June 11, 2021 (09:00 CEST) and will be accessible for on-demand viewing until August 15, 2021 on the Virtual Congress platform.

Abstract: EP664

Type: E-Poster Presentation

Session title: Chronic myeloid leukemia - Biology & Translational Research

Background
Recent data suggest that the disease-related microenvironment (stem cell niche) is critically involved in drug resistance of leukemic stem cells (LSC) in chronic myeloid leukemia (CML). Attacking the stem cell niche in CML may thus be an effective approach to overcome LSC resistance. We have recently shown that osteoblasts induce substantial LSC resistance against tyrosine kinase inhibitors (TKI) in CML. We also found that several BCR-ABL1 TKI, like ponatinib or nilotinib, exert growth-inhibitory effects on endothelial cells. 

Aims
In the current study, we screened for drugs that are able to suppress the growth and viability of osteoblasts and endothelial cells in the CML context.

Methods
Proliferation was analyzed by measuring 3H-thymidine uptake in niche-related cells and apoptosis was measured by AnnexinV/DAPI-staining. 

Results
We found that PI3K/mTOR blocker BEZ235 and pan-PI3K inhibitor copanlisib suppress growth and viability of primary osteoblasts (BEZ235 IC50: 0.05 µM, copanlisib IC50: 0.05 µM), the osteoblastic cell line CAL-72 (BEZ235 IC50: 0.5 µM; copanlisib IC50: 1 µM), primary umbilical vein-derived endothelial cells (BEZ235 IC50: 0.5 µM; copanlisib IC50: 0.5 µM), and the endothelial cell line HMEC-1 (BEZ235 IC50: 1 µM; copanlisib IC50: 1 µM). Moreover, we found that BEZ235 and copanlisib cooperate with nilotinib and ponatinib in suppressing growth and viability of osteoblasts and endothelial cells. Finally, BEZ235 and copanlisib were found to overcome osteoblast-induced resistance of K562 cells, KU812 cells, and primary CD34+/CD38 CML LSC against nilotinib and ponatinib.

Conclusion

Together our data suggest that targeting niche cells by BEZ235 and copanlisib is an effective approach to overcome niche-induced TKI resistance in CML.

Keyword(s): BCR-ABL, PI3K, Stem cell niche

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