Phospho-MEK1/2 and uPAR Expression Determine Sensitivity of AML Blasts to a Urokinase-Activated Anthrax Lethal Toxin (PrAgU2/LF)1

In this study, we attempt to target both the urokinase plasminogen activator and the mitogen-activated protein kinase pathway in acute myeloid leukemia (AML) cell lines and primary AML blasts using PrAgU2/LF, a urokinase-activated anthrax lethal toxin. PrAgU2/LF was cytotoxic to five out of nine AML...

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Main Authors: Bekdash, Amira, Darwish, Manal, Timsah, Zahra, Kassab, Elias, Ghanem, Hadi, Najjar, Vicky, Ghosn, Marwan, Nasser, Selim, El-Hajj, Hiba, Bazerbachi, Ali, Liu, Shihui, Leppla, Stephen H., Frankel, Arthur E., Abi-Habib, Ralph J.
Format: Online
Language:English
Published: Neoplasia Press 2015
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4630967/
id pubmed-4630967
recordtype oai_dc
spelling pubmed-46309672015-11-20 Phospho-MEK1/2 and uPAR Expression Determine Sensitivity of AML Blasts to a Urokinase-Activated Anthrax Lethal Toxin (PrAgU2/LF)1 Bekdash, Amira Darwish, Manal Timsah, Zahra Kassab, Elias Ghanem, Hadi Najjar, Vicky Ghosn, Marwan Nasser, Selim El-Hajj, Hiba Bazerbachi, Ali Liu, Shihui Leppla, Stephen H. Frankel, Arthur E. Abi-Habib, Ralph J. Article In this study, we attempt to target both the urokinase plasminogen activator and the mitogen-activated protein kinase pathway in acute myeloid leukemia (AML) cell lines and primary AML blasts using PrAgU2/LF, a urokinase-activated anthrax lethal toxin. PrAgU2/LF was cytotoxic to five out of nine AML cell lines. Cytotoxicity of PrAgU2/LF appeared to be nonapoptotic and was associated with MAPK activation and urokinase activity because all the PrAgU2/LF-sensitive cell lines showed both uPAR expression and high levels of MEK1/2 phosphorylation. Inhibition of uPAR or desensitization of cells to MEK1/2 inhibition blocked toxicity of PrAgU2/LF, indicating requirement for both uPAR expression and MAPK activation for activity. PrAgU2/LF was also cytotoxic to primary blasts from AML patients, with blasts from four out of five patients showing a cytotoxic response to PrAgU2/LF. Cytotoxicity of primary AML blasts was also dependent on uPAR expression and phos-MEK1/2 levels. CD34+ bone marrow blasts and peripheral blood mononuclear cells lacked uPAR expression and were resistant to PrAgU2/LF, demonstrating the lack of toxicity to normal hematological cells and, therefore, the tumor selectivity of this approach. Dose escalation in mice revealed that the maximal tolerated dose of PrAgU2/LF is at least 5.7-fold higher than that of the wild-type anthrax lethal toxin, PrAg/LF, further demonstrating the increased safety of this molecule. We have shown, in this study, that PrAgU2/LF is a novel, dual-specific molecule for the selective targeting of AML. Neoplasia Press 2015-10-28 /pmc/articles/PMC4630967/ /pubmed/26500025 http://dx.doi.org/10.1016/j.tranon.2015.07.001 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Bekdash, Amira
Darwish, Manal
Timsah, Zahra
Kassab, Elias
Ghanem, Hadi
Najjar, Vicky
Ghosn, Marwan
Nasser, Selim
El-Hajj, Hiba
Bazerbachi, Ali
Liu, Shihui
Leppla, Stephen H.
Frankel, Arthur E.
Abi-Habib, Ralph J.
spellingShingle Bekdash, Amira
Darwish, Manal
Timsah, Zahra
Kassab, Elias
Ghanem, Hadi
Najjar, Vicky
Ghosn, Marwan
Nasser, Selim
El-Hajj, Hiba
Bazerbachi, Ali
Liu, Shihui
Leppla, Stephen H.
Frankel, Arthur E.
Abi-Habib, Ralph J.
Phospho-MEK1/2 and uPAR Expression Determine Sensitivity of AML Blasts to a Urokinase-Activated Anthrax Lethal Toxin (PrAgU2/LF)1
author_facet Bekdash, Amira
Darwish, Manal
Timsah, Zahra
Kassab, Elias
Ghanem, Hadi
Najjar, Vicky
Ghosn, Marwan
Nasser, Selim
El-Hajj, Hiba
Bazerbachi, Ali
Liu, Shihui
Leppla, Stephen H.
Frankel, Arthur E.
Abi-Habib, Ralph J.
author_sort Bekdash, Amira
title Phospho-MEK1/2 and uPAR Expression Determine Sensitivity of AML Blasts to a Urokinase-Activated Anthrax Lethal Toxin (PrAgU2/LF)1
title_short Phospho-MEK1/2 and uPAR Expression Determine Sensitivity of AML Blasts to a Urokinase-Activated Anthrax Lethal Toxin (PrAgU2/LF)1
title_full Phospho-MEK1/2 and uPAR Expression Determine Sensitivity of AML Blasts to a Urokinase-Activated Anthrax Lethal Toxin (PrAgU2/LF)1
title_fullStr Phospho-MEK1/2 and uPAR Expression Determine Sensitivity of AML Blasts to a Urokinase-Activated Anthrax Lethal Toxin (PrAgU2/LF)1
title_full_unstemmed Phospho-MEK1/2 and uPAR Expression Determine Sensitivity of AML Blasts to a Urokinase-Activated Anthrax Lethal Toxin (PrAgU2/LF)1
title_sort phospho-mek1/2 and upar expression determine sensitivity of aml blasts to a urokinase-activated anthrax lethal toxin (pragu2/lf)1
description In this study, we attempt to target both the urokinase plasminogen activator and the mitogen-activated protein kinase pathway in acute myeloid leukemia (AML) cell lines and primary AML blasts using PrAgU2/LF, a urokinase-activated anthrax lethal toxin. PrAgU2/LF was cytotoxic to five out of nine AML cell lines. Cytotoxicity of PrAgU2/LF appeared to be nonapoptotic and was associated with MAPK activation and urokinase activity because all the PrAgU2/LF-sensitive cell lines showed both uPAR expression and high levels of MEK1/2 phosphorylation. Inhibition of uPAR or desensitization of cells to MEK1/2 inhibition blocked toxicity of PrAgU2/LF, indicating requirement for both uPAR expression and MAPK activation for activity. PrAgU2/LF was also cytotoxic to primary blasts from AML patients, with blasts from four out of five patients showing a cytotoxic response to PrAgU2/LF. Cytotoxicity of primary AML blasts was also dependent on uPAR expression and phos-MEK1/2 levels. CD34+ bone marrow blasts and peripheral blood mononuclear cells lacked uPAR expression and were resistant to PrAgU2/LF, demonstrating the lack of toxicity to normal hematological cells and, therefore, the tumor selectivity of this approach. Dose escalation in mice revealed that the maximal tolerated dose of PrAgU2/LF is at least 5.7-fold higher than that of the wild-type anthrax lethal toxin, PrAg/LF, further demonstrating the increased safety of this molecule. We have shown, in this study, that PrAgU2/LF is a novel, dual-specific molecule for the selective targeting of AML.
publisher Neoplasia Press
publishDate 2015
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4630967/
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