The PI3Kδ Inhibitor Idelalisib Inhibits Homing in an in Vitro and in Vivo Model of B ALL

The quest continues for targeted therapies to reduce the morbidity of chemotherapy and to improve the response of resistant leukemia. Adhesion of acute lymphoblastic leukemia (ALL) cells to bone marrow stromal cells triggers intracellular signals that promote cell-adhesion-mediated drug resistance (...

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Main Authors: Etai Adam, Hye Na Kim, Eun Ji Gang, Caitlin Schnair, Solomon Lee, Solah Lee, Sajad Khazal, Osanna Kosoyan, Marina Konopleva, Chintan Parekh, Deepa Bhojwani, Alan S. Wayne, Hisham Abdel-Azim, Nora Heisterkamp, Yong-Mi Kim
Format: Article
Language:English
Published: MDPI AG 2017-09-01
Series:Cancers
Subjects:
ALL
Online Access:https://www.mdpi.com/2072-6694/9/9/121
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author Etai Adam
Hye Na Kim
Eun Ji Gang
Caitlin Schnair
Solomon Lee
Solah Lee
Sajad Khazal
Osanna Kosoyan
Marina Konopleva
Chintan Parekh
Deepa Bhojwani
Alan S. Wayne
Hisham Abdel-Azim
Nora Heisterkamp
Yong-Mi Kim
spellingShingle Etai Adam
Hye Na Kim
Eun Ji Gang
Caitlin Schnair
Solomon Lee
Solah Lee
Sajad Khazal
Osanna Kosoyan
Marina Konopleva
Chintan Parekh
Deepa Bhojwani
Alan S. Wayne
Hisham Abdel-Azim
Nora Heisterkamp
Yong-Mi Kim
The PI3Kδ Inhibitor Idelalisib Inhibits Homing in an in Vitro and in Vivo Model of B ALL
Cancers
ALL
PI3K
drug resistance
CAM-DR
idelalisib
migration
mouse model
leukemia
author_facet Etai Adam
Hye Na Kim
Eun Ji Gang
Caitlin Schnair
Solomon Lee
Solah Lee
Sajad Khazal
Osanna Kosoyan
Marina Konopleva
Chintan Parekh
Deepa Bhojwani
Alan S. Wayne
Hisham Abdel-Azim
Nora Heisterkamp
Yong-Mi Kim
author_sort Etai Adam
title The PI3Kδ Inhibitor Idelalisib Inhibits Homing in an in Vitro and in Vivo Model of B ALL
title_short The PI3Kδ Inhibitor Idelalisib Inhibits Homing in an in Vitro and in Vivo Model of B ALL
title_full The PI3Kδ Inhibitor Idelalisib Inhibits Homing in an in Vitro and in Vivo Model of B ALL
title_fullStr The PI3Kδ Inhibitor Idelalisib Inhibits Homing in an in Vitro and in Vivo Model of B ALL
title_full_unstemmed The PI3Kδ Inhibitor Idelalisib Inhibits Homing in an in Vitro and in Vivo Model of B ALL
title_sort pi3kδ inhibitor idelalisib inhibits homing in an in vitro and in vivo model of b all
publisher MDPI AG
series Cancers
issn 2072-6694
publishDate 2017-09-01
description The quest continues for targeted therapies to reduce the morbidity of chemotherapy and to improve the response of resistant leukemia. Adhesion of acute lymphoblastic leukemia (ALL) cells to bone marrow stromal cells triggers intracellular signals that promote cell-adhesion-mediated drug resistance (CAM-DR). Idelalisib, an U.S. Food and Drug Administration (FDA)-approved PI3Kδ-specific inhibitor has been shown to be effective in CLL in down-regulating p-Akt and prolonging survival in combination with Rituximab; herein we explore the possibility of its use in B ALL and probe the mechanism of action. Primary B ALL in contact with OP9 stromal cells showed increased p-Aktser473. Idelalisib decreased p-Akt in patient samples of ALL with diverse genetic lesions. Addition of idelalisib to vincristine inhibited proliferation when compared to vincristine monotherapy in a subset of samples tested. Idelalisib inhibited ALL migration to SDF-1α in vitro and blocked homing of ALL cells to the bone marrow in vivo. This report tests PI3Kδ inhibitors in a more diverse group of ALL than has been previously reported and is the first published report of idelalisib inhibiting homing of ALL cells to bone marrow. Our data support further pre-clinical evaluation of idelalisib for the therapy of B ALL.
