PMID- 22094587 OWN - NLM STAT- MEDLINE DCOM- 20120705 LR - 20231213 IS - 1476-5551 (Electronic) IS - 0887-6924 (Linking) VI - 26 IP - 5 DP - 2012 May TI - Silencing of ETV6/RUNX1 abrogates PI3K/AKT/mTOR signaling and impairs reconstitution of leukemia in xenografts. PG - 927-33 LID - 10.1038/leu.2011.322 [doi] AB - The ETV6/RUNX1 (E/R) gene fusion is generated by the t(12;21) and found in approximately 25% of childhood B-cell precursor acute lymphoblastic leukemia. In contrast to the overwhelming evidence that E/R is critical for the initiation of leukemia, its relevance for the maintenance of overt disease is less clear. To investigate this issue, we suppressed the endogenous E/R fusion protein with lentivirally transduced short hairpin RNA in the leukemia cell lines REH and AT-2, and found a distinct reduction of proliferation and cell survival. In line with the observed concurrent inactivation of the phosphoinositide 3-kinase (PI3K)/AKT/mammalian target of rapamycin (mTOR) pathway, pharmacological inhibition diminished the phosphorylation of AKT and ribosomal protein S6, and significantly increased the apoptosis rate in E/R-positive leukemias. Moreover, PI3K/mTOR inhibitors sensitized glucocorticoid-resistant REH cells to prednisolone, an observation of potential relevance for improving treatment of drug-resistant relapses. Of note, knockdown of the E/R fusion gene also severely impaired the repopulation capacity of REH cells in non-obese deficient/severe combined immunodeficient mice. Collectively, these data demonstrate that the E/R fusion protein activates the PI3K/AKT/mTOR pathway and is indispensible for disease maintenance. Importantly, these results provide a first rationale and justification for targeting the fusion gene and the PI3K/AKT/mTOR pathway therapeutically. FAU - Fuka, G AU - Fuka G AD - Children's Cancer Research Institute, St Anna Kinderkrebsforschung, Medical University Vienna, Vienna, Austria. FAU - Kantner, H-P AU - Kantner HP FAU - Grausenburger, R AU - Grausenburger R FAU - Inthal, A AU - Inthal A FAU - Bauer, E AU - Bauer E FAU - Krapf, G AU - Krapf G FAU - Kaindl, U AU - Kaindl U FAU - Kauer, M AU - Kauer M FAU - Dworzak, M N AU - Dworzak MN FAU - Stoiber, D AU - Stoiber D FAU - Haas, O A AU - Haas OA FAU - Panzer-Grumayer, R AU - Panzer-Grumayer R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20111118 PL - England TA - Leukemia JT - Leukemia JID - 8704895 RN - 0 (Core Binding Factor Alpha 2 Subunit) RN - 0 (Proto-Oncogene Proteins c-ets) RN - 0 (RUNX1 protein, human) RN - 0 (Repressor Proteins) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Cell Line, Tumor MH - Core Binding Factor Alpha 2 Subunit/*genetics MH - *Gene Silencing MH - Humans MH - Mice MH - Phosphatidylinositol 3-Kinases/*metabolism MH - Precursor Cell Lymphoblastic Leukemia-Lymphoma/*metabolism/pathology MH - Proto-Oncogene Proteins c-akt/*metabolism MH - Proto-Oncogene Proteins c-ets/*genetics MH - RNA Interference MH - Real-Time Polymerase Chain Reaction MH - Repressor Proteins/*genetics MH - *Signal Transduction MH - TOR Serine-Threonine Kinases/*metabolism MH - Transplantation, Heterologous MH - ETS Translocation Variant 6 Protein EDAT- 2011/11/19 06:00 MHDA- 2012/07/06 06:00 CRDT- 2011/11/19 06:00 PHST- 2011/11/19 06:00 [entrez] PHST- 2011/11/19 06:00 [pubmed] PHST- 2012/07/06 06:00 [medline] AID - leu2011322 [pii] AID - 10.1038/leu.2011.322 [doi] PST - ppublish SO - Leukemia. 2012 May;26(5):927-33. doi: 10.1038/leu.2011.322. Epub 2011 Nov 18.