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Blood, 15 July 2007, Vol. 110, No. 2, pp. 661-669. Prepublished online as a Blood First Edition Paper on April 9, 2007; DOI 10.1182/blood-2006-10-054411.
Submitted October 25, 2006
Dept of Internal Medicine I, Division of Hematology & Hemostaseology, Medical University of Vienna, Vienna, Austria * Corresponding author; email: peter.valent{at}meduniwien.ac.at.
Systemic mastocytosis (SM) is a myeloid neoplasm characterized by increased survival and accumulation of neoplastic mast cells (MC). In most patients, the D816V-mutated variant of KIT is detectable. We report that heat shock protein 32 (Hsp32), also known as heme oxygenase-1 (HO-1), is a novel KIT-inducible survival factor in neoplastic MC. As assessed by RT-PCR, immunocytochemistry, and Western blotting, the KIT D816V-positive MC line HMC-1.2 as well as highly enriched primary neoplastic MC were found to express Hsp32 mRNA and the Hsp32 protein. Moreover, KIT D816V and SCF-activated wild-type-KIT were found to induce Hsp32-promoter-activity, expression of Hsp32-mRNA, and expression of the Hsp32 protein in Ba/F3 cells. Correspondingly, the KIT-D816V-targeting drug PKC412 decreased the expression of Hsp32 as well as proliferation/survival in neoplastic MC. The inhibitory effects of PKC412 on survival of HMC-1.2 cells were counteracted by the HO-1 inductor hemin or lentiviral-transduced HO-1. Moreover, two Hsp32-targeting drugs, pegylated zinc-protoporphyrin (PEG-ZnPP) and styrene maleic acid-micelle-encapsulated ZnPP (SMA-ZnPP), were found to inhibit proliferation and to induce apoptosis in neoplastic MC. Furthermore, both drugs were found to cooperate with PKC412 in producing growth-inhibition. Together, these data show that Hsp32 is an important survival factor and interesting new therapeutic target in neoplastic MC.
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