Acute lymphoblastic leukemia is the most common childhood cancer and the 10th most common adult cancer in the United States. Drug resistance remains a major problem in the treatment of acute lymphoblastic leukemia (ALL). The bone marrow (BM) environment, consisting of endosteal and perivascular niches, has been shown to promote cell adhesion-mediated drug resistance (CAM-DR) in leukemia cells. Incomplete response to chemotherapy results in persistence of resistant clones and minimal residual disease (MRD). The exact mechanisms for CAM-DR leading to MRD and approaches to address this problem remain elusive. Integrin ?4 mediates adhesion of hematopoietic cells onto bone marrow cells and has been implicated in CAM- DR of leukemia cells. We have determined that integrins ?4 and ?6 are the most upregulated integrins in pre-B ALL. We hypothesize that ?4 and ?6 integrin-mediated adhesion of ALL cells to bone marrow stromal niches contributes to the persistence of MRD. Integrin ?4 and ?6 loss-of-function studies in a BCR-ABL1+ pre-B ALL mouse model resulted in loss of adhesion, increased chemo-sensitivity and decreased self-renewal capacity of ALL cells. Using FDA approved Natalizumab as ?4 blocking antibody, we demonstrated in a xenogeneic ALL model that ?4-blockade with chemotherapy can eradicate leukemia. Delineating the mechanistic basis for this concept will enable us to validate and further develop this treatment approach towards patient care.
Acute lymphoblastic leukemia is the most common childhood cancer and the 10th most common adult cancer in the United States. Resistance to chemotherapy and resulting relapse of the disease remains a major problem. This project investigates the bone marrow and leukemia interactions to overcome drug resistance and focus on validating preclinically targeting integrin-mediated adhesion as a new adjuvant therapy in ALL.
|Tucci, Jonathan; Alhushki, Waseem; Chen, Ting et al. (2018) Switch to low-fat diet improves outcome of acute lymphoblastic leukemia in obese mice. Cancer Metab 6:15|
|Ha, V L; Luong, A; Li, F et al. (2017) The T-ALL related gene BCL11B regulates the initial stages of human T-cell differentiation. Leukemia 31:2503-2514|
|Kim, Yong-Mi; Gang, Eun-Ji; Kahn, Michael (2017) CBP/Catenin antagonists: Targeting LSCs' Achilles heel. Exp Hematol 52:1-11|
|Duchartre, Yann; Kim, Yong-Mi; Kahn, Michael (2017) Pharmacologic Manipulation of Wnt Signaling and Cancer Stem Cells. Methods Mol Biol 1613:463-478|
|Adam, Etai; Kim, Hye Na; Gang, Eun Ji et al. (2017) The PI3K? Inhibitor Idelalisib Inhibits Homing in an in Vitro and in Vivo Model of B ALL. Cancers (Basel) 9:|
|Sison, Edward Allan Racela; Kurre, Peter; Kim, Yong-Mi (2017) Understanding the bone marrow microenvironment in hematologic malignancies: A focus on chemokine, integrin, and extracellular vesicle signaling. Pediatr Hematol Oncol 34:365-378|
|Duchartre, Yann; Kim, Yong-Mi; Kahn, Michael (2016) The Wnt signaling pathway in cancer. Crit Rev Oncol Hematol 99:141-9|
|George, Aswathi A; Paz, Helicia; Fei, Fei et al. (2015) Phosphoflow-Based Evaluation of Mek Inhibitors as Small-Molecule Therapeutics for B-Cell Precursor Acute Lymphoblastic Leukemia. PLoS One 10:e0137917|
|Ford, James B; Baturin, Dmitry; Burleson, Tamara M et al. (2015) AZD1775 sensitizes T cell acute lymphoblastic leukemia cells to cytarabine by promoting apoptosis over DNA repair. Oncotarget 6:28001-10|
|Gang, E J; Hsieh, Y-T; Pham, J et al. (2014) Small-molecule inhibition of CBP/catenin interactions eliminates drug-resistant clones in acute lymphoblastic leukemia. Oncogene 33:2169-78|
Showing the most recent 10 out of 14 publications