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Blood, 1 February 2005, Vol. 105, No. 3, pp. 1246-1255.
Prepublished online as a Blood First Edition Paper on September 23, 2004; DOI 10.1182/blood-2004-05-2041.


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Submitted June 1, 2004
Accepted September 15, 2004

Mechanistic role of heat shock protein 70 in Bcr-Abl mediated resistance to apoptosis in human acute leukemia cells

Fei Guo, Celia Sigua, Purva Bali, Prince George, Warren Fiskus, Anna Scuto, Srinivas Annavarapu, Abdelmoughite Mouttaki, Gautam Sondarva, Sheng Wei, Jie Wu, Julie Djeu, and Kapil Bhalla*

Department of Interdisciplinary Oncology, H. Lee Moffitt Cancer Center, Tampa, FL, USA

* Corresponding author; email: bhallakn{at}moffitt.usf.edu.

Bcr-Abl expressing primary or cultured leukemia cells display high levels of the antiapoptotic heat shock protein (hsp) 70, and are resistant to cytarbine (Ara-C), etoposide or Apo-2L/TRAIL-induced apoptosis. Conversely, a stable expression of the cDNA of hsp70 in the reverse orientation attenuated not only hsp70 but also STAT5 and Bcl-xL levels. This increased apoptosis induced by cytarabine, etoposide or Apo-2L/TRAIL. Ectopic expression of hsp70 in HL-60 cells (HL-60/hsp70) inhibited Ara-C and etoposide-induced Bax conformation change and translocation to the mitochondria, attenuated the accumulation of cytochrome c, Smac and Omi/HtrA2 in the cytosol, as well as inhibited the processing and activity of caspase-9 and caspase-3. Hsp70 was bound to death receptors 4 and 5 (DR4 and DR5), and inhibited Apo-2L/TRAIL-induced assembly and activity of the death inducing signaling complex (DISC). HL-60/hsp70 cells exhibited increased levels and DNA binding activity of STAT5, which was associated with high levels of Pim-2 and Bcl-xL, and resistance to apoptosis. Expression of the dominant negative (DN) STAT5 re-sensitized HL-60/hsp70 cells to cytarbine, etoposide and Apo-2L/TRAIL induced apoptosis. Collectively, these findings suggest that hsp70 inhibits apoptosis upstream and downstream of the mitochondria, and is a promising therapeutic target for reversing drug-resistance in CML-BC and AML cells.


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