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Targeting methyltransferase PRMT5 eliminates leukemia stem cells in chronic myelogenous leukemia
Yanli Jin, … , Ruibao Ren, Jingxuan Pan
Yanli Jin, … , Ruibao Ren, Jingxuan Pan
Published September 19, 2016
Citation Information: J Clin Invest. 2016;126(10):3961-3980. https://doi.org/10.1172/JCI85239.
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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 © 2023 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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