PMID- 30607021 OWN - NLM STAT- MEDLINE DCOM- 20190906 LR - 20210209 IS - 1476-5551 (Electronic) IS - 0887-6924 (Linking) VI - 33 IP - 6 DP - 2019 Jun TI - LAMP2 expression dictates azacytidine response and prognosis in MDS/AML. PG - 1501-1513 LID - 10.1038/s41375-018-0336-1 [doi] AB - Chaperone-mediated autophagy (CMA) is a highly selective form of autophagy. During CMA, the HSC70 chaperone carries target proteins endowed with a KFERQ-like motif to the lysosomal receptor LAMP2A, which then translocate them into lysosomes for degradation. In the present study, we scrutinized the mechanisms underlying the response and resistance to Azacytidine (Aza) in MDS/AML cell lines and bone marrow CD34(+) blasts from MDS/AML patients. In engineered Aza-resistant MDS cell lines and some AML cell lines, we identified a profound defect in CMA linked to the absence of LAMP2A. LAMP2 deficiency was responsible for Aza resistance and hypersensitivity to lysosome and autophagy inhibitors. Accordingly, gain of function of LAMP2 in deficient cells or loss of function in LAMP2-expressing cells rendered them sensitive or resistant to Aza, respectively. A strict correlation was observed between the absence of LAMP2, resistance to Aza and sensitivity to lysosome inhibitors. Low levels of LAMP2 expression in CD34(+) blasts from MDS/AML patients correlated with lack of sensitivity to Aza and were predictive of poor overall survival. We propose that CD34(+)/LAMP2(Low) patients at diagnosis or who become CD34(+)/LAMP2(Low) during the course of treatment with Aza might benefit from a lysosome inhibitor already used in the clinic. FAU - Dubois, Alix AU - Dubois A AD - Universite Cote d'Azur, Nice, France. AD - Inserm U1065, C3M, Team: Myeloid Malignancies and Multiple Myeloma, Nice, France. AD - Equipe Labellisee par la Fondation ARC, Paris, France. FAU - Furstoss, Nathan AU - Furstoss N AD - Universite Cote d'Azur, Nice, France. AD - Inserm U1065, C3M, Team: Myeloid Malignancies and Multiple Myeloma, Nice, France. AD - Equipe Labellisee par la Fondation ARC, Paris, France. FAU - Calleja, Anne AU - Calleja A AD - Universite Cote d'Azur, Nice, France. AD - Inserm U1065, C3M, Team: Myeloid Malignancies and Multiple Myeloma, Nice, France. AD - CHU de Nice, Departement d'Hematologie Clinique, Nice, France. FAU - Zerhouni, Marwa AU - Zerhouni M AD - Universite Cote d'Azur, Nice, France. AD - Equipe Labellisee par la Fondation ARC, Paris, France. FAU - Cluzeau, Thomas AU - Cluzeau T AD - Universite Cote d'Azur, Nice, France. AD - Inserm U1065, C3M, Team: Myeloid Malignancies and Multiple Myeloma, Nice, France. AD - CHU de Nice, Departement d'Hematologie Clinique, Nice, France. FAU - Savy, Coline AU - Savy C AD - Universite Cote d'Azur, Nice, France. AD - Inserm U1065, C3M, Team: Myeloid Malignancies and Multiple Myeloma, Nice, France. AD - Equipe Labellisee par la Fondation ARC, Paris, France. FAU - Marchetti, Sandrine AU - Marchetti S AD - Universite Cote d'Azur, Nice, France. AD - Inserm U1065, C3M, Team: Myeloid Malignancies and Multiple Myeloma, Nice, France. AD - Equipe Labellisee par la Fondation ARC, Paris, France. FAU - Hamouda, Mohamed Amine AU - Hamouda MA AD - Universite Cote d'Azur, Nice, France. AD - Inserm U1065, C3M, Team: Myeloid Malignancies and Multiple Myeloma, Nice, France. AD - Equipe Labellisee par la Fondation ARC, Paris, France. FAU - Boulakirba, Sonia AU - Boulakirba S AD - Universite