Eradicating acute myeloid leukemia in a MllPTD/wt:Flt3ITD/wt murine model: a path to novel therapeutic approaches for human disease

Autor: Robert J. Lee, John S. Nemer, Ramasamy Santhanam, Daniel L. Brook, Jianying Zhang, Mengzi Zhang, G. Marcucci, Xiaoli Zhang, Susan P. Whitman, Michael A. Caligiuri, Guido Marcucci, Xiaojuan Yang, Kathryn E. Dickerson, Kathleen McConnell, William Blum, Adrienne M. Dorrance, Elshafa H. Ahmed, Kelsie M. Bernot, Shujun Liu, Ronald F. Siebenaler, Bethany L. Mundy-Bosse, Nicholas Zorko, Sabrina L Garman, Maura R. Muñoz
Rok vydání: 2013
Předmět:
Zdroj: Blood. 122:3778-3783
ISSN: 1528-0020
0006-4971
DOI: 10.1182/blood-2013-06-507426
Popis: The coexpression of the MLL partial tandem duplication (PTD) and the FLT3 internal tandem duplication (ITD) mutations associate with a poor outcome in cytogenetically normal acute myeloid leukemia (AML). In mice, a double knock-in (dKI) of Mll(PTD/wt) and Flt3(ITD/wt) mutations induces spontaneous AML with an increase in DNA methyltransferases (Dnmt1, 3a, and 3b) and global DNA methylation index, thereby recapitulating its human AML counterpart. We determined that a regulator of Dnmts, miR-29b, is downregulated in bone marrow of dKI AML mice. Bortezomib exerted a dose-dependent increase in miR-29b expression in AML blasts ex vivo, followed by decreased Dnmts, reduced proliferation, and increased apoptosis. In vivo, bortezomib was not active against dKI AML, yet liposomal-encapsulated bortezomib, as a single agent, reversed downregulation of miR-29b in vivo and induced a long-term (90-day) disease-free remission in 80% of dKI AML mice that exhibited high leukemic burden at the start of therapy, yet showed no signs of relapse at autopsy. Taken together, these data support that liposomal bortezomib, as a single agent, eradicates Mll(PTD/wt):Flt3(ITD/wt) AML in mouse and may represent a powerful and potentially curative approach to high-risk human disease.
Databáze: OpenAIRE