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Blood, 1 March 2005, Vol. 105, No. 5, pp. 1923-1929. Prepublished online as a Blood First Edition Paper on November 12, 2004; DOI 10.1182/blood-2004-04-1450.
HEMATOPOIESIS
PKC
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| Abstract |
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(PKC
) in responses mediated by wild-type murine Kit and the D814Y mutant in a murine mast cell-like line. PKC
is activated after wild-type (WT) Kit binds stem cell factor (SCF), is constitutively active in cells expressing the Kit catalytic domain mutant, and coprecipitates with both forms of Kit. Inhibition of PKC
had opposite effects on growth mediated by wild-type and mutant Kit. Both rottlerin and a dominant-negative PKC
construct inhibited the growth of cells expressing mutant Kit, while SCF-induced growth of cells expressing wild-type Kit was not inhibited. Further, overexpression of PKC
inhibited growth of cells expressing wild-type Kit and enhanced growth of cells expressing the Kit mutant. These data demonstrate that PKC
contributes to factor-independent growth of cells expressing the D814Y mutant, but negatively regulates SCF-induced growth of cells expressing wild-type Kit. This is the first demonstration that PKC
has different functions in cells expressing normal versus oncogenic forms of a receptor. | Introduction |
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The protein kinase C (PKC) family of serine-threonine protein kinases encompasses at least 12 members,24 which can be separated into 3 classes: conventional, novel, and atypical. The conventional PKCs include the
,
, and
isoforms. Activation of these PKCs requires both calcium ions and a lipid, such as diacylglycerol (DAG) or phosphatidylserine, or a phorbol ester. The novel PKCs, including
,
,
, and
isoforms, are calcium-independent and require only a lipid or a phorbol ester for kinase activity. Unlike the conventional isoforms, the novel isoforms can be activated by the products of phosphatidylinositol 3kinase (PI3K), PtdIns-3,4-P2, or PtdIns-3,4,5-P3, as well as DAG or phosphatidylserine.25 The atypical PKCs, including the
and
isoforms, require neither calcium nor a lipid or phorbol ester for kinase activity.
PKC isoforms are reported to phosphorylate wild-type (WT) Kit on serine residues after stimulation with SCF. Previous work has shown that this reduces autophosphorylation activity and subsequent interaction with a variety of signaling components.26,27 Importantly, these studies were performed in porcine aortic endothelial cells, which predominantly express the conventional PKC isoforms
and
. The role of novel PKC isoforms in signaling through WT Kit has not been addressed. Further, little is known about the role of PKC isoforms in transformation mediated by oncogenic Kit mutants. Interestingly, recent work has implicated PKC
in B-cell lymphocytic leukemia28 and multiple myeloma.29
The objective of this study was to investigate the role of PKC
in responses mediated by a normal and an oncogenic form of Kit. We found that while PKC
is activated after SCF stimulation of WT Kit and is constitutively active in cells expressing the D814Y mutant, it plays a different role in growth mediated by these 2 forms of Kit.
| Materials and methods |
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IC2 cells are an interleukin-3 (IL-3)dependent murine mast cell-like cell line that is syngeneic with the DBA2 strain. IC2 cells stably transfected with WT Kit or D814Y Kit19 were grown in RPMI 1640 (Gibco, Rockville, MD) supplemented with 10% fetal bovine serum (FBS; Hyclone, Logan, UT), 1% penicillin/streptomycin/glutamate (PSG Gibco), and 10 ng/mL murine IL-3 (Pepro Tech, Rocky Hill, NJ) at 37°C/5% CO2.
