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Overcoming Wnt-β-catenin dependent anticancer therapy resistance in leukaemia stem cells.
Nature Cell Biology ( IF 17.3 ) Pub Date : 2020-04-20 , DOI: 10.1038/s41556-020-0507-y
John M Perry 1, 2, 3, 4 , Fang Tao 1, 2 , Anuradha Roy 5 , Tara Lin 3 , Xi C He 1 , Shiyuan Chen 1 , Xiuling Lu 6 , Jacqelyn Nemechek 2 , Linhao Ruan 1, 7 , Xiazhen Yu 1, 8 , Debra Dukes 1 , Andrea Moran 1 , Jennifer Pace 2 , Kealan Schroeder 2 , Meng Zhao 1, 9 , Aparna Venkatraman 1 , Pengxu Qian 1, 10, 11 , Zhenrui Li 1, 12 , Mark Hembree 1 , Ariel Paulson 1 , Zhiquan He 13 , Dong Xu 13 , Thanh-Huyen Tran 6, 14 , Prashant Deshmukh 15 , Chi Thanh Nguyen 16 , Rajeswari M Kasi 15, 16 , Robin Ryan 2 , Melinda Broward 3 , Sheng Ding 17 , Erin Guest 2 , Keith August 2 , Alan S Gamis 2 , Andrew Godwin 3 , G Sitta Sittampalam 3, 18 , Scott J Weir 19 , Linheng Li 1, 20
Affiliation  

Leukaemia stem cells (LSCs) underlie cancer therapy resistance but targeting these cells remains difficult. The Wnt-β-catenin and PI3K-Akt pathways cooperate to promote tumorigenesis and resistance to therapy. In a mouse model in which both pathways are activated in stem and progenitor cells, LSCs expanded under chemotherapy-induced stress. Since Akt can activate β-catenin, inhibiting this interaction might target therapy-resistant LSCs. High-throughput screening identified doxorubicin (DXR) as an inhibitor of the Akt-β-catenin interaction at low doses. Here we repurposed DXR as a targeted inhibitor rather than a broadly cytotoxic chemotherapy. Targeted DXR reduced Akt-activated β-catenin levels in chemoresistant LSCs and reduced LSC tumorigenic activity. Mechanistically, β-catenin binds multiple immune-checkpoint gene loci, and targeted DXR treatment inhibited expression of multiple immune checkpoints specifically in LSCs, including PD-L1, TIM3 and CD24. Overall, LSCs exhibit distinct properties of immune resistance that are reduced by inhibiting Akt-activated β-catenin. These findings suggest a strategy for overcoming cancer therapy resistance and immune escape.

中文翻译:


克服白血病干细胞中的 Wnt-β-catenin 依赖性抗癌治疗耐药性。



白血病干细胞(LSC)是癌症治疗耐药性的基础,但靶向这些细胞仍然很困难。 Wnt-β-catenin 和 PI3K-Akt 通路协同促进肿瘤发生和治疗耐药。在干细胞和祖细胞中两条通路均被激活的小鼠模型中,LSC 在化疗引起的应激下扩增。由于 Akt 可以激活 β-连环蛋白,因此抑制这种相互作用可能会针对治疗耐药的 LSC。高通量筛选确定阿霉素 (DXR) 是低剂量 Akt-β-连环蛋白相互作用的抑制剂。在这里,我们将 DXR 重新定位为靶向抑制剂,而不是广泛的细胞毒性化疗。靶向 DXR 降低了化疗耐药 LSC 中 Akt 激活的 β-连环蛋白水平,并降低了 LSC 致瘤活性。从机制上讲,β-连环蛋白结合多个免疫检查点基因位点,靶向 DXR 治疗可抑制 LSC 中多个免疫检查点的表达,包括 PD-L1、TIM3 和 CD24。总体而言,LSC 表现出独特的免疫抵抗特性,通过抑制 Akt 激活的 β-连环蛋白可以降低免疫抵抗力。这些发现提出了克服癌症治疗耐药性和免疫逃逸的策略。
更新日期:2020-04-24
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