AMPK-induced novel phosphorylation of RUNX1 inhibits STAT3 activation and overcome imatinib resistance in chronic myelogenous leukemia (CML) subjects

Abstract Imatinib resistance remains an unresolved problem in CML disease. Activation of JAK2/STAT3 pathway and increased expression of RUNX1 have become one reason for development of imatinib resistance in CML subjects. Metformin has gained attention as an antileukemic drug in recent times. However...

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Main Authors: Meher Bolisetti Gayatri, Rama Krishna Kancha, Abhayananda Behera, Dorababu Patchva, Nagaraj Velugonda, Sadasivudu Gundeti, Aramati Bindu Madhava Reddy
Format: Article
Language:English
Published: Nature Publishing Group 2023-10-01
Series:Cell Death Discovery
Online Access:https://doi.org/10.1038/s41420-023-01700-x
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author Meher Bolisetti Gayatri
Rama Krishna Kancha
Abhayananda Behera
Dorababu Patchva
Nagaraj Velugonda
Sadasivudu Gundeti
Aramati Bindu Madhava Reddy
author_facet Meher Bolisetti Gayatri
Rama Krishna Kancha
Abhayananda Behera
Dorababu Patchva
Nagaraj Velugonda
Sadasivudu Gundeti
Aramati Bindu Madhava Reddy
author_sort Meher Bolisetti Gayatri
collection DOAJ
description Abstract Imatinib resistance remains an unresolved problem in CML disease. Activation of JAK2/STAT3 pathway and increased expression of RUNX1 have become one reason for development of imatinib resistance in CML subjects. Metformin has gained attention as an antileukemic drug in recent times. However, the molecular mechanism remains elusive. The present study shows that RUNX1 is a novel substrate of AMP-activated kinase (AMPK), where AMPK phosphorylates RUNX1 at Ser 94 position. Activation of AMPK by metformin could lead to increased cytoplasmic retention of RUNX1 due to Ser 94 phosphorylation. RUNX1 Ser 94 phosphorylation resulted in increased interaction with STAT3, which was reflected in reduced transcriptional activity of both RUNX1 and STAT3 due to their cytoplasmic retention. The reduced transcriptional activity of STAT3 and RUNX1 resulted in the down-regulation of their signaling targets involved in proliferation and anti-apoptosis. Our cell proliferation assays using in vitro resistant cell line models and PBMCs isolated from CML clinical patients and normal subjects demonstrate that metformin treatment resulted in reduced growth and improved imatinib sensitivity of resistant subjects.
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spelling doaj.art-3d3b4f3397d24ba483df1239aecf28932023-11-05T12:07:59ZengNature Publishing GroupCell Death Discovery2058-77162023-10-019111210.1038/s41420-023-01700-xAMPK-induced novel phosphorylation of RUNX1 inhibits STAT3 activation and overcome imatinib resistance in chronic myelogenous leukemia (CML) subjectsMeher Bolisetti Gayatri0Rama Krishna Kancha1Abhayananda Behera2Dorababu Patchva3Nagaraj Velugonda4Sadasivudu Gundeti5Aramati Bindu Madhava Reddy6Department of Animal Biology, School of Life Sciences, University of HyderabadMolecular Medicine and Therapeutics Laboratory, CPMB, Osmania UniversityDepartment of Animal Biology, School of Life Sciences, University of HyderabadDepartment of Pharmacology, Apollo Institute of Medical Sciences and Research, Jubilee HillsDepartment of Medical Oncology, Nizam’s Institute of Medical SciencesDepartment of Medical Oncology, Nizam’s Institute of Medical SciencesDepartment of Animal Biology, School of Life Sciences, University of HyderabadAbstract Imatinib resistance remains an unresolved problem in CML disease. Activation of JAK2/STAT3 pathway and increased expression of RUNX1 have become one reason for development of imatinib resistance in CML subjects. Metformin has gained attention as an antileukemic drug in recent times. However, the molecular mechanism remains elusive. The present study shows that RUNX1 is a novel substrate of AMP-activated kinase (AMPK), where AMPK phosphorylates RUNX1 at Ser 94 position. Activation of AMPK by metformin could lead to increased cytoplasmic retention of RUNX1 due to Ser 94 phosphorylation. RUNX1 Ser 94 phosphorylation resulted in increased interaction with STAT3, which was reflected in reduced transcriptional activity of both RUNX1 and STAT3 due to their cytoplasmic retention. The reduced transcriptional activity of STAT3 and RUNX1 resulted in the down-regulation of their signaling targets involved in proliferation and anti-apoptosis. Our cell proliferation assays using in vitro resistant cell line models and PBMCs isolated from CML clinical patients and normal subjects demonstrate that metformin treatment resulted in reduced growth and improved imatinib sensitivity of resistant subjects.https://doi.org/10.1038/s41420-023-01700-x
spellingShingle Meher Bolisetti Gayatri
Rama Krishna Kancha
Abhayananda Behera
Dorababu Patchva
Nagaraj Velugonda
Sadasivudu Gundeti
Aramati Bindu Madhava Reddy
AMPK-induced novel phosphorylation of RUNX1 inhibits STAT3 activation and overcome imatinib resistance in chronic myelogenous leukemia (CML) subjects
Cell Death Discovery
title AMPK-induced novel phosphorylation of RUNX1 inhibits STAT3 activation and overcome imatinib resistance in chronic myelogenous leukemia (CML) subjects
title_full AMPK-induced novel phosphorylation of RUNX1 inhibits STAT3 activation and overcome imatinib resistance in chronic myelogenous leukemia (CML) subjects
title_fullStr AMPK-induced novel phosphorylation of RUNX1 inhibits STAT3 activation and overcome imatinib resistance in chronic myelogenous leukemia (CML) subjects
title_full_unstemmed AMPK-induced novel phosphorylation of RUNX1 inhibits STAT3 activation and overcome imatinib resistance in chronic myelogenous leukemia (CML) subjects
title_short AMPK-induced novel phosphorylation of RUNX1 inhibits STAT3 activation and overcome imatinib resistance in chronic myelogenous leukemia (CML) subjects
title_sort ampk induced novel phosphorylation of runx1 inhibits stat3 activation and overcome imatinib resistance in chronic myelogenous leukemia cml subjects
url https://doi.org/10.1038/s41420-023-01700-x
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