Drugs and antibodies
Rottlerin and Gö6976 were purchased from Calbiochem (Darmstadt, Germany). Rabbit polyclonal antibodies specific for PKC
(C17 and C20), Kit (C19), and signal transducer and activator of transcription 3 (STAT3, K15) were purchased from Santa Cruz Biotechnology (Santa Cruz, CA). A goat polyclonal antibody specific for Kit (M14), which was used for immunoprecipitation, and the antiphosphotyrosine antibody PY99 were also purchased from Santa Cruz Biotechnology. Antibodies specific for phosphotyrosine 705 of STAT3 and phosphoserine 727 of STAT3 were purchased from Cell Signaling (Beverly, MA). Protein Asepharose beads were purchased from Amersham (Uppsala, Sweden) and Protein G Plus sepharose beads were purchased from Santa Cruz Biotechnology. Biotin-conjugated secondary antibodies specific for rabbit, goat, and mouse immunoglobulin G (IgG) and horseradish peroxidase (HRP)conjugated streptavidin were purchased from Kirkegaard & Perry Laboratories (Gaithersburg, MD).
Immunoprecipitation and immunoblotting
Cells were washed twice with RPMI 1640 supplemented with 1% FBS and 1% PSG and then resuspended at 2 x 107 cells/mL. Cells were incubated at room temperature for 15 minutes in the presence or absence of 100 ng/mL murine SCF (Pepro Tech) and then lysed. Whole cell lysates were prepared using a high phosphatase inhibitor (HPI) lysis buffer (1% Triton-X-100, 10 mM Tris [tris(hydroxymethyl)aminomethane]HCl, 50 mM NaCl, 5 mM EDTA [ethylenediaminetetraacetic acid], 30 mM tetrasodium pyrophosphate, 25 mM
-glycerophosphate, 5 mM sodium orthovanadate, 1 mg/mL p-nitrophenyl phosphate, and 5 mM sodium fluoride, pH 7.5). Lysates were incubated on ice for 20 minutes and then centrifuged at 14 000 rpm for 30 minutes at 4°C. Clarified lysates were stored at 70°C. Membrane-enriched fractions were prepared as follows: Cells were resuspended in hypotonic 5/5/5 buffer (5 mM Tris, 5 mM EDTA, 5 mM EGTA [ethylene glycol tetraacetic acid], pH 7.5) and kept on ice for 15 minutes before being drawn 4 times through a 22-gauge needle then 4 times through a 27-gauge needle. Membranes were pelleted at 35 000 rpm for 15 minutes at 4°C in a SW50.1 rotor in a Beckman ultracentrifuge (Palo Alto, CA). Pellets were resuspended in HPI buffer and rotated for 2 hours at 4°C to solubilize. Triton-X-100insoluble material was pelleted and discarded. Membrane-enriched fractions were stored at 70°C. The protein concentrations of the clarified lysates and membrane preparations were determined using the bicinchinonic acid (BCA) assay (Pierce, Rockford, IL) with bovine serum albumin as a standard.
Depending upon the experiment, between 300 and 800 µg protein and 1 µg antibody were used per immunoprecipitation. Immunoprecipitates were resolved by sodium dodecyl sulfatepolyacrylamide gel electrophoresis (SDS-PAGE) and then transferred to immobilon-P membranes (Millipore, Billerica, MA). Immunoblots were blocked in TBST (10 mM Tris, pH 7.5, 100 mM NaCl, 0.1% Tween 20) with 0.1% bovine serum albumin (BSA), 2% goat serum, and 1% liquid gelatin. Primary and secondary antibodies and HRP-conjugated streptavidin were diluted in TBST with 0.1% BSA and 1% liquid gelatin. Immunoblots were developed with Western Lightning chemiluminescence reagent (Perkin Elmer, Boston, MA) or with Super Signal chemiluminscent substrate (Pierce). Immunoblots were visualized by exposure to Biomax film (Kodak, Rochester, NY). Immunoblots were stripped with ReBlot Plus (Chemicon, Temecula, CA).
