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Blood, 15 May 2005, Vol. 105, No. 10, pp. 4021-4027.
Prepublished online as a Blood First Edition Paper on January 21, 2005; DOI 10.1182/blood-2004-07-2967.
Previous Article | Next Article 
Submitted August 2, 2004
Accepted January 11, 2005
Synergistic interactions between imatinib and the novel phosphoinositide-dependent kinase-1 inhibitor OSU-03012 in overcoming imatinib resistance
Ping-Hui Tseng, Ho-Pi Lin, Jiuxiang Zhu, Kuen-Feng Chen, Erinn M Hade, Donn C Young, John C Byrd, Michael Grever, Kara Johnson, Brian J Druker, and Ching-Shih Chen*
Division of Medicinal Chemistry, College of Pharmacy, The Ohio State University, Columbus, OH, USA
Comprehensive Cancer Center Biostatistics Core, Center for Biostatistics, The Ohio State University, Columbus, OH, USA
Division of Hematology and Oncology, Department of Internal Medicine, The Ohio State Univeristy, Columbu, OH, USA
Division of Hematology and Medical Oncology, Oregon Health and Science University Cancer Institute, Portland, OR, USA
Division of Medicinal Chemistry, College of Pharmacy, The Ohio State University, Columbus, OH, USA; Division of Hematology and Oncology, Department of Internal Medicine, The Ohio State Univeristy, Columbu, OH, USA
* Corresponding author; email: chen.844{at}osu.edu.
Resistance to the Abl kinase inhibitor imatinib has become a critical issue for patients in advanced phases of chronic myelogenous leukemia. Imatinib-resistant tumor cells develop, in part, as a result of point mutations within the Abl kinase domain. As Akt plays a pivotal role in Abl oncogene-mediated cell survival, we hypothesize that concurrent inhibition of Akt will sensitize resistant cells to the residual apoptotic activity of imatinib, thereby overcoming the resistance. Here, we examined the effect of OSU-03012, a celecoxib-derived phosphoinositide-dependent kinase-1 (PDK-1) inhibitor, on imatinib-induced apoptosis in two clinically relevant Bcr-Abl mutant cell lines, Ba/F3p210E255K and Ba/F3p210T315I. The IC50 values of imatinib to inhibit the proliferation of Ba/F3p210E255K and Ba/F3p210T315I were 14 ± 4 and 30 ± 2 µM, respectively. There was no cross-resistance to OSU-03012 in these mutant cells with IC50 of 5 µM irrespective of mutations. Nevertheless, in the presence of OSU-03012, the susceptibility of these mutant cells to imatinib-induced apoptosis was significantly enhanced. This synergistic action was, at least in part, mediated through the concerted effect on phospho-Akt. Together, these data provide a novel therapeutic strategy to overcome imatinib resistance, especially with the Abl mutant T315I.

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