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Blood, 15 March 2004, Vol. 103, No. 6, pp. 2299-2307. Prepublished online as a Blood First Edition Paper on November 26, 2003; DOI 10.1182/blood-2003-05-1605.
NEOPLASIA A novel mechanism for imatinib mesylateinduced cell death of BCR-ABLpositive human leukemic cells: caspase-independent, necrosis-like programmed cell death mediated by serine protease activityFrom the Department of Pediatrics and the Department of Pathology and Biology of Diseases, Graduate School of Medicine, Kyoto University, Kyoto, Japan; the Department of Pathology and Host Defense, Kagawa Medical University, Kagawa, Japan; the Biomolecular Science Center, Molecular Biology and Microbiology, University of Central Florida, Orlando, FL; and the Centre National de la Recherche Scientifique, UMR 8125, Institut Gustave Roussy, Villejuif, France.
Caspase-independent programmed cell death can exhibit either an apoptosis-like or a necrosis-like morphology. The ABL kinase inhibitor, imatinib mesylate, has been reported to induce apoptosis of BCR-ABLpositive cells in a caspase-dependent fashion. We investigated whether caspases alone were the mediators of imatinib mesylateinduced cell death. In contrast to previous reports, we found that a broad caspase inhibitor, zVAD-fmk, failed to prevent the death of imatinib mesylatetreated BCR-ABLpositive human leukemic cells. Moreover, zVAD-fmkpreincubated, imatinib mesylatetreated cells exhibited a necrosis-like morphology characterized by cellular pyknosis, cytoplasmic vacuolization, and the absence of nuclear signs of apoptosis. These cells manifested a loss of the mitochondrial transmembrane potential, indicating the mitochondrial involvement in this caspase-independent necrosis. We excluded the participation of several mitochondrial factors possibly involved in caspase-independent cell death such as apoptosis-inducing factor, endonuclease G, and reactive oxygen species. However, we observed the mitochondrial release of the serine protease Omi/HtrA2 into the cytosol of the cells treated with imatinib mesylate or zVAD-fmk plus imatinib mesylate. Furthermore, serine protease inhibitors prevented the caspase-independent necrosis. Taken together, our results suggest that imatinib mesylate induces a caspase-independent, necrosis-like programmed cell death mediated by the serine protease activity of Omi/HtrA2.
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