Abstract

Previous reports have shown that active JAK2 contributes to T cell acute lymphoblastic leukaemia (T-ALL) development and that JAK inhibitors may be a potential treatment for T-ALL. In the current study, the JAK2 inhibitor TG101209 was used to treat T-ALL cell lines and primary T-ALL cells. The effects of TG101209 on T-ALL cells were determined, and the signaling proteins related to cell growth, apoptosis and autophagy were analysed. The results indicated that TG101209 significantly inhibited T-ALL cell proliferation and induced cell apoptosis in a dose-dependent manner. The mechanisms involved the suppression of the JAK2-STAT signaling pathway and activation of apoptosis or autophagy. Additionally, a JAK2 gene copy gain (FISH) and up-regulated JAK2, LC3 and Beclin1 expression (western blotting) were observed in T-ALL samples compared with healthy controls, which implied that JAK2 is a target for T-ALL treatment. TG101209 initiated apoptosis and autophagy in T-ALL cells; therefore, this JAK2 inhibitor may be a potential drug or alternative therapy for T-ALL.

Highlights

  • T cell acute lymphoblastic leukaemia (T-ALL) is an aggressive haematopoietic malignancy that accounts for 15% of pediatric and 25% of adult ALL cases

  • Previous reports have shown that active JAK2 contributes to T cell acute lymphoblastic leukaemia (T-ALL) development and that JAK inhibitors may be a potential treatment for T-ALL

  • The collected T-ALL patient samples were analysed by Real-time PCR and Western blotting to investigate JAK-STAT pathway activity and autophagy conditions

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Summary

Introduction

T cell acute lymphoblastic leukaemia (T-ALL) is an aggressive haematopoietic malignancy that accounts for 15% of pediatric and 25% of adult ALL cases. Despite improvements in treatment over the years, approximately 25% of children and 50% of adults still fail to respond to intensive chemotherapy protocols or relapse [1]. Standard combination chemotherapy regimens (e.g., CHOP) are relatively ineffective against T-ALL. A meta-analysis suggested that AZT therapy in combination with IFN may possess value, morbidity and a lack of efficacy in patients with prior chemotherapy remain limitations of this regimen [2]. Allogeneic bone marrow transplantation is an aggressive approach that is only curative in select patients [7]. Due to these limitations, new treatment strategies are clearly need for T-ALL

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