The mechanisms by which myelodysplastic syndrome (MDS) cells resist the effects of hypomethylating agents (HMA) are currently the subject of intensive research. A better understanding of mechanisms by which the MDS cell becomes to tolerate HMA and progresses to acute myeloid leukemia (AML) requires the development of new cellular models. From MDS/AML cell lines we developed a model of 5-azacytidine (AZA) resistance whose stability was validated by a transplantation approach into immunocompromised mice. When investigating mRNA expression and DNA variants of the AZA resistant phenotype we observed deregulation of several cancer-related pathways including the phosphatidylinosito-3 kinase signaling. We have further shown that these pathways can be modulated by specific inhibitors that, while blocking the proliferation of AZA resistant cells, are unable to increase their sensitivity to AZA. Our data reveal a set of molecular mechanisms that can be targeted to expand therapeutic options during progression on AZA therapy.
- Klíčová slova
- Azacytidine, CDX mice, PI3K/AKT signaling, myelodysplastic syndrome, resistance,
- MeSH
- anotace sekvence MeSH
- azacytidin farmakologie MeSH
- biologické modely * MeSH
- chemorezistence * účinky léků genetika MeSH
- DNA nádorová genetika MeSH
- fosfatidylinositol-3-kinasy metabolismus MeSH
- myši SCID MeSH
- myši MeSH
- protoonkogenní proteiny c-akt metabolismus MeSH
- reprodukovatelnost výsledků MeSH
- signální transdukce účinky léků MeSH
- transkriptom genetika MeSH
- zvířata MeSH
- Check Tag
- myši MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Názvy látek
- azacytidin MeSH
- DNA nádorová MeSH
- protoonkogenní proteiny c-akt MeSH
