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Blood, 15 August 2006, Vol. 108, No. 4, pp. 1370-1373.
Prepublished online as a Blood First Edition Paper on April 20, 2006; DOI 10.1182/blood-2006-02-003145.
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Submitted February 16, 2006
Accepted April 6, 2006
Functional ABCG2 is over-expressed on primary CML CD34+ cells and is inhibited by imatinib mesylate
Niove E Jordanides, Heather G Jorgensen, Tessa L Holyoake, and Joanne C Mountford*
From Experimental Haematology & Haemopoietic Stem Cells, University of Glasgow
* Corresponding author; email: jcm7n{at}clinmed.gla.ac.uk.
Imatinib mesylate (IM) therapy for chronic myeloid leukemia (CML) has transformed the treatment of this disease. However, the vast majority of patients, despite major responses, still harbor Philadelphia chromosome positive (Ph+) cells. We have described a population of primitive Ph+ cells that are insensitive to IM and may be a source of IM resistance. Cell line studies have suggested that the drug transporter ABCG2 may be a mediator of IM resistance, however there is considerable debate about whether IM is an ABCG2 substrate or inhibitor. We demonstrate here that primitive CML CD34+ cells aberrantly over-express functional ABCG2 but that co-treatment with IM and an ABCG2 inhibitor does not potentiate the effect of IM. We definitively show that IM is an inhibitor of, but not a substrate for ABCG2 and that therefore, ABCG2 does not modulate intracellular concentrations of IM in this clinically relevant cell population.

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