Cell proliferation assays
IC2 cells were washed 3X with RPMI with 10% FBS and resuspended at 1 x 105 cells/mL. Cells (100 µL [104]/well) were seeded in quadruplicate samples in 96-well plates. The cells were then preincubated with rottlerin or Gö6976 for 1 hour 20 minutes or 1 hour, respectively, prior to the addition of media supplemented with 10% FBS and 100 ng/mL murine SCF for cells expressing WT Kit. Media with 10% FBS alone or media supplemented with 10% FBS and 100 ng/mL murine SCF were added to cells expressing D814Y Kit. After the addition of growth factor, the cells were incubated at 37°C for 72 hours and then 1 µCi (0.037 MBq) 3H-thymidine (Pharmacia, Uppsala, Sweden) was added to each well. The cells were incubated at 37°C for another 4 hours before harvesting with a Mach II M cell harvester (Tomtec, Hamden, CT). Cell growth was assayed by 3H-thymidine incorporation assessed by liquid scintillation counting. Cell growth in the presence of rottlerin or Gö6976 was normalized to cell growth in the absence of drug.
Plasmids and transfection
IC2 cells were transfected with 15 µg wild-type or dominant-negative PKC
in metallothionein promoter-driven (MTH) vector30 or with empty MTH vector31 by electroporation. Transfection efficiency was 30% to 40% based on a green fluorescent protein control. After transfection, cells were diluted in growth media with 20% FBS and transferred to 6-well plates. At 24 hours after transfection, cells were washed 3 times with RPMI with 10% FBS and resuspended at 1 x 105 viable cells/mL. Cells (100 µL [104]/well) were seeded in 96-well plates. Quadruplicate samples received either media supplemented with 10% FBS and 100 ng/mL murine SCF (WT Kit and D814Y transfectants) or 10% FBS alone (D814Y Kit transfectants). Cells were incubated for 48 hours before the addition of 1 µCi (0.037 MBq) 3H-thymidine/well. Cells were incubated at 37°C for another 6 hours before harvesting. Cell growth was assayed by 3H-thymidine incorporation assessed by liquid scintillation counting.
PKC
kinase assay
PKC
was immunoprecipitated from whole cell lysates or membrane-enhanced fractions in HPI buffer using the C17 PKC
antibody and protein Asepharose beads. The beads were washed twice with HPI buffer and then twice with kinase buffer (25 mM Tris-HCl, 5 mM MgCl2, 0.5 mM EGTA, 1 mM dithiothreitol [DTT]) with 2.5X Complete Protease Inhibitor Cocktail (Roche, Mannheim, Germany). A master mix of kinase buffer supplemented with 20 µg/mL L-
phosphatidylserine (Sigma, St Louis, MO), 40 µM adenosine triphosphate (ATP; Roche), 10 µCi (0.37 MBq)/reaction
32P ATP (NEN, Boston, MA), and 1 µg/reaction myelin basic protein or 2 µg/reaction histone H1 (Upstate Biotechnology, Lake Placid, NY) was added to the beads, which were then incubated at room temperature for 20 minutes. The reaction was terminated by the addition of SDS buffer. Samples were boiled and then run on 4% to 20% Tris-glycine gradient gels (Invitrogen, Carlsbad, CA) in SDS running buffer (BioRad, Hercules, CA), transferred to immobilon-P (Millipore, Bedford, MA), and visualized by autoradiography.
