Abstract

Prednisolone has been used frequently in the treatment of acute lymphoblastic leukemia. However, to overcome the challenges of the treatment, the development of additional therapies is of great importance. Small, non-protein-coding RNAs, namely, microRNAs (miRNAs), are critical epigenetic regulators with physiological and pathological importance. This study is aimed at determining the effects of miR-146a, miR-155, and miR-181a inhibition with their corresponding anti-miRs on both leukemic and healthy cells, individually and with prednisolone. Leukemic (SUP-B15) and healthy B-lymphocyte (NCI-BL 2171) cell lines were used in this study. A total of 12 experimental groups included individual and combinational silenced ALL-associated miRNAs (hsa-miR-155, hsa-miR-146a, and hsa-miR-181a) and their combination with prednisolone. Cytotoxicity, proliferation, cell cycle, and apoptosis analyses were performed by using WST-1, trypan blue, APC-BrdU, Annexin V, and JC-1 methods in each study group, respectively. To control the effectiveness of anti-miR transfection and prednisolone application, miRNA expression analysis was performed from all groups. Anti-miR application was effective on the viability, proliferation, cell cycle, and apoptosis of leukemia cells, and this effect was increased with prednisolone administration. In addition, this activity was found to be very low on healthy cells. In conclusion, anti-miR applications may have the potential for clinical use of adjuvant to or as an alternative to conventional therapies for childhood acute lymphoblastic leukemia.

Highlights

  • Acute lymphoblastic leukemia (ALL) is a hematological malignancy originating from the disruption in the genetic structure of a single lymphoid precursor/progenitor cell

  • It is classified as B- or T-cell ALL according to the cell type they originate from, it is grouped as adult or childhood ALL according to the age of onset

  • The IC50 values of the prednisolone for the SUP-B15 and NCI-BL 2171 cell lines were determined as 20.20 μM (r2 = 0:97) and 916.3 μM (r2 = 0:98) at the 48th hour, respectively (Figure 1)

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Summary

Introduction

Acute lymphoblastic leukemia (ALL) is a hematological malignancy originating from the disruption in the genetic structure of a single lymphoid precursor/progenitor cell. It is classified as B- or T-cell ALL according to the cell type they originate from, it is grouped as adult or childhood ALL according to the age of onset. Prednisolone is a glucocorticoid approved by the FDA for the treatment of acute leukemias in the mid-1950s. It is the primary agent used in the treatment of ALL and has remained an essential component of therapy together with other chemotherapeutics. To overcome the challenges of the treatment such as recurrence or drug resistance, developing novel targeted therapies have

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