Abstract
Targeted therapy of chronic myeloid leukemia (CML) is currently based on small-molecule inhibitors that directly bind the tyrosine kinase domain of BCR-ABL1. This strategy has generally been successful, but is subject to drug resistance because of point mutations in the kinase domain. Kinase activity requires transactivation of BCR-ABL1 following an oligomerization event, which is mediated by the coiled-coil (CC) domain at the N terminus of the protein. Here, we describe a rationally engineered mutant version of the CC domain, called CCmut3, which interferes with BCR-ABL1 oligomerization and promotes apoptosis in BCR-ABL1-expressing cells, regardless of kinase domain mutation status. CCmut3 exhibits strong proapoptotic and antiproliferative activity in cell lines expressing native BCR-ABL1, single kinase domain mutant BCR-ABL1 (E255V and T315I) or compound-mutant BCR-ABL1 (E255V/T315I). Moreover, CCmut3 inhibits colony formation by primary CML CD34+ cells ex vivo, including a sample expressing the T315I mutant. These data suggest that targeting BCR-ABL1 with CC mutants may provide a novel alternative strategy for treating patients with resistance to current targeted therapies.
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References
Nowell PC . The minute chromosome (Phl) in chronic granulocytic leukemia. Blut 1962; 8: 65–66.
Bartram CR, de Klein A, Hagemeijer A, van Agthoven T, Geurts van Kessel A, Bootsma D et al. Translocation of c-ab1 oncogene correlates with the presence of a Philadelphia chromosome in chronic myelocytic leukaemia. Nature 1983; 306: 277–280.
Druker BJ, Tamura S, Buchdunger E, Ohno S, Segal GM, Fanning S et al. Effects of a selective inhibitor of the Abl tyrosine kinase on the growth of Bcr-Abl positive cells. Nat Med 1996; 2: 561–566.
Naldini L, Stacchini A, Cirillo DM, Aglietta M, Gavosto F, Comoglio PM . Phosphotyrosine antibodies identify the p210c-abl tyrosine kinase and proteins phosphorylated on tyrosine in human chronic myelogenous leukemia cells. Mol Cell Biol 1986; 6: 1803–1811.
Evans JP, Wickremasinghe RG, Hoffbrand AV . Tyrosine protein kinase substrates in Philadelphia-positive human chronic granulocytic leukemia derived cell lines (K562 and BV173): detection by using an immunoblotting technique. Leukemia 1987; 1: 524–525.
Hanfstein B, Muller MC, Hehlmann R, Erben P, Lauseker M, Fabarius A et al. Early molecular and cytogenetic response is predictive for long-term progression-free and overall survival in chronic myeloid leukemia (CML). Leukemia 2012; 26: 2096–2102.
Sawyers CL, Hochhaus A, Feldman E, Goldman JM, Miller CB, Ottmann OG et al. Imatinib induces hematologic and cytogenetic responses in patients with chronic myelogenous leukemia in myeloid blast crisis: results of a phase II study. Blood 2002; 99: 3530–3539.
Hochhaus A, Kantarjian HM, Baccarani M, Lipton JH, Apperley JF, Druker BJ et al. Dasatinib induces notable hematologic and cytogenetic responses in chronic-phase chronic myeloid leukemia after failure of imatinib therapy. Blood 2007; 109: 2303–2309.
le Coutre P, Ottmann OG, Giles F, Kim DW, Cortes J, Gattermann N et al. Nilotinib (formerly AMN107), a highly selective BCR-ABL tyrosine kinase inhibitor, is active in patients with imatinib-resistant or -intolerant accelerated-phase chronic myelogenous leukemia. Blood 2008; 111: 1834–1839.
Hehlmann R, Heimpel H, Hasford J, Kolb HJ, Pralle H, Hossfeld DK et al. Randomized comparison of busulfan and hydroxyurea in chronic myelogenous leukemia: prolongation of survival by hydroxyurea. The German CML Study Group. Blood 1993; 82: 398–407.
Ohnishi K, Ohno R, Tomonaga M, Kamada N, Onozawa K, Kuramoto A et al. A randomized trial comparing interferon-alpha with busulfan for newly diagnosed chronic myelogenous leukemia in chronic phase. Blood 1995; 86: 906–916.