| Results |
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is activated by WT Kit and is constitutively active in cells expressing D814Y KitMutation of codon 816 of human Kit is frequently associated with mastocytosis. Mutation of the corresponding codon in mice (814) and rats (817) is also associated with mast cell disease.15,16 We sought to study WT Kit and a catalytic domain mutant in a cellular background similar to one in which a disease state associated with this mutant occurs in vivo. Consequently, we used IC2 cells, a murine mast cell-like line. These cells do not express Kit, so cells stably expressing WT or D814Y murine Kit were generated by retroviral infection.19 IC2 cells expressing WT Kit were factor dependent and grew in response to either SCF or IL-3. In contrast, IC2 cells expressing D814Y Kit were factor independent and tumorigenic in mice.19,20
To investigate the role of PKC
in responses mediated by a normal and an oncogenic form of Kit, we first examined PKC
activity in IC2 cells expressing wild-type or D814Y Kit. In vitro immune complex kinase assays were performed on PKC
immunoprecipitated from equivalent amounts of protein from whole cell lysates of cells expressing wild-type or D814Y Kit. As shown in Figure 1A, treatment of cells expressing WT Kit with SCF induces an increase in PKC
activity. Further, PKC
is constitutively active in cells expressing the D814Y mutant. Consistent with the requirements for PKC
activation, kinase activity was lipid dependent and Ca++ independent (data not shown). Figure 1B confirms that equivalent amounts of PKC
were present in each of the kinase reactions. Further, staining of the blots with Ponceau S indicated that equivalent amounts of substrate were present in each of the reactions (data not shown). These data indicate that PKC
is activated after stimulation of WT Kit by SCF and is constitutively active in cells expressing D814Y Kit. Further, PKC
activity is higher in cells expressing D814Y Kit than cells expressing WT Kit.
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Cells expressing D814Y Kit have more tyrosine phosphorylated PKC
associated with the plasma membrane than cells expressing WT Kit
PKC
undergoes a multistep phosphorylation process to become fully mature and capable of activation by lipids or phorbol esters. Immature forms of PKC
are cytosolic, while mature PKC
is localized at the cell membrane. PKC
can be phosphorylated on tyrosine and this has been correlated with increases in PKC
kinase activity.32,33 Thus we next examined tyrosine phosphorylation of PKC
in membrane-enriched fractions from cells expressing wild-type or D814Y Kit. Figure 2A demonstrates an increase in the amount of tyrosine phosphorylated PKC
associated with membranes from cells expressing D814Y Kit compared with cells expressing WT Kit. To evaluate the activity of PKC
associated with the membrane, immune complex kinase assays were performed. Indeed, higher amounts of PKC
activity were associated with membranes from cells expressing D814Y Kit than cells expressing WT Kit (Figure 3A). Ponceau S staining indicated that equivalent amounts of substrate were present (data not shown). Further, the higher levels of PKC
activity were not mediated by increases in the amount of PKC
protein in the membrane fractions of cells expressing D814Y Kit (Figure 3B). In fact, less PKC
was observed in the samples from cells expressing D814Y Kit than cells expressing WT Kit (Figure 3B). This contrasts with the data shown in Figure 2B and likely results from the breakdown of activated PKC
under the conditions of the kinase assay. These data indicate that PKC
associated with the membranes of cells expressing D814Y Kit is phosphorylated on tyrosine and more active than PKC
associated with the membranes of cells expressing WT Kit.
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PKC
is associated with wild-type and D814Y Kit
One mechanism to activate PKC
could be through association with the Kit receptor complex. Therefore we next investigated whether PKC
and Kit coimmunoprecipitated. Equivalent amounts of protein from whole cell lysates of IC2 cells expressing wild-type or D814Y Kit were immunoprecipitated with an antibody specific for Kit and then immunoblotted with an antibody specific for PKC
(Figure 4A). Interestingly, PKC
coprecipitated with both wild-type and D814Y Kit. While multiple forms of PKC
were observed in the PKC
immunoprecipitate, the faster migrating form of PKC
was found in each of the Kit receptor complexes. This may relate to preferential association of this species with Kit or Kit-associated proteins. The different sizes of PKC
are likely related to the multiple phosphorylation states of this kinase or other secondary modification such as ubiquitination. Figure 4B demonstrates that similar amounts of Kit were present in each immunoprecipitate.
