Shikonin Exerts an Antileukemia Effect against FLT3-ITD Mutated Acute Myeloid Leukemia Cells via Targeting FLT3 and Its Downstream Pathways

紫草素通过靶向 FLT3 及其下游通路对 FLT3-ITD 突变的急性髓系白血病细胞发挥抗白血病作用

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作者:Mu-Nan Zhao, Long Su, Fei Song, Zhi-Feng Wei, Tian-Xue Qin, Yun-Wei Zhang, Wei Li, Su-Jun Gao

Conclusion

The findings of this study indicate that SHK may be a promising drug for the treatment of FLT3-ITD mutated AML.

Methods

The CCK-8 assay was used to analyze cell viability, and flow cytometry was used to detect cell apoptosis and differentiation. Western blotting and real-time polymerase chain reaction were used to examine the expression of certain proteins and genes. Leukemia mouse model was created to evaluate the antileukemia effect of SHK against FLT3-ITD mutated leukemia in vivo.

Results

After screening a series of leukemia cell lines, those with FLT3-ITD mutations were found to be more sensitive to SHK in terms of proliferation inhibition and apoptosis induction than those without FLT3-ITD mutation. SHK suppresses the expression and phosphorylation of FLT3 receptors and their downstream molecules. Inhibition of the NF-κB/miR-155 pathway is an important mechanism through which SHK kills FLT3-AML cells. Moreover, a low concentration of SHK promotes the differentiation of AML cells with FLT3-ITD mutations. Finally, SHK could significantly inhibit the growth of MV4-11 cells in leukemia bearing mice.

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