PMID- 15784722 OWN - NLM STAT- MEDLINE DCOM- 20060217 LR - 20211203 IS - 1530-6860 (Electronic) IS - 0892-6638 (Linking) VI - 19 IP - 8 DP - 2005 Jun TI - Identification of mTOR as a novel bifunctional target in chronic myeloid leukemia: dissection of growth-inhibitory and VEGF-suppressive effects of rapamycin in leukemic cells. PG - 960-2 AB - The mammalian target of rapamycin (mTOR) has recently been described to be constitutively activated in Bcr-Abl-transformed cells and to mediate rapamycin-induced inhibition of growth in respective cell lines. We have recently shown that rapamycin down-regulates expression of vascular endothelial growth factor (VEGF), a mediator of leukemia-associated angiogenesis, in primary CML cells. In the present study, we analyzed growth-inhibitory in vitro and in vivo effects of rapamycin on primary CML cells and asked whether rapamycin-induced suppression of VEGF in leukemic cells is related to growth inhibition. Rapamycin dose dependently inhibited growth of primary CML cells obtained from patients with imatinib-responsive or imatinib-resistant disease as well as growth of Bcr-Abl-transformed imatinib-resistant cell lines. Moreover, we observed potent cytoreductive effects of rapamycin in a patient with imatinib-resistant Bcr-Abl+ leukemia. The growth-inhibitory effects of rapamycin on CML cells were found to be associated with G1 cell cycle arrest and with induction of apoptosis. In all cell types tested, rapamycin was found to down-regulate expression of VEGF. However, exogenously added VEGF did not counteract the rapamycin-induced decrease in proliferation. In conclusion, rapamycin inhibits growth of CML cells in vitro and in vivo and, in addition, down-regulates expression of VEGF. Both effects may contribute to the antileukemic activity of the drug in CML. FAU - Mayerhofer, Matthias AU - Mayerhofer M AD - Department of Internal Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Austria. matthias.mayerhofer@univie.ac.at FAU - Aichberger, Karl J AU - Aichberger KJ FAU - Florian, Stefan AU - Florian S FAU - Krauth, Maria-Theresa AU - Krauth MT FAU - Hauswirth, Alexander W AU - Hauswirth AW FAU - Derdak, Sophia AU - Derdak S FAU - Sperr, Wolfgang R AU - Sperr WR FAU - Esterbauer, Harald AU - Esterbauer H FAU - Wagner, Oswald AU - Wagner O FAU - Marosi, Christine AU - Marosi C FAU - Pickl, Winfried F AU - Pickl WF FAU - Deininger, Michael AU - Deininger M FAU - Weisberg, Ellen AU - Weisberg E FAU - Druker, Brian J AU - Druker BJ FAU - Griffin, James D AU - Griffin JD FAU - Sillaber, Christian AU - Sillaber C FAU - Valent, Peter AU - Valent P LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20050322 PL - United States TA - FASEB J JT - FASEB journal : official publication of the Federation of American Societies for Experimental Biology JID - 8804484 RN - 0 (Antineoplastic Agents) RN - 0 (Benzamides) RN - 0 (Piperazines) RN - 0 (Pyrimidines) RN - 0 (Recombinant Proteins) RN - 0 (Vascular Endothelial Growth Factor A) RN - 8A1O1M485B (Imatinib Mesylate) RN - EC 2.7.- (Protein Kinases) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.10.2 (Fusion Proteins, bcr-abl) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Antineoplastic Agents/*pharmacology MH - Apoptosis/drug effects MH - Benzamides MH - Cell Cycle/drug effects MH - Cell Division/*drug effects MH - Cell Survival MH - Drug Resistance, Neoplasm MH - Flow Cytometry MH - Fusion Proteins, bcr-abl/analysis/genetics MH - G1 Phase/drug effects MH - Gene Expression Regulation/drug effects MH - Humans MH - Imatinib Mesylate MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/metabolism/*pathology MH - Piperazines/pharmacology MH - Point Mutation MH - Protein Kinases/analysis/*physiology MH - Pyrimidines/pharmacology MH - Recombinant Proteins/pharmacology MH - Reverse Transcriptase Polymerase Chain Reaction MH - Sirolimus/*pharmacology MH - TOR Serine-Threonine Kinases MH - Tumor Cells, Cultured MH - Vascular Endothelial Growth Factor A/*antagonists & inhibitors/genetics/pharmacology EDAT- 2005/03/24 09:00 MHDA- 2006/02/18 09:00 CRDT- 2005/03/24 09:00 PHST- 2005/03/24 09:00 [pubmed] PHST- 2006/02/18 09:00 [medline] PHST- 2005/03/24 09:00 [entrez] AID - 04-1973fje [pii] AID - 10.1096/fj.04-1973fje [doi] PST - ppublish SO - FASEB J. 2005 Jun;19(8):960-2. doi: 10.1096/fj.04-1973fje. Epub 2005 Mar 22.