Cote d'Azur, Nice, France. AD - Inserm U1065, C3M, Team: Myeloid Malignancies and Multiple Myeloma, Nice, France. AD - Equipe Labellisee par la Fondation ARC, Paris, France. FAU - Orange, Francois AU - Orange F AD - Universite Cote d'Azur, Nice, France. AD - Centre Commun de Microscopie Appliquee, Nice, France. FAU - Lacas-Gervais, Sandra AU - Lacas-Gervais S AD - Universite Cote d'Azur, Nice, France. AD - Centre Commun de Microscopie Appliquee, Nice, France. FAU - Karsenti, Jean-Michel AU - Karsenti JM AD - CHU de Nice, Departement d'Hematologie Clinique, Nice, France. FAU - Mounier, Nicolas AU - Mounier N AD - Universite Cote d'Azur, Nice, France. AD - CHU de Nice, Departement d'Hematologie Clinique, Nice, France. FAU - Tamburini, Jerome AU - Tamburini J AD - Institut Cochin, CNRS, UMR 8104, INSERM U1016, Universite Paris Descartes, Paris, France. FAU - Puissant, Alexandre AU - Puissant A AD - Inserm U944, Institut Universitaire d'Hematologie, Hopital St Louis, Paris, France. FAU - Luciano, Frederic AU - Luciano F AD - Universite Cote d'Azur, Nice, France. AD - Inserm U1065, C3M, Team: Myeloid Malignancies and Multiple Myeloma, Nice, France. AD - Equipe Labellisee par la Fondation ARC, Paris, France. FAU - Jacquel, Arnaud AU - Jacquel A AD - Universite Cote d'Azur, Nice, France. AD - Inserm U1065, C3M, Team: Myeloid Malignancies and Multiple Myeloma, Nice, France. AD - Equipe Labellisee par la Fondation ARC, Paris, France. FAU - Auberger, Patrick AU - Auberger P AD - Universite Cote d'Azur, Nice, France. AD - Inserm U1065, C3M, Team: Myeloid Malignancies and Multiple Myeloma, Nice, France. AD - Equipe Labellisee par la Fondation ARC, Paris, France. AD - CHU de Nice, Departement d'Hematologie Clinique, Nice, France. FAU - Robert, Guillaume AU - Robert G AD - Universite Cote d'Azur, Nice, France. robertg@unice.fr. AD - Inserm U1065, C3M, Team: Myeloid Malignancies and Multiple Myeloma, Nice, France. robertg@unice.fr. AD - Equipe Labellisee par la Fondation ARC, Paris, France. robertg@unice.fr. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Retracted Publication DEP - 20190103 PL - England TA - Leukemia JT - Leukemia JID - 8704895 RN - 0 (Antimetabolites, Antineoplastic) RN - 0 (Biomarkers, Tumor) RN - 0 (LAMP2 protein, human) RN - 0 (Lysosomal-Associated Membrane Protein 2) RN - M801H13NRU (Azacitidine) SB - IM CIN - Autophagy. 2019 May;15(5):927-929. PMID: 30806567 RIN - Leukemia. 2020 Sep;34(9):2544. PMID: 32665699 MH - Aged MH - Aged, 80 and over MH - Antimetabolites, Antineoplastic/*pharmacology MH - Apoptosis MH - Azacitidine/*pharmacology MH - Biomarkers, Tumor/genetics/*metabolism MH - Cell Proliferation MH - Female MH - Follow-Up Studies MH - Gene Expression Regulation, Neoplastic/*drug effects MH - Humans MH - Leukemia, Myeloid, Acute/drug therapy/metabolism/*pathology MH - Lysosomal-Associated Membrane Protein 2/genetics/*metabolism MH - Male MH - Middle Aged MH - Prognosis MH - Survival Rate MH - Tumor Cells, Cultured EDAT- 2019/01/05 06:00 MHDA- 2019/09/07 06:00 CRDT- 2019/01/05 06:00 PHST- 2018/06/08 00:00 [received] PHST- 2018/11/28 00:00 [accepted] PHST- 2018/11/21 00:00 [revised] PHST- 2019/01/05 06:00 [pubmed] PHST- 2019/09/07 06:00 [medline] PHST- 2019/01/05 06:00 [entrez] AID - 10.1038/s41375-018-0336-1 [pii] AID - 10.1038/s41375-018-0336-1 [doi] PST - ppublish SO - Leukemia. 2019 Jun;33(6):1501-1513. doi: 10.1038/s41375-018-0336-1. Epub 2019 Jan 3.