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Blood, 15 February 2007, Vol. 109, No. 4, pp. 1701-1711. Prepublished online as a Blood First Edition Paper on September 28, 2006; DOI 10.1182/blood-2005-03-037648.
Submitted March 22, 2005
Department of Oncology and Haematology, University Hospital Eppendorf, Hamburg, Germany * Corresponding author; email: t.bruemmendorf{at}uke.uni-hamburg.de.
Inhibition of Bcr-Abl tyrosine kinase with Imatinib represents a major breakthrough in the treatment of patients with chronic myeloid leukemia (CML). However, resistance to Imatinib develops frequently, particularly in late stage disease. In order to identify new cellular Bcr-Abl downstream targets, we have analyzed differences in global protein expression in Bcr-Abl-positive K562 cells treated with or without Imatinib in vitro. Among the nineteen proteins found to be differentially expressed, we detected down-regulation of eukaryotic initiation factor 5A (eIF-5A), which is essential for cell proliferation. EIF-5A represents the only known eukaryotic protein activated by post-translational hypusination. Hypusination inhibitors (HI) alone exerted an anti-proliferative effect on Bcr-Abl positive and negative leukemia cell lines in vitro. However, the synergistic dose-effect relationship found for the combination of Imatinib and HI was restricted to Bcr-Abl-positive cells. Furthermore, this synergistic effect was confirmed by cytotoxicity assays, cell cycle analysis and CFSE-labeling of primary CD34+ CML cells. Specificity of this effect could be demonstrated by co-treatment of K562 cells with Imatinib and siRNA against eIF-5. In conclusion, using a comparative proteomics approach and further functional analysis, we have identified inhibition of eIF-5A hypusination as a promising new approach for combination therapy in Bcr-Abl positive leukemias.
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