[HTML][HTML] AKT/FOXO signaling enforces reversible differentiation blockade in myeloid leukemias

SM Sykes, SW Lane, L Bullinger, D Kalaitzidis, R Yusuf… - Cell, 2011 - cell.com
SM Sykes, SW Lane, L Bullinger, D Kalaitzidis, R Yusuf, B Saez, F Ferraro, F Mercier
Cell, 2011cell.com
AKT activation is associated with many malignancies, where AKT acts, in part, by inhibiting
FOXO tumor suppressors. We show a converse role for AKT/FOXOs in acute myeloid
leukemia (AML). Rather than decreased FOXO activity, we observed that FOXOs are active
in∼ 40% of AML patient samples regardless of genetic subtype. We also observe this
activity in human MLL-AF9 leukemia allele-induced AML in mice, where either activation of
Akt or compound deletion of FoxO1/3/4 reduced leukemic cell growth, with the latter …
Summary
AKT activation is associated with many malignancies, where AKT acts, in part, by inhibiting FOXO tumor suppressors. We show a converse role for AKT/FOXOs in acute myeloid leukemia (AML). Rather than decreased FOXO activity, we observed that FOXOs are active in ∼40% of AML patient samples regardless of genetic subtype. We also observe this activity in human MLL-AF9 leukemia allele-induced AML in mice, where either activation of Akt or compound deletion of FoxO1/3/4 reduced leukemic cell growth, with the latter markedly diminishing leukemia-initiating cell (LIC) function in vivo and improving animal survival. FOXO inhibition resulted in myeloid maturation and subsequent AML cell death. FOXO activation inversely correlated with JNK/c-JUN signaling, and leukemic cells resistant to FOXO inhibition responded to JNK inhibition. These data reveal a molecular role for AKT/FOXO and JNK/c-JUN in maintaining a differentiation blockade that can be targeted to inhibit leukemias with a range of genetic lesions.
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