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Targeting methyltransferase PRMT5 eliminates leukemia stem cells in chronic myelogenous leukemia
Yanli Jin, Jingfeng Zhou, Fang Xu, Bei Jin, Lijing Cui, Yun Wang, Xin Du, Juan Li, Peng Li, Ruibao Ren, Jingxuan Pan
Yanli Jin, Jingfeng Zhou, Fang Xu, Bei Jin, Lijing Cui, Yun Wang, Xin Du, Juan Li, Peng Li, Ruibao Ren, Jingxuan Pan
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Research Article Hematology

Targeting methyltransferase PRMT5 eliminates leukemia stem cells in chronic myelogenous leukemia

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Abstract

Imatinib-insensitive leukemia stem cells (LSCs) are believed to be responsible for resistance to BCR-ABL tyrosine kinase inhibitors and relapse of chronic myelogenous leukemia (CML). Identifying therapeutic targets to eradicate CML LSCs may be a strategy to cure CML. In the present study, we discovered a positive feedback loop between BCR-ABL and protein arginine methyltransferase 5 (PRMT5) in CML cells. Overexpression of PRMT5 was observed in human CML LSCs. Silencing PRMT5 with shRNA or blocking PRMT5 methyltransferase activity with the small-molecule inhibitor PJ-68 reduced survival, serial replating capacity, and long-term culture-initiating cells (LTC-ICs) in LSCs from CML patients. Further, PRMT5 knockdown or PJ-68 treatment dramatically prolonged survival in a murine model of retroviral BCR-ABL–driven CML and impaired the in vivo self-renewal capacity of transplanted CML LSCs. PJ-68 also inhibited long-term engraftment of human CML CD34+ cells in immunodeficient mice. Moreover, inhibition of PRMT5 abrogated the Wnt/β-catenin pathway in CML CD34+ cells by depleting dishevelled homolog 3 (DVL3). This study suggests that epigenetic methylation modification on histone protein arginine residues is a regulatory mechanism to control self-renewal of LSCs and indicates that PRMT5 may represent a potential therapeutic target against LSCs.

Authors

Yanli Jin, Jingfeng Zhou, Fang Xu, Bei Jin, Lijing Cui, Yun Wang, Xin Du, Juan Li, Peng Li, Ruibao Ren, Jingxuan Pan

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Figure 1

BCR-ABL activates PRMT5 expression in human CD34+ cells.

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BCR-ABL activates PRMT5 expression in human CD34+ cells.
(A) Flow cytome...
(A) Flow cytometry analysis of intracellular PRMT5 of human CML CD34+ cells relative to NBM CD34+ cells (left). Median fluorescence intensity (MFI) of intracellular PRMT5 protein level in CML (n = 3) and NBM (n = 3) CD34+ cells (right). (B) The protein levels of PRMT5 and its histone methylation marks H4R3SDM and H3R8SDM were examined by Western blot analysis in CML (n = 6) and NBM (n = 3) CD34+ cells. (C) qRT-PCR of PRMT5 mRNA level in CML (n = 10) and NBM (n = 5) CD34+ cells. (D) The mRNA level of PRMT5 was higher in CML CD34+CD38– cells than CD34+CD38+ cells (n = 3). (E) Western blot analysis of the levels of PRMT5 and its histone methylation mark H2AR3SDM and BCR-ABL and its downstream targets STATs and CRKL in NBM CD34+ cells (n = 3) transduced with retroviral constructs encoding BCR-ABL (p210) or empty vector (V). (F) Fusion BCR-ABL gene activated PRMT5 expression at the protein level. (G and H) Inactivation of BCR-ABL activity decreased PRMT5 expression. Uveal melanoma Mel270 cells not harboring BCR-ABL served as a control. (I) The mRNA level of PRMT5 was decreased in CD34+CD38– cells and CD34+CD38+ cells (n = 3) from CML patients after IM (5.0 μM) treatment for 12 hours. (J and K) BCR-ABL knockdown by shRNA for 72 hours diminished PRMT5 expression in K562 (J) or primary CML CD34+ cells (n = 3) (K). Scr, Scramble shRNA. (L–N) BCR-ABL activated transcription of the PRMT5 gene via STAT5. (L) Inactivation of BCR-ABL decreased PRMT5 mRNA levels. (M) ChIP assay of STAT5 binding to the PRMT5 gene promoter in K562 cells. (N) Protein levels of PRMT5, STAT5A/B and its target protein BCL-XL were determined in K562 cells transduced with lentiviral shRNA against STAT5A or STAT5B for 72 hours. Blot images were derived from samples run on parallel gels. *P < 0.05, **P < 0.001, ***P < 0.0001, 2-tailed Student’s t test.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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