Branford S, Rudzki Z, Walsh S, Parkinson I, Grigg A, Szer J et al. Detection of BCR-ABL mutations in patients with CML treated with imatinib is virtually always accompanied by clinical resistance, and mutations in the ATP phosphate-binding loop (P-loop) are associated with a poor prognosis. Blood 2003; 102: 276–283.
Azam M, Latek RR, Daley GQ . Mechanisms of autoinhibition and STI-571/imatinib resistance revealed by mutagenesis of BCR-ABL. Cell 2003; 112: 831–843.
Woessner DW, Lim CS, Deininger MW . Development of an effective therapy for chronic myelogenous leukemia. Cancer J 2011; 17: 477–486.
Weisberg E, Manley PW, Cowan-Jacob SW, Hochhaus A, Griffin JD . Second generation inhibitors of BCR-ABL for the treatment of imatinib-resistant chronic myeloid leukaemia. Nat Rev Cancer 2007; 7: 345–356.
Cortes JE, Kantarjian H, Shah NP, Bixby D, Mauro MJ, Flinn I et al. Ponatinib in refractory Philadelphia chromosome-positive leukemias. N Engl J Med 2012; 367: 2075–2088.
Cortes JE, Kim DW, Pinilla-Ibarz J, le Coutre P, Paquette R, Chuah C et al. A phase 2 trial of ponatinib in Philadelphia chromosome-positive leukemias. N Engl J Med 2013; 369: 1783–1796.
Zabriskie MS, Eide CA, Tantravahi SK, Vellore NA, Estrada J, Nicolini FE et al. BCR-ABL1 compound mutations combining key kinase domain positions confer clinical resistance to ponatinib in Ph chromosome-positive leukemia. Cancer Cell 2014; 26: 428–442.
O'Hare T, Shakespeare WC, Zhu X, Eide CA, Rivera VM, Wang F et al. AP24534, a pan-BCR-ABL inhibitor for chronic myeloid leukemia, potently inhibits the T315I mutant and overcomes mutation-based resistance. Cancer Cell 2009; 16: 401–412.
Zhang J, Yang PL, Gray NS . Targeting cancer with small molecule kinase inhibitors. Nat Rev Cancer 2009; 9: 28–39.
Zhao X, Ghaffari S, Lodish H, Malashkevich VN, Kim PS . Structure of the Bcr-Abl oncoprotein oligomerization domain. Nat Struct Biol 2002; 9: 117–120.
McWhirter JR, Galasso DL, Wang JY . A coiled-coil oligomerization domain of Bcr is essential for the transforming function of Bcr-Abl oncoproteins. Mol Cell Biol 1993; 13: 7587–7595.
Beissert T, Hundertmark A, Kaburova V, Travaglini L, Mian AA, Nervi C et al. Targeting of the N-terminal coiled coil oligomerization interface by a helix-2 peptide inhibits unmutated and imatinib-resistant BCR/ABL. Int J Cancer 2008; 122: 2744–2752.
Mian AA, Oancea C, Zhao Z, Ottmann OG, Ruthardt M . Oligomerization inhibition, combined with allosteric inhibition, abrogates the transformation potential of T315I-positive BCR/ABL. Leukemia 2009; 23: 2242–2247.
Dixon AS, Pendley SS, Bruno BJ, Woessner DW, Shimpi AA, Cheatham TE 3rd et al. Disruption of Bcr-Abl coiled coil oligomerization by design. J Biol Chem 2011; 286: 27751–27760.
Dixon AS, Miller GD, Bruno BJ, Constance JE, Woessner DW, Fidler TP et al. Improved coiled-coil design enhances interaction with Bcr-Abl and induces apoptosis. Mol Pharm 2012; 9: 187–195.
Miller GD, Woessner DW, Sirch MJ, Lim CS . Multidomain targeting of Bcr-Abl by disruption of oligomerization and tyrosine kinase inhibition: toward eradication of CML. Mol Pharm 2013; 10: 3475–3483.
Daley GQ, Van Etten RA, Baltimore D . Blast crisis in a murine model of chronic myelogenous leukemia. Proc Natl Acad Sci USA 1991; 88: 11335–11338.
