Inhibition of c-Myc overcomes cytotoxic drug resistance in acute myeloid leukemia cells by promoting differentiation

PLoS One. 2014 Aug 15;9(8):e105381. doi: 10.1371/journal.pone.0105381. eCollection 2014.

Abstract

Nowadays, drug resistance still represents a major obstacle to successful acute myeloid leukemia (AML) treatment and the underlying mechanism is not fully elucidated. Here, we found that high expression of c-Myc was one of the cytogenetic characteristics in the drug-resistant leukemic cells. c-Myc over-expression in leukemic cells induced resistance to chemotherapeutic drugs, enhanced colony formation capacity and inhibited cell differentiation induced by all-trans retinoic acid (ATRA). Meanwhile, inhibition of c-Myc by shRNA or specific c-Myc inhibitor 10058-F4 rescued the sensitivity to cytotoxic drugs, restrained the colony formation ability and promoted differentiation. RT-PCR and western blotting analysis showed that down-regulation of C/EBPβ contributed to the poor differentiation state of leukemic cells induced by c-Myc over-expression. Importantly, over-expression of C/EBPβ could reverse c-Myc induced drug resistance. In primary AML cells, the c-Myc expression was negatively correlated with C/EBPβ. 10058-F4, displayed anti-proliferative activity and increased cellular differentiation with up-regulation of C/EBPβ in primary AML cells. Thus, our study indicated that c-Myc could be a novel target to overcome drug resistance, providing a new approach in AML therapy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antineoplastic Agents / pharmacology*
  • CCAAT-Enhancer-Binding Protein-beta / genetics
  • CCAAT-Enhancer-Binding Protein-beta / metabolism
  • Cell Differentiation
  • Cell Proliferation
  • Drug Resistance, Neoplasm*
  • Gene Expression
  • Humans
  • K562 Cells
  • Leukemia, Myeloid, Acute / drug therapy
  • Leukemia, Myeloid, Acute / metabolism
  • Leukemia, Myeloid, Acute / pathology
  • Proto-Oncogene Proteins c-myc / genetics
  • Proto-Oncogene Proteins c-myc / metabolism*
  • Thiazoles / pharmacology
  • Tretinoin / pharmacology*

Substances

  • 5-(4-ethylbenzylidene)-2-thioxothiazolidin-4-one
  • Antineoplastic Agents
  • CCAAT-Enhancer-Binding Protein-beta
  • CEBPB protein, human
  • MYC protein, human
  • Proto-Oncogene Proteins c-myc
  • Thiazoles
  • Tretinoin

Grants and funding

This work was supported by the Science and Technology Project of Guangzhou (No. 2012J2200077 to Z.-J. Long), and the Fundamental Research Funds for the Central Universities (No. 11ykpy37 to Z.-J. Long). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.