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Consistent with the immunoblot data, there was also serine kinase activity associated with Kit immunoprecipitates from cells expressing wild-type or mutant Kit. Of note was an increase in activity associated with D814Y Kit compared with WT Kit (data not shown). This is consistent with the coprecipitation of PKC
with both wild-type and mutant Kit (Figure 4), as well as with the increase in total PKC
activity (Figure 1) and membrane-associated PKC
activity (Figure 3) in cells expressing mutant Kit. However, it is possible that this activity could represent an additional serine kinase in the Kit receptor complex.
Although PKC
was readily detected in Kit immunoprecipitates, Kit protein was not observed in the PKC
control immunoprecipitate (Figure 4B). Several Kit antibodies were used in these studies, however many of the commercially available antibodies recognize human Kit and are less effective at detecting murine Kit. Thus, the low sensitivity of the Kit-specific antibody in immunoblotting murine Kit probably accounts for this result.
Inhibition of PKC
has different effects on growth of IC2 cells expressing wild-type and D814Y Kit
Our study shows that PKC
is activated by WT Kit, is constitutively active in cells expressing the Kit catalytic domain mutant, and coprecipitates with both forms of Kit. To assess the role of PKC
in responses mediated by wild-type and mutant Kit we used rottlerin, a drug that inhibits PKC
.34,35 IC2 cells expressing wild-type or D814Y mutant Kit were cultured in increasing concentrations of rottlerin for 72 hours and cell growth was assessed by 3H-thymidine incorporation (Figure 5A). Factor-independent growth of cells expressing the D814Y Kit mutant decreased by nearly 40% in the presence of 500 nM rottlerin, while the same concentration of rottlerin increased SCF-induced growth of cells expressing WT Kit by 20%. Further, the addition of SCF did not alter the response of cells expressing D814Y Kit to rottlerin (Figure 5B). These results are consistent with PKC
having a specific role in negative regulation of WT Kit, but possibly contributing to growth mediated by the Kit mutant. In contrast, when IC2 cells expressing wild-type or D814Y Kit were cultured in increasing concentrations of Gö6976, a PKC inhibitor selective for the
,
, and
isoforms,35 the effect on the growth of both types of cells was essentially the same (Figure 5C). In addition, as in the rottlerin experiment, the addition of SCF did not alter the response of cells expressing D814Y Kit to Gö6976 (Figure 5D). These data suggest that PKC
contributes to factor-independent growth mediated by the Kit catalytic domain mutant, but may be involved in negative regulation of WT Kit. These data are of particular note since the effective dose of rottlerin (500 nM) is an order of magnitude lower than the 5-µM amount reported to have nonspecific effects.36,37
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Ectopic expression of wild-type and dominant-negative PKC
constructs has the opposite effect on growth of cells expressing WT Kit or D814Y Kit
To further define the role of PKC
in responses mediated by WT Kit and the D814Y mutant, wild-type and dominant-negative PKC
constructs were transiently transfected into IC2 cells expressing wild-type or mutant Kit. Transfected cells were cultured for 48 hours and growth was assessed by 3H-thymidine incorporation. Transfection of cells expressing WT Kit with PKC
reduced SCF-induced growth by 70%, while expression of the dominant-negative construct enhanced SCF-induced growth by 20% (Figure 6A). These results are consistent with PKC
acting as a negative regulator of SCF-activated Kit in these cells. In contrast, expression of the wild-type PKC
construct in cells expressing D814Y Kit enhanced factor-independent growth by 90%, while expression of the dominant-negative construct reduced factor-independent growth by nearly 50% (Figure 6B). In addition, SCF did not alter the effect of the PKC
constructs on responses of cells expressing D814Y Kit (Figure 6C). These data, in conjunction with the results with the PKC
inhibitor rottlerin, indicate that PKC
is a negative regulator of SCF-stimulated WT Kit and a positive regulator of growth in cells transformed by the D814Y Kit mutant.
