PMID- 24112092 OWN - NLM STAT- MEDLINE DCOM- 20141028 LR - 20211203 IS - 1600-0609 (Electronic) IS - 0902-4441 (Linking) VI - 92 IP - 2 DP - 2014 Feb TI - Mammalian target of rapamycin inhibitor rapamycin enhances anti-leukemia effect of imatinib on Ph+ acute lymphoblastic leukemia cells. PG - 111-20 LID - 10.1111/ejh.12202 [doi] AB - BCR-ABL fusion gene typically causes a type of acute lymphoblastic leukemia (ALL), known as Ph+ ALL. Although imatinib (IM) treatment induced high rates of complete response (CR), serious acute and late complications are frequent, whereas more vexatiously resistance to chemotherapy and clinical relapse develops. Therefore, the efficacy of treatment in Ph+ ALL is still to be determined. In this study, we focused our attention on the potential benefit of rapamycin (RAPA), an mammalian target of rapamycin (mTOR) inhibitor, in combination with IM on a Ph+ ALL cell line SUP-B15 and a primary Ph+ ALL sample in vitro. Analysis of cell proliferation showed that RAPA (50 nm) plus IM exerted good synergistic effect on Ph+ ALL cells. Notably, we found that IM treatment induced the abnormal activation of the components of mTOR signaling pathway and p-BCR-ABL, whereas RAPA potently eliminated this deleterious side effect induced by IM and might overcome the resistance to IM. The synergistic effect was also associated with the increase in autophagy, which seemed to have an opposite role with apoptosis in Ph+ ALL cells, and cell cycle arrest in G1 phase. Altogether, our results suggested that IM in combination with RAPA was more effective for Ph+ ALL cells than IM alone. CI - (c) 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Yang, Xi AU - Yang X AD - Department of Hematology and State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, China. FAU - He, Guangcui AU - He G FAU - Gong, Yuping AU - Gong Y FAU - Zheng, Bohui AU - Zheng B FAU - Shi, Fangfang AU - Shi F FAU - Shi, Rui AU - Shi R FAU - Yang, Xiaojing AU - Yang X LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140106 PL - England TA - Eur J Haematol JT - European journal of haematology JID - 8703985 RN - 0 (Antineoplastic Agents) RN - 0 (Benzamides) RN - 0 (Piperazines) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Pyrimidines) RN - 8A1O1M485B (Imatinib Mesylate) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Antineoplastic Agents/pharmacology/therapeutic use MH - Apoptosis/drug effects MH - Benzamides/*pharmacology/therapeutic use MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Dose-Response Relationship, Drug MH - Drug Synergism MH - G1 Phase Cell Cycle Checkpoints/drug effects MH - Humans MH - Imatinib Mesylate MH - Piperazines/*pharmacology/therapeutic use MH - Precursor Cell Lymphoblastic Leukemia-Lymphoma/drug therapy/genetics/*metabolism MH - Protein Kinase Inhibitors/pharmacology/therapeutic use MH - Pyrimidines/*pharmacology/therapeutic use MH - Signal Transduction/drug effects MH - Sirolimus/*pharmacology/therapeutic use MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors/metabolism OTO - NOTNLM OT - Ph+ acute lymphoblastic leukemia OT - autophagy OT - imatinib OT - mammalian target of rapamycin signaling pathway OT - rapamycin EDAT- 2013/10/12 06:00 MHDA- 2014/10/29 06:00 CRDT- 2013/10/12 06:00 PHST- 2013/09/06 00:00 [accepted] PHST- 2013/10/12 06:00 [entrez] PHST- 2013/10/12 06:00 [pubmed] PHST- 2014/10/29 06:00 [medline] AID - 10.1111/ejh.12202 [doi] PST - ppublish SO - Eur J Haematol. 2014 Feb;92(2):111-20. doi: 10.1111/ejh.12202. Epub 2014 Jan 6.