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PPFIA1-targeting miR-181a mimic and saRNA overcome imatinib resistance in BCR-ABL1-independent chronic myeloid leukemia by suppressing leukemia stem cell regeneration

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机构: [1]Department of Biochemistry and Molecular Biology, Medical College of Jinan University, Guangzhou 510632, China. [2]Guangdong Engineering Technology Research Center of Drug Development for Small Nucleic Acids, Guangzhou 510632, China. [3]Antisense Biopharmaceutical Technology Co., Ltd., Guangzhou 510632, China. [4]Department of General Surgery, The First Affiliated Hospital of Jinan University, Guangzhou 510632, Guangdong, China. [5]Clinical Trial Center of Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China. [6]Oncology Department of Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China. [7]International Cooperative Laboratory of Traditional Chinese Medicine Modernization and Innovative Drug Development of Chinese Ministry of Education (MOE), College of Pharmacy, Jinan University, Guangzhou 510632, China. [8]Guangdong Province Key Laboratory of Pharmacodynamic Constituents of TCM and New Drugs Research, College of Pharmacy, Jinan University, Guangzhou 510632, China. [9]College of Pharmacy, Shenzhen Technology University, Shenzhen 518118, China.
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A large proportion of patients with chronic myeloid leukemia (CML; 20%-50%) develop resistance to imatinib in a BCR-ABL1-independent manner. Therefore, new therapeutic strategies for use in this subset of imatinib-resistant CML patients are urgently needed. In this study, we used a multi-omics approach to show that PPFIA1 was targeted by miR-181a. We demonstrate that both miR-181a and PPFIA1-siRNA reduced the cell viability and proliferative capacity of CML cells in vitro, as well as prolonged the survival of B-NDG mice harboring human BCR-ABL1-independent imatinib-resistant CML cells. Furthermore, treatment with miR-181a mimic and PPFIA1-siRNA inhibited the self-renewal of c-kit+ and CD34+ leukemic stem cells and promoted their apoptosis. Small activating (sa)RNAs targeting the promoter of miR-181a increased the expression of endogenous primitive miR-181a (pri-miR-181a). Transfection with saRNA 1-3 inhibited the proliferation of imatinib-sensitive and -resistant CML cells. However, only saRNA-3 showed a stronger and more sustained inhibitory effect than the miR-181a mimic. Collectively, these results show that miR-181a and PPFIA1-siRNA may overcome the imatinib resistance of BCR-ABL1-independent CML, partially by inhibiting the self-renewal of leukemia stem cells and promoting their apoptosis. Moreover, exogenous saRNAs represent promising therapeutic agents in the treatment of imatinib-resistant BCR-ABL1-independent CML.© 2023 The Author(s).

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大类 | 1 区 医学
小类 | 1 区 医学:研究与实验
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 医学:研究与实验
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第一作者机构: [1]Department of Biochemistry and Molecular Biology, Medical College of Jinan University, Guangzhou 510632, China. [2]Guangdong Engineering Technology Research Center of Drug Development for Small Nucleic Acids, Guangzhou 510632, China. [3]Antisense Biopharmaceutical Technology Co., Ltd., Guangzhou 510632, China.
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通讯机构: [1]Department of Biochemistry and Molecular Biology, Medical College of Jinan University, Guangzhou 510632, China. [2]Guangdong Engineering Technology Research Center of Drug Development for Small Nucleic Acids, Guangzhou 510632, China. [3]Antisense Biopharmaceutical Technology Co., Ltd., Guangzhou 510632, China. [5]Clinical Trial Center of Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China. [6]Oncology Department of Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China. [7]International Cooperative Laboratory of Traditional Chinese Medicine Modernization and Innovative Drug Development of Chinese Ministry of Education (MOE), College of Pharmacy, Jinan University, Guangzhou 510632, China. [8]Guangdong Province Key Laboratory of Pharmacodynamic Constituents of TCM and New Drugs Research, College of Pharmacy, Jinan University, Guangzhou 510632, China. [9]College of Pharmacy, Shenzhen Technology University, Shenzhen 518118, China. [*1]Clinical trial center of Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China. [*2]International Cooperative Laboratory of Traditional Chinese Medicine Modernization and Innovative Drug Development of Chinese Ministry of Education (MOE), College of Pharmacy, Jinan University, Guangzhou 510632, China [*3]College of Pharmacy, Shenzhen Technology University, Shenzhen 518118, China. [*4]Department of Biochemistry and Molecular Biology, Medical College of Jinan University, Guangzhou 510632, China
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