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STAT3 is constitutively phosphorylated on Tyr705 and Ser727 in cells expressing D814Y Kit
Work by Ning et al38,39 showed constitutive DNA binding activity of STAT3 in cells expressing D816H Kit. However the upstream activating component remains to be defined. Phosphorylation of STAT3 on serine 727 is involved in the activation of this important transcription factor.40,41 PKC
and Jun N-terminal kinase (JNK) are 2 kinases capable of phosphorylating STAT3 on this residue. Our current findings demonstrate constitutive activation of PKC
in cells expressing D814Y Kit. Further, previous studies from our lab have shown JNKs 1 and 2 are constitutively active in cells expressing D816V Kit.42 Therefore, we sought to determine if serine 727 of STAT3 was constitutively phosphorylated in cells expressing the Kit catalytic domain mutant. Consistent with previous studies, tyrosine 705 of the STAT3
and
isoforms was constitutively phosphorylated in cells expressing D814Y Kit (Figure 7A).20,38,39 In addition, Figure 7A shows that serine 727 of STAT3
is also constitutively phosphorylated in cells expressing D814Y Kit. The STAT3
and
isoforms do not contain serine 727. Some increase in serine phosphorylation of STAT3 was also noted after SCF stimulation of cells expressing WT Kit. Reprobing the membranes with an antibody specific for STAT3 demonstrated that STAT3 is expressed at equal levels by cells expressing wild-type and D814Y Kit (Figure 7B).
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Since both PKC
and JNKs are activated in cells expressing the Kit catalytic domain mutant, these data raise the intriguing possibility that STAT3 is activated downstream of one of these signaling components. Studies determining if either of these kinases contributes to constitutive activation of STAT3 are in progress.
| Discussion |
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in responses mediated by wild-type and D814Y murine Kit in a murine mast cell-like line. PKC
was activated after SCF stimulation of cells expressing WT Kit and was constitutively active in cells expressing mutant Kit (Figures 1, 3). Further, PKC
activity was consistently higher in cells expressing D814Y Kit than cells expressing WT Kit (Figures 1, 3). This increase in kinase activity correlated with increases in tyrosine phosphorylation of PKC
associated with membrane fractions (Figure 2). A positive link between tyrosine phosphorylation and PKC
activity has been observed in some studies.32,33 This report is the first demonstration that either WT Kit or the Kit catalytic domain mutant activates PKC
.
Although PKC
is activated in cells expressing either wild-type or mutant Kit, we found that this serine kinase promotes growth of cells expressing D814Y Kit but inhibits growth of cells expressing WT Kit. This was illustrated in studies inhibiting PKC
either with rottlerin or through ectopic expression of dominant-negative PKC
constructs (Figures 5, 6). Further, overexpression of wild-type PKC
had opposite effects on cells expressing wild-type and mutant Kit (Figure 6). In addition, SCF does not alter the effect of rottlerin or the dominant-negative PKC
construct in cells expressing mutant Kit (Figures 5, 6).
Previous work has shown that PKC
can have pro- or antiproliferative effects, depending upon the cell type and receptors expressed. Studies with Rat1 fibroblasts expressing the oncoprotein BCR-ABL and studies with NIH 3T3 fibroblasts expressing an oncogenic form of insulin-like growth factor I receptor (IGF-IR) found that PKC
contributed to colony formation,43,44 but overexpression of PKC
alone in NIH 3T3 fibroblasts and in a human glioma cell line U-251 MG slowed cell growth.45,46 Similarly, PKC
can have pro- or antiapoptotic functions when activated by the p60 tumor necrosis factor
receptor in human neutrophils depending on whether the cells are in suspension or adherent.47 Thus, our results and other recent data indicate that the function of PKC
can depend on the signaling context of a given receptor. The importance of the present study is that this is the first demonstration that PKC
function changes in response to an oncogenic mutation in a receptor.
