Abstract

Purpose: Sepantronium bromide (YM155) is a Survivin inhibitor which recently advanced as an anticancer agent in phase II clinical trials. Survivin belongs to IAP (inhibitor of apoptosis) gene family and is a pivotal target for treatment due to its overexpression and oncogenic function in many malignancies, including acute lymphoblastic leukemia (ALL). Although survivin is a specific target for YM155, recent reports have shown that it has many other crucial targets that regulate its anti-apoptotic effects. The aim of this study was to investigate whether YM155 could have an effect on cell death-inducing genes as well as inducing apoptosis in T-ALL MOLT4- cell line. Methods: We treated MOLT-4 cells with increasing concentrations of YM155 and then cell viability was determined using MTT (methyl thiazolyl tetrazolium) assay. Also, the rate of induction of apoptosis in MOLT-4 cells and the target genes expression levels were evaluated by Annexin V/PI and real-time PCR, respectively. Results: YM155 inhibited cell growth in MOLT-4 cells. This outcome is achieved by inducing apoptosis and a significant increase in the expression level of P53, MiR-9, caspase 3 and decreasing the mRNA expression levels of survivin, Sirtuin1(SIRT1), member of anti-apoptotic proteins family (Bcl-2), and epithelial-to-mesenchymal transition (EMT) initiating factors Snail1and Zeb2. Conclusion: The results showed that use of YM155 can be a potential drug therapy in T-ALL patients with promising effects on apoptosis induction.

Highlights

  • Acute lymphoblastic leukemia )acute lymphoblastic leukemia (ALL)) is one of the most common variants of leukemia, which affects all ages, with high costs and treatment failure.[1]

  • A whole transcription study on MDAMB-231 cells after YM155 treatment documented that this drug changed the expression pattern of micro-RNAs such as miR-125b-1.19 In the present study, we studied the role of YM155 on the induction of apoptosis and gene expression associated with the cell death and apoptosis; we defined the expression of miR-9 as an important regulator of gene expression in T-ALL MOLT4 cell line

  • YM155 increased miR-9 and decreased survivin, Bcl-2 and genes related to epithelial-to-mesenchymal transition (EMT) and DNA repair expression level We used a qRT-PCR to evaluate survivin and several other candidate genes along with miR9- expression in MOLT-4 cells treated with YM155 (1.82 mM) for 24 hours

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Summary

Introduction

Acute lymphoblastic leukemia )ALL) is one of the most common variants of leukemia, which affects all ages, with high costs and treatment failure.[1] the diagnosis and treatment of these malignancies nowadays have greatly improved, the overall survival rate of patients is still low.[2] in order to reduce the therapeutic burden, target therapy in ALL patients seems essential. For this reason, in recent clinical and preclinical studies, many targets have been tested for effective treatment.[2]. 2-methyl-4,9-dioxo-3-(pyrazin-2-ylmethyl)-4,9-dihydro1H-naphtho [2,3-d] is a pioneer chemical compound with significant therapeutic effects, which has been shown to induce apoptosis, inhibit invasion and suppress drug resistance in numerous cancer cell lines.[3,4,5,6,7,8] YM155 has been shown to be tolerable in phase II clinical trials in patients with melanoma[8] and advanced refractory NSCLS.[9]

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