Abstract
Cell killing is a critical pharmacological activity of imatinib to eradicate Bcr/Abl+ leukemias. We found that imatinib kills Bcr/Abl+ leukemic cells by triggering the Bcl-2-regulated apoptotic pathway. Imatinib activated several proapoptotic BH3-only proteins: bim and bmf transcription was increased, and both Bim and Bad were activated posttranslationally. Studies using RNAi and cells from gene-targeted mice revealed that Bim plays a major role in imatinib-induced apoptosis of Bcr/Abl+ leukemic cells and that the combined loss of Bim and Bad abrogates this killing. Loss of Bmf or Puma had no effect. Resistance to imatinib caused by Bcl-2 overexpression or loss of Bim (plus Bad) could be overcome by cotreatment with the BH3 mimetic ABT-737. These results demonstrate that Bim and Bad account for most, perhaps all, imatinib-induced killing of Bcr/Abl+ leukemic cells and suggest previously undescribed drug combination strategies for cancer therapy.
MeSH Terms
Animals
Antineoplastic Agents/pharmacology
Apoptosis/drug effects
Apoptosis Regulatory Proteins/genetics,metabolism
Bcl-2-Like Protein 11
Benzamides
Biphenyl Compounds/pharmacology
Cell Line, Tumor
Cell Transformation, Neoplastic
Cytotoxicity, Immunologic/drug effects
Drug Resistance, Neoplasm
Fetus/cytology
Fusion Proteins, bcr-abl
Humans
Imatinib Mesylate
Leukemia, Myelogenous, Chronic, BCR-ABL Positive/pathology
Liver/cytology
Membrane Proteins/genetics,metabolism
Mice
Myeloid Progenitor Cells/cytology
Nitrophenols
Piperazines/pharmacology
Protein-Tyrosine Kinases/metabolism
Proto-Oncogene Proteins/genetics,metabolism
Proto-Oncogene Proteins c-bcl-2/metabolism
Pyrimidines/pharmacology
Sulfonamides
bcl-Associated Death Protein/metabolism
Chemicals
ABT-737
Antineoplastic Agents
Apoptosis Regulatory Proteins
BCL2L11 protein, human
Bcl-2-Like Protein 11
Bcl2l11 protein, mouse
Benzamides
Biphenyl Compounds
Membrane Proteins
Nitrophenols
Piperazines
Proto-Oncogene Proteins
Proto-Oncogene Proteins c-bcl-2
Pyrimidines
Sulfonamides
bcl-Associated Death Protein
Imatinib Mesylate
Protein-Tyrosine Kinases
Fusion Proteins, bcr-abl
Authors & Affiliations
12 authors, click to expand affiliations / ORCID
Kuroda Junya
The Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria 3050, Australia.
Puthalakath Hamsa
Cragg Mark S
Kelly Priscilla N
Bouillet Philippe
Huang David C S
Kimura Shinya
Ottmann Oliver G
Druker Brian J
Villunger Andreas
Roberts Andrew W
Strasser Andreas
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