La Rosee P, Corbin AS, Stoffregen EP, Deininger MW, Druker BJ . Activity of the Bcr-Abl kinase inhibitor PD180970 against clinically relevant Bcr-Abl isoforms that cause resistance to imatinib mesylate (Gleevec, STI571). Cancer Res 2002; 62: 7149–7153.
O'Hare T, Pollock R, Stoffregen EP, Keats JA, Abdullah OM, Moseson EM et al. Inhibition of wild-type and mutant Bcr-Abl by AP23464, a potent ATP-based oncogenic protein kinase inhibitor: implications for CML. Blood 2004; 104: 2532–2539.
Dexter TM, Garland J, Scott D, Scolnick E, Metcalf D . Growth of factor-dependent hemopoietic precursor cell lines. J Exp Med 1980; 152: 1036–1047.
Corbin AS, O'Hare T, Gu Z, Kraft IL, Eiring AM, Khorashad JS et al. KIT signaling governs differential sensitivity of mature and primitive CML progenitors to tyrosine kinase inhibitors. Cancer Res 2013; 73: 5775–5786.
Fleischman AG, Aichberger KJ, Luty SB, Bumm TG, Petersen CL, Doratotaj S et al. TNFalpha facilitates clonal expansion of JAK2V617F positive cells in myeloproliferative neoplasms. Blood 2011; 118: 6392–6398.
Eide CA, Zabriskie MS, Adrian LT, Lange T, Deininger MW, Druker BJ et al. Resistance profiling of BCR-ABL compound mutations linked to tyrosine kinase inhibitor therapy failure in chronic myeloid leukemia. Blood 2011; 118: 616–616.
Redaelli S, Piazza R, Rostagno R, Magistroni V, Perini P, Marega M et al. Activity of bosutinib, dasatinib, and nilotinib against 18 imatinib-resistant BCR/ABL mutants. J Clin Oncol 2009; 27: 469–471.
Khorashad JS, Kelley TW, Szankasi P, Mason CC, Soverini S, Adrian LT et al. BCR-ABL1 compound mutations in tyrosine kinase inhibitor-resistant CML: frequency and clonal relationships. Blood 2013; 121: 489–498.
Shah NP, Skaggs BJ, Branford S, Hughes TP, Nicoll JM, Paquette RL et al. Sequential ABL kinase inhibitor therapy selects for compound drug-resistant BCR-ABL mutations with altered oncogenic potency. J Clin Invest 2007; 117: 2562–2569.
Jabbour E, Kantarjian H . Chronic myeloid leukemia: 2012 update on diagnosis, monitoring, and management. Am J Hematol 2012; 87: 1037–1045.
Koren-Michowitz M, le Coutre P, Duyster J, Scheid C, Panayiotidis P, Prejzner W et al. Activity and tolerability of nilotinib: a retrospective multicenter analysis of chronic myeloid leukemia patients who are imatinib resistant or intolerant. Cancer 2010; 116: 4564–4572.
Jabbour E, Hochhaus A, Cortes J, La Rosee P, Kantarjian HM . Choosing the best treatment strategy for chronic myeloid leukemia patients resistant to imatinib: weighing the efficacy and safety of individual drugs with BCR-ABL mutations and patient history. Leukemia 2010; 24: 6–12.
Hehlmann R, Lauseker M, Jung-Munkwitz S, Leitner A, Muller MC, Pletsch N et al. Tolerability-adapted imatinib 800mg/d versus 400mg/d versus 400mg/d plus interferon-alpha in newly diagnosed chronic myeloid leukemia. J Clin Oncol 2011; 29: 1634–1642.
O'Hare T, Eide CA, Deininger MW . Bcr-Abl kinase domain mutations, drug resistance, and the road to a cure for chronic myeloid leukemia. Blood 2007; 110: 2242–2249.
Carella AM, Garuti A, Cirmena G, Catania G, Rocco I, Palermo C et al. Kinase domain mutations of BCR-ABL identified at diagnosis before imatinib-based therapy are associated with progression in patients with high Sokal risk chronic phase chronic myeloid leukemia. Leuk Lymphoma 2010; 51: 275–278.