topic ALL
PI3K
drug resistance
CAM-DR
idelalisib
migration
mouse model
leukemia
url https://www.mdpi.com/2072-6694/9/9/121
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spelling doaj-44ba12fc53cc44f4bfefaad86deddafa2020-11-24T22:36:32ZengMDPI AGCancers2072-66942017-09-019912110.3390/cancers9090121cancers9090121The PI3Kδ Inhibitor Idelalisib Inhibits Homing in an in Vitro and in Vivo Model of B ALLEtai Adam0Hye Na Kim1Eun Ji Gang2Caitlin Schnair3Solomon Lee4Solah Lee5Sajad Khazal6Osanna Kosoyan7Marina Konopleva8Chintan Parekh9Deepa Bhojwani10Alan S. Wayne11Hisham Abdel-Azim12Nora Heisterkamp13Yong-Mi Kim14Department of Pediatrics, Division of Hematology, Oncology and Blood and Marrow Transplantation, Children’s Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA 90027, USADepartment of Pediatrics, Division of Hematology, Oncology and Blood and Marrow Transplantation, Children’s Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA 90027, USADepartment of Pediatrics, Division of Hematology, Oncology and Blood and Marrow Transplantation, Children’s Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA 90027, USADepartment of Pediatrics, Division of Hematology, Oncology and Blood and Marrow Transplantation, Children’s Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA 90027, USADepartment of Pediatrics, Division of Hematology, Oncology and Blood and Marrow Transplantation, Children’s Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA 90027, USADepartment of Pediatrics, Division of Hematology, Oncology and Blood and Marrow Transplantation, Children’s Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA 90027, USADepartment of Pediatrics, Division of Hematology, Oncology and Blood and Marrow Transplantation, Children’s Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA 90027, USADepartment of Pediatrics, Division of Hematology, Oncology and Blood and Marrow Transplantation, Children’s Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA 90027, USADepartment of Leukemia, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Pediatrics, Division of Hematology, Oncology and Blood and Marrow Transplantation, Children’s Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA 90027, USADepartment of Pediatrics, Division of Hematology, Oncology and Blood and Marrow Transplantation, Children’s Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA 90027, USADepartment of Pediatrics, Division of Hematology, Oncology and Blood and Marrow Transplantation, Children’s Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA 90027, USADepartment of Pediatrics, Division of Hematology, Oncology and Blood and Marrow Transplantation, Children’s Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA 90027, USADepartment of Pediatrics, Division of Hematology, Oncology and Blood and Marrow Transplantation, Children’s Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA 90027, USADepartment of Pediatrics, Division of Hematology, Oncology and Blood and Marrow Transplantation, Children’s Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA 90027, USAThe quest continues for targeted therapies to reduce the morbidity of chemotherapy and to improve the response of resistant leukemia. Adhesion of acute lymphoblastic leukemia (ALL) cells to bone marrow stromal cells triggers intracellular signals that promote cell-adhesion-mediated drug resistance (CAM-DR). Idelalisib, an U.S. Food and Drug Administration (FDA)-approved PI3Kδ-specific inhibitor has been shown to be effective in CLL in down-regulating p-Akt and prolonging survival in combination with Rituximab; herein we explore the possibility of its use in B ALL and probe the mechanism of action. Primary B ALL in contact with OP9 stromal cells showed increased p-Aktser473. Idelalisib decreased p-Akt in patient samples of ALL with diverse genetic lesions. Addition of idelalisib to vincristine inhibited proliferation when compared to vincristine monotherapy in a subset of samples tested. Idelalisib inhibited ALL migration to SDF-1α in vitro and blocked homing of ALL cells to the bone marrow in vivo. This report tests PI3Kδ inhibitors in a more diverse group of ALL than has been previously reported and is the first published report of idelalisib inhibiting homing of ALL cells to bone marrow. Our data support further pre-clinical evaluation of idelalisib for the therapy of B ALL.https://www.mdpi.com/2072-6694/9/9/121ALLPI3Kdrug resistanceCAM-DRidelalisibmigrationmouse modelleukemia