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Blood, Vol. 95 No. 5 (March 1), 2000:
pp. 1758-1766
Induction of resistance to the Abelson inhibitor STI571 in human
leukemic cells through gene amplification
Philipp le Coutre,
Elena Tassi,
Marileila Varella-Garcia,
Rossella Barni,
Luca Mologni,
Gonçalo Cabrita,
Edoardo Marchesi,
Rosanna Supino, and
Carlo Gambacorti-Passerini
From the Department of Experimental Oncology, Istituto Nazionale
Tumori, Milan; Cancer Center, University of Colorado Health Sciences
Center, Denver, CO; Mario Negri Institute, Milan; and Section of
Hematology, University of Milano Bicocca, S. Gerardo Hospital, Monza,
Italy.
The 2-phenylaminopyrimidine derivative STI571 has been shown to
selectively inhibit the tyrosine kinase domain of the oncogenic bcr/abl fusion protein. The activity of this inhibitor has been demonstrated so far both in vitro with bcr/abl expressing cells derived from leukemic patients, and in vivo on nude mice inoculated with bcr/abl positive cells. Yet, no information is available on whether leukemic cells can develop resistance to bcr/abl
inhibition. The human bcr/abl expressing cell line LAMA84 was
cultured with increasing concentrations of STI571. After approximately
6 months of culture, a new cell line was obtained and named LAMA84R.
This newly selected cell line showed an IC50 for the STI571 (1.0 µM) 10-fold higher than the IC50 (0.1 µM) of the parental sensitive cell
line. Treatment with STI571 was shown to increase both the early and
late apoptotic fraction in LAMA84 but not in LAMA84R. The induction of
apoptosis in LAMA84 was associated with the activation of caspase
3-like activity, which did not develop in the resistant LAMA84R cell
line. LAMA84R cells showed increased levels of bcr/abl protein and mRNA
when compared to LAMA84 cells. FISH analysis with BCR- and ABL-specific
probes in LAMA84R cells revealed the presence of a marker chromosome
containing approximately 13 to 14 copies of the BCR/ABL gene.
Thus, overexpression of the Bcr/Abl protein mediated through gene
amplification is associated with and probably determines resistance of
human leukemic cells to STI571 in vitro.

CiteULike Connotea Del.icio.us Digg Reddit Technorati What's this?
Related Letter in Blood Online:
-
Another possible mechanism of resistance to STI571
- Zachary A. Knight;, Carlo Gambacorti-Passerini, Philipp le Coutre, Elena Tassi, and Holger Ruchatz
Blood 2000 96: 4003-4005.
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