Abstract

Dasatinib and radotinib are oral BCR-ABL tyrosine kinase inhibitors that were developed as drugs for the treatment of chronic myeloid leukemia. We report here that the c-KIT (CD117) targeting with dasatinib and radotinib promotes acute myeloid leukemia (AML) cell death, and c-KIT endocytosis is essential for triggering c-KIT-positive AML cell death by dasatinib and radotinib during the early stages. In addition, dasatinib and radotinib reduce heat shock protein 90β (HSP90β) expression and release Apaf-1 in c-KIT-positive AML cells. Finally, this activates a caspase-dependent apoptotic pathway in c-KIT-positive AML cells. Moreover, the inhibition of c-KIT endocytosis by dynamin inhibitor (DY) reversed cell viability and c-KIT expression by dasatinib and radotinib. HSP90β expression was recovered by DY in c-KIT-positive AML cells as well. Furthermore, the effect of radotinib on c-KIT and HSP90β showed the same pattern in a xenograft animal model using HEL92.1.7 cells. Therefore, dasatinib and radotinib promote AML cell death by targeting c-KIT. Taken together, these results indicate that dasatinib and radotinib treatment have a potential role in anti-leukemic therapy on c-KIT-positive AML cells.

Highlights

  • To evaluate the role of c-KIT and HSP90β in AML cell death in vivo, we engrafted HEL92.1.7 cells into nude mice

  • The protein and mRNA expression of HSP90β were significantly decreased by dasatinib and radotinib in KASUMI-1 and HEL92.1.7 cells, in a time-dependent manner (Supplementary Figs 3 and 5)

  • We investigated the relationship among the HSP90β, Apaf-1, and c-KIT by co-immunoprecipitation and Western assay (Fig. 6), and the proposed pathways are presented in Supplementary Fig. 6 based on our results

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Summary

Introduction

To evaluate the role of c-KIT and HSP90β in AML cell death in vivo, we engrafted HEL92.1.7 cells into nude mice. The results showed that the inhibition of c-KIT and HSP90β by radotinib led to a profound suppression of tumor growth, as evidenced by a significant reduction in tumor volume and weight (Supplementary Fig. 8A–C). The expression of human CD45+c-KIT+ cells, human CD45+HSP90+ cells and human HSP90β mRNA in tumor tissues isolated from the mice were significantly decreased (Supplementary Fig. 8D–F)

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