Prolactin receptor signaling induces acquisition of chemoresistance and reduces clonogenicity in acute myeloid leukemia

Abstract Background Development of precision medicine requires the identification of easily detectable and druggable biomarkers. Despite recent targeted drug approvals, prognosis of acute myeloid leukemia (AML) patients needs to be greatly improved, as relapse and refractory disease are still diffic...

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Main Authors: Laia Cuesta-Casanovas, Jennifer Delgado-Martínez, Josep M. Cornet-Masana, José M. Carbó, Antònia Banús-Mulet, Francesca Guijarro, Jordi Esteve, Ruth M. Risueño
Format: Article
Language:English
Published: BMC 2023-05-01
Series:Cancer Cell International
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Online Access:https://doi.org/10.1186/s12935-023-02944-4
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author Laia Cuesta-Casanovas
Jennifer Delgado-Martínez
Josep M. Cornet-Masana
José M. Carbó
Antònia Banús-Mulet
Francesca Guijarro
Jordi Esteve
Ruth M. Risueño
author_facet Laia Cuesta-Casanovas
Jennifer Delgado-Martínez
Josep M. Cornet-Masana
José M. Carbó
Antònia Banús-Mulet
Francesca Guijarro
Jordi Esteve
Ruth M. Risueño
author_sort Laia Cuesta-Casanovas
collection DOAJ
description Abstract Background Development of precision medicine requires the identification of easily detectable and druggable biomarkers. Despite recent targeted drug approvals, prognosis of acute myeloid leukemia (AML) patients needs to be greatly improved, as relapse and refractory disease are still difficult to manage. Thus, new therapeutic approaches are needed. Based on in silico-generated preliminary data and the literature, the role of the prolactin (PRL)-mediated signaling was interrogated in AML. Methods Protein expression and cell viability were determined by flow cytometry. Repopulation capacity was studied in murine xenotransplantation assays. Gene expression was measured by qPCR and luciferase-reporters. SA-β-Gal staining was used as a senescence marker. Results The prolactin receptor (PRLR) was upregulated in AML cells, as compared to their healthy counterpart. The genetic and molecular inhibition of this receptor reduced the colony-forming potential. Disruption of the PRLR signaling, either using a mutant PRL or a dominant-negative isoform of PRLR, reduced the leukemia burden in vivo, in xenotransplantation assays. The expression levels of PRLR directly correlated with resistance to cytarabine. Indeed, acquired cytarabine resistance was accompanied with the induction of PRLR surface expression. The signaling associated to PRLR in AML was mainly mediated by Stat5, in contrast to the residual function of Stat3. In concordance, Stat5 mRNA was significantly overexpressed at mRNA levels in relapse AML samples. A senescence-like phenotype, measured by SA-β-gal staining, was induced upon enforced expression of PRLR in AML cells, partially dependent on ATR. Similar to the previously described chemoresistance-induced senescence in AML, no cell cycle arrest was observed. Additionally, the therapeutic potential of PRLR in AML was genetically validated. Conclusions These results support the role of PRLR as a therapeutic target for AML and the further development of drug discovery programs searching for specific PRLR inhibitors.
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spelling doaj.art-00026095bd1140f2bb033ebf316273892023-05-21T11:28:00ZengBMCCancer Cell International1475-28672023-05-0123111810.1186/s12935-023-02944-4Prolactin receptor signaling induces acquisition of chemoresistance and reduces clonogenicity in acute myeloid leukemiaLaia Cuesta-Casanovas0Jennifer Delgado-Martínez1Josep M. Cornet-Masana2José M. Carbó3Antònia Banús-Mulet4Francesca Guijarro5Jordi Esteve6Ruth M. Risueño7Josep Carreras Leukaemia Research Institute (IJC)Josep Carreras Leukaemia Research Institute (IJC)Josep Carreras Leukaemia Research Institute (IJC)Josep Carreras Leukaemia Research Institute (IJC)Josep Carreras Leukaemia Research Institute (IJC)Josep Carreras Leukaemia Research Institute (IJC)Josep Carreras Leukaemia Research Institute (IJC)Josep Carreras Leukaemia Research Institute (IJC)Abstract Background Development of precision medicine requires the identification of easily detectable and druggable biomarkers. Despite recent targeted drug approvals, prognosis of acute myeloid leukemia (AML) patients needs to be greatly improved, as relapse and refractory disease are still difficult to manage. Thus, new therapeutic approaches are needed. Based on in silico-generated preliminary data and the literature, the role of the prolactin (PRL)-mediated signaling was interrogated in AML. Methods Protein expression and cell viability were determined by flow cytometry. Repopulation capacity was studied in murine xenotransplantation assays. Gene expression was measured by qPCR and luciferase-reporters. SA-β-Gal staining was used as a senescence marker. Results The prolactin receptor (PRLR) was upregulated in AML cells, as compared to their healthy counterpart. The genetic and molecular inhibition of this receptor reduced the colony-forming potential. Disruption of the PRLR signaling, either using a mutant PRL or a dominant-negative isoform of PRLR, reduced the leukemia burden in vivo, in xenotransplantation assays. The expression levels of PRLR directly correlated with resistance to cytarabine. Indeed, acquired cytarabine resistance was accompanied with the induction of PRLR surface expression. The signaling associated to PRLR in AML was mainly mediated by Stat5, in contrast to the residual function of Stat3. In concordance, Stat5 mRNA was significantly overexpressed at mRNA levels in relapse AML samples. A senescence-like phenotype, measured by SA-β-gal staining, was induced upon enforced expression of PRLR in AML cells, partially dependent on ATR. Similar to the previously described chemoresistance-induced senescence in AML, no cell cycle arrest was observed. Additionally, the therapeutic potential of PRLR in AML was genetically validated. Conclusions These results support the role of PRLR as a therapeutic target for AML and the further development of drug discovery programs searching for specific PRLR inhibitors.https://doi.org/10.1186/s12935-023-02944-4Prolactin receptorLeukemiaSenescenceBiomarkerDifferentiation
spellingShingle Laia Cuesta-Casanovas
Jennifer Delgado-Martínez
Josep M. Cornet-Masana
José M. Carbó
Antònia Banús-Mulet
Francesca Guijarro
Jordi Esteve
Ruth M. Risueño
Prolactin receptor signaling induces acquisition of chemoresistance and reduces clonogenicity in acute myeloid leukemia
Cancer Cell International
Prolactin receptor
Leukemia
Senescence
Biomarker
Differentiation
title Prolactin receptor signaling induces acquisition of chemoresistance and reduces clonogenicity in acute myeloid leukemia
title_full Prolactin receptor signaling induces acquisition of chemoresistance and reduces clonogenicity in acute myeloid leukemia
title_fullStr Prolactin receptor signaling induces acquisition of chemoresistance and reduces clonogenicity in acute myeloid leukemia
title_full_unstemmed Prolactin receptor signaling induces acquisition of chemoresistance and reduces clonogenicity in acute myeloid leukemia
title_short Prolactin receptor signaling induces acquisition of chemoresistance and reduces clonogenicity in acute myeloid leukemia
title_sort prolactin receptor signaling induces acquisition of chemoresistance and reduces clonogenicity in acute myeloid leukemia
topic Prolactin receptor
Leukemia
Senescence
Biomarker
Differentiation
url https://doi.org/10.1186/s12935-023-02944-4
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