Open AccessRac GTPases as key regulators of p210-BCR-ABL-dependent leukemogenesis
Author(s) -
Emily K. Thomas,
José A. Cancelas,
Yi Zheng,
David A. Williams
Publication year - 2008
Publication title -
leukemia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.539
H-Index - 192
eISSN - 1476-5551
pISSN - 0887-6924
DOI - 10.1038/leu.2008.71
Subject(s) - cancer research , gtpase , chronic myelogenous leukemia , rac1 , tyrosine kinase , biology , abl , k562 cells , breakpoint cluster region , philadelphia chromosome , tyrosine kinase inhibitor , leukemia , immunology , microbiology and biotechnology , signal transduction , chromosomal translocation , receptor , genetics , cancer , gene
Chronic myelogenous leukemia (CML) is a malignant disease characterized by expression of p210-BCR-ABL, the product of the Philadelphia chromosome. Survival of CML patients has been significantly improved with the introduction of tyrosine kinase inhibitors that induce long-term hematologic remissions. However, mounting evidence indicates that the use of a single tyrosine kinase inhibitor does not cure this disease due to the persistence of p210-BCR-ABL at the molecular level or the acquired resistance in the stem cell compartment to individual inhibitors. We have recently shown in a murine model that deficiency of the Rho GTPases Rac1 and Rac2 significantly reduces p210-BCR-ABL-mediated proliferation in vitro and myeloproliferative disease in vivo, suggesting Rac as a potential therapeutic target in p210-BCR-ABL-induced disease. This target has been further validated using a first-generation Rac-specific small molecule inhibitor. In this review we describe the role of Rac GTPases in p210-BCR-ABL-induced leukemogenesis and explore the possibility of combinatorial therapies that include tyrosine kinase inhibitor(s) and Rac GTPase inhibitors in the treatment of CML.