One mechanism that could mediate the different outcome of PKC
activation in cells expressing wild-type and mutant Kit could be changes in substrate specificity that lead to enhanced activation of one or more signaling pathways. Indeed, previous studies have suggested that phosphorylation on tyrosine alters PKC
substrate recognition.32,48 Here we show increases in PKC
activity and tyrosine phosphorylation in membrane fractions of cells expressing the Kit catalytic domain mutant. We also observed an increase in phosphorylation of STAT3 on serine 727, a residue known to be a target for PKC
49,50 (Figures 2, 3, and 7). However, a variety of mitogen-activated protein (MAP) kinase family members can also phosphorylate serine 727 of STAT3.51-54 In cells expressing the Kit catalytic domain mutant, JNKs 1 and 2 are constitutively active and could be possibilities too.42 Although extracellular signal-related kinases (Erks) 1 and 2 can also phosphorylate this residue, they are unlikely candidates in this case since they are not active in cells expressing this Kit mutant.20,39,42
PKC inhibitors show promise as potential therapeutics (reviewed in Goekjian and Jirousek55 and Swannie and Kaye56). PKC412, a staurosporine analog, has already progressed favorably through phase 1 and phase 2 clinical trials as a single agent.57-59 This drug is a relatively selective inhibitor of the
,
, and
isoforms of PKC, but it also inhibits several other kinases including vascular endothelial growth factor receptor 2 (VEGF-R2), PDGF receptor (PDGFR), and Kit.55,56 Bryostatin-1 is a natural product derived from a marine organism. It activates and down-regulates PKC. Trials of bryostatin-1 suggest this drug may be useful for patients with refractory acute leukemia when combined with 1-B-D-arabinofuranosylcyotosine.60 ISIS 3521, an antisense oligonucleotide for PKC
, has demonstrated acceptable toxicity as a single agent and in combination with traditional chemotherapy drugs in phase 1 trials.61-63 ISIS 3521 in combination with chemotherapy has been most promising in patients with nonsmall cell lung cancer, and large phase 3 trials are currently under way.64
The introduction of inhibitors specific to other PKC isoforms, particularly PKC
, may advance treatment of hematologic disease since PKC
has been associated with several hematologic malignancies. Indeed, the present work suggests that PKC
may be a therapeutic target in mastocytosis or AML associated with mutations in the catalytic domain of Kit. Other recent work has linked PKC
expression to B-cell chronic lymphocytic leukemia,28 multiple myeloma,29 and inappropriate survival of neutrophils,47 which occurs in inflammatory diseases. PKC
inhibitors offer the possibility of a novel therapy with potentially less toxicity than traditional chemotherapy since PKC412 and ISIS 3521 have been well tolerated. PKC
inhibitors likely have greatest potential in conjunction with traditional chemotherapy or as part of a cocktail targeting several signal transduction components. The potential benefits of a cocktail approach over a monotherapeutic approach are supported by reports that chronic myelogenous leukemia (CML) and GIST patients acquire resistance to STI571/imatinib over time.65-67 Thus, simultaneous targeting of a gain-of-function mutant receptor and its downstream signaling pathways may ultimately be the most effective treatment strategy. Since Kit catalytic domain mutants are resistant to STI571/imatinib, studies are under way to define direct inhibitors of this type of Kit mutant that could be combined with inhibitors of PKC
.
| Acknowledgements |
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constructs. The content of this publication does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the US government.
| Footnotes |
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Prepublished online as Blood First Edition Paper, November 12, 2004; DOI 10.1182/blood-2004-04-1450.
Supported in part by the NCI under contract NO1-CO-12400 with Science Applications International (SAIC)Frederick.
The publication costs of this article were defrayed in part by page charge payment. Therefore, and solely to indicate this fact, this article is hereby marked "advertisement" in accordance with 18 U.S.C. section 1734.
Reprints: Tanya Jelacic, Basic Research Laboratory, Center for Cancer Research, Bldg 469, Rm 205, National Cancer InstituteFrederick, Frederick, MD 21702; e-mail: t_jelacic_obreiter{at}ncifcrf.gov.
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