Klamova H, Faber E, Zackova D, Markova M, Voglova J, Cmunt E et al. Dasatinib in imatinib-resistant or -intolerant CML patients: data from the clinical practice of 6 hematological centers in the Czech Republic. Neoplasma 2010; 57: 355–359.
Smith KM, Yacobi R, Van Etten RA . Autoinhibition of Bcr-Abl through its SH3 domain. Mol cell 2003; 12: 27–37.
Eiring AM, Page BD, Kraft IL, Mason CC, Vellore NA, Resetca D et al. Combined STAT3 and BCR-ABL1 inhibition induces synthetic lethality in therapy-resistant chronic myeloid leukemia. Leukemia 2014.
Torchilin VP, Lukyanov AN . Peptide and protein drug delivery to and into tumors: challenges and solutions. Drug Discov Today 2003; 8: 259–266.
Wang X, Chen L, Ye P, Chiang A, Miao CH . Development of direct intra-bone marrow gene transfer of lentiviral vectors containing a B-domain variant of human factor VIII for Hemophilia A Treatment. ASH Annu Meet Abstr 2011; 118: 4710.
Walensky LD, Bird GH . Hydrocarbon-stapled peptides: principles, practice, and progress. J Med Chem 2014; 57: 6275–6288.
Bruno BJ, Miller GD, Lim CS . Basics and recent advances in peptide and protein drug delivery. Ther Deliv 2013; 4: 1443–1467.
Nishimura S, Takahashi S, Kamikatahira H, Kuroki Y, Jaalouk DE, O'Brien S et al. Combinatorial targeting of the macropinocytotic pathway in leukemia and lymphoma cells. J Biol Chem 2008; 283: 11752–11762.
Jaras M, Johnels P, Hansen N, Agerstam H, Tsapogas P, Rissler M et al. Isolation and killing of candidate chronic myeloid leukemia stem cells by antibody targeting of IL-1 receptor accessory protein. Proc Natl Acad Sci USA 2010; 107: 16280–16285.
Herrmann H, Sadovnik I, Cerny-Reiterer S, Rulicke T, Stefanzl G, Willmann M et al. Dipeptidylpeptidase IV (CD26) defines leukemic stem cells (LSC) in chronic myeloid leukemia. Blood 2014; 123: 3951–3962.
Jamieson CH . Chronic myeloid leukemia stem cells. Hematol Educ Program Am Soc Hematol Am Soc Hematol Educ Program 2008, 436–442.
Acknowledgements
We are supported by the National Institutes of Health (Grants HL082978-01, CA04963920A2 and 1R01CA178397 to MWD and Grant CA129528 to CSL) and by the Leukemia and Lymphoma Society (Grant 7036-01 to MWD). MWD was supported, in part, by a clinical research scholarship of the Leukemia and Lymphoma Society. DWW was supported, in part, by a grant to the University of Utah from the Howard Hughes Medical Institute through the Med into Grad Initiative, and by the Graduate Research Fellowship from the University of Utah. AME is currently a scholar of the American Society of Hematology. We acknowledge the use of DNA/Peptide Core and Flow Cytometry Core (NCI Cancer Center Support Grant P30 CA042014, Huntsman Cancer Institute, Salt Lake City, UT, USA). We acknowledge support of funds in conjunction with Grant P30 CA042014 awarded to the Huntsman Cancer Institute. We also thank Karina Matissek and Abood Okal for technical assistance and useful scientific discussions.
Author Contributions
DWW designed and performed the research, collected data, analyzed and interpreted data and wrote the manuscript; AME assisted with patient sample experiments and virus preparation, provided key guidance in experimental design and wrote the manuscript. DWW and AME contributed equally. BJB and GDM assisted with cell line experiments; MSZ generated the Ba/F3 cell lines and assisted with preparation of figures; KRR processed patient samples; TO provided T315I patient samples and edited the manuscript; MWD supported the research on patient samples and cell lines and edited the manuscript; CSL provided key guidance in experimental design and support, and edited the manuscript.
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Woessner, D., Eiring, A., Bruno, B. et al. A coiled-coil mimetic intercepts BCR-ABL1 dimerization in native and kinase-mutant chronic myeloid leukemia. Leukemia 29, 1668–1675 (2015). https://doi.org/10.1038/leu.2015.53
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DOI: https://doi.org/10.1038/leu.2015.53
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