Mechanisms of apoptosis induction by simultaneous inhibition of PI3K and FLT3-ITD in AML cells in the hypoxic bone marrow microenvironment

Linhua Jin, Yoko Tabe, Hongbo Lu, Gautam Borthakur, Takashi Miida, Hagop Kantarjian, Michael Andreeff, Marina Konopleva

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

We investigated the antileukemia effects and molecular mechanisms of apoptosis induction by simultaneous blockade of PI3K and mutant FLT3 in AML cells grown under hypoxia in co-cultures with bone marrow stromal cells. Combined treatment with selective class I PI3K inhibitor GDC-0941 and sorafenib reversed the protective effects of bone marrow stromal cells on FLT3-mutant AML cells in hypoxia, which was associated with downregulation of Pim-1 and Mcl-1 expression levels. These findings suggest that combined inhibition of PI3K and FLT3-ITD may constitute a targeted approach to eradicating chemoresistant AML cells sequestered in hypoxic bone marrow niches.

Original languageEnglish (US)
Pages (from-to)45-58
Number of pages14
JournalCancer Letters
Volume329
Issue number1
DOIs
StatePublished - Feb 1 2013

Keywords

  • Acute myeloid leukemia
  • Bone marrow microenvironment
  • GDC-0941
  • Hypoxia
  • Sorafenib

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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