PMID- 23335068 OWN - NLM STAT- MEDLINE DCOM- 20130725 LR - 20211021 IS - 1559-131X (Electronic) IS - 1357-0560 (Linking) VI - 30 IP - 1 DP - 2013 Mar TI - PI-103 sensitizes acute myeloid leukemia stem cells to daunorubicin-induced cytotoxicity. PG - 395 LID - 10.1007/s12032-012-0395-5 [doi] AB - To date, acute myeloid leukemia (AML) shows very poor outcome for conventional chemotherapy. Leukemia stem cells (LSCs) are insensitive to conventional chemotherapeutic drugs and play a central role in the pathogenesis of AML. Failure to effectively ablate these cells may lead to AML relapse following chemotherapy. Phosphatidylinositol 3-kinase (PI3K)/Akt/mammalian target of rapamycin (mTOR) signaling pathway is constructively activated in LSCs. This pathway can be inhibited by PI-103, a novel synthesized molecule of the pyridofuropyrimidine class, resulting in the apoptosis of LSCs. Therefore, we investigate the influences of PI-103 in combination with daunorubicin (DNR) on the LSCs. Our data indicate that PI-103 synergistically sensitizes LSCs to DNR-induced cytotoxicity. In addition, the PI-103/DNR co-treatment can induce significant apoptosis in LSCs, but sparing hematopoietic stem cells. The synergistic effect and the LSCs-specific apoptosis mechanism may be associated with the inhibition of PI3K/Akt/mTOR signaling pathway. Our results suggest that PI-103 in combination with DNR may be a potent and less toxic therapy for targeting LSCs and deserve further preclinical and clinical studies in the treatment of AML. FAU - Ding, Qian AU - Ding Q AD - Department of Hematology, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080 Guangdong, China. FAU - Gu, Ran AU - Gu R FAU - Liang, Jiayi AU - Liang J FAU - Zhang, Xiangzhong AU - Zhang X FAU - Chen, Yunxian AU - Chen Y LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130119 PL - United States TA - Med Oncol JT - Medical oncology (Northwood, London, England) JID - 9435512 RN - 0 (Furans) RN - 0 (PI103) RN - 0 (Pyridines) RN - 0 (Pyrimidines) RN - ZS7284E0ZP (Daunorubicin) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Antineoplastic Combined Chemotherapy Protocols/*pharmacology MH - Apoptosis/drug effects MH - Blotting, Western MH - Cell Survival/drug effects MH - Cells, Cultured MH - Daunorubicin/administration & dosage MH - Female MH - Flow Cytometry MH - Furans/*administration & dosage MH - Humans MH - *Leukemia, Myeloid, Acute MH - Male MH - Middle Aged MH - Neoplastic Stem Cells/*drug effects MH - Pyridines/*administration & dosage MH - Pyrimidines/*administration & dosage MH - Signal Transduction/drug effects MH - Young Adult EDAT- 2013/01/22 06:00 MHDA- 2013/07/26 06:00 CRDT- 2013/01/22 06:00 PHST- 2012/09/29 00:00 [received] PHST- 2012/10/05 00:00 [accepted] PHST- 2013/01/22 06:00 [entrez] PHST- 2013/01/22 06:00 [pubmed] PHST- 2013/07/26 06:00 [medline] AID - 10.1007/s12032-012-0395-5 [doi] PST - ppublish SO - Med Oncol. 2013 Mar;30(1):395. doi: 10.1007/s12032-012-0395-5. Epub 2013 Jan 19.