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Tanshinone IIA potentiates the efficacy of imatinib by regulating the AKT‑MDM2‑P53 signaling pathway in Philadelphia chromosome‑positive acute lymphoblastic leukemia

  • Authors:
    • Yong Guo
    • Fang-Fang Wang
    • Bing Xiang
    • Hong-Bing Ma
    • Yu-Ping Gong
  • View Affiliations / Copyright

    Affiliations: Department of Hematology, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, P.R. China, Hematology Research Laboratory, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, P.R. China
    Copyright: © Guo et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 7
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    Published online on: November 8, 2021
       https://doi.org/10.3892/ol.2021.13125
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Abstract

Philadelphia chromosome‑positive acute lymphoblastic leukemia (Ph+ ALL) is triggered by breakpoint cluster region‑abelson leukemia virus (BCR/ABL) kinase. Targeting BCR/ABL kinase with tyrosine kinase inhibitors combined with chemotherapy is the standard first‑line therapy for Ph+ ALL. Imatinib and dasatinib are the preferred agents for the treatment of Ph+ ALL. Dasatinib treatment can induce a faster and deeper remission than imatinib treatment; however, the side effects of dasatinib, especially the cardiovascular side effects, are markedly greater than those of imatinib. Patients will benefit from treatments that improve the efficacy of imatinib without increasing its side effects. The present study revealed that tanshinone IIA markedly potentiated the cytotoxic and apoptotic induction effects of imatinib by regulating the AKT‑MDM2‑P53 signaling pathway and inhibiting the anti‑apoptotic proteins BCL2 and MCL1 apoptosis regulator, BCL2 family member in Ph+ ALL cell lines. In vitro studies, MTT assay, flow cytometry, western blotting and reverse transcription‑quantitative PCR were performed in the present study to detect cell viability, cell apoptosis, protein expression and gene expression, respectively. In a Ph+ ALL mouse model, imatinib combined with tanshinone IIA also exhibited a synergistic effect on the reduction in leukemia burden without increasing the toxic side effects of imatinib. These results demonstrated that imatinib combined with tanshinone IIA might be a promising treatment strategy for patients with Ph+ ALL.
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Copy and paste a formatted citation
Spandidos Publications style
Guo Y, Wang F, Xiang B, Ma H and Gong Y: Tanshinone IIA potentiates the efficacy of imatinib by regulating the AKT‑MDM2‑P53 signaling pathway in Philadelphia chromosome‑positive acute lymphoblastic leukemia. Oncol Lett 23: 7, 2022.
APA
Guo, Y., Wang, F., Xiang, B., Ma, H., & Gong, Y. (2022). Tanshinone IIA potentiates the efficacy of imatinib by regulating the AKT‑MDM2‑P53 signaling pathway in Philadelphia chromosome‑positive acute lymphoblastic leukemia. Oncology Letters, 23, 7. https://doi.org/10.3892/ol.2021.13125
MLA
Guo, Y., Wang, F., Xiang, B., Ma, H., Gong, Y."Tanshinone IIA potentiates the efficacy of imatinib by regulating the AKT‑MDM2‑P53 signaling pathway in Philadelphia chromosome‑positive acute lymphoblastic leukemia". Oncology Letters 23.1 (2022): 7.
Chicago
Guo, Y., Wang, F., Xiang, B., Ma, H., Gong, Y."Tanshinone IIA potentiates the efficacy of imatinib by regulating the AKT‑MDM2‑P53 signaling pathway in Philadelphia chromosome‑positive acute lymphoblastic leukemia". Oncology Letters 23, no. 1 (2022): 7. https://doi.org/10.3892/ol.2021.13125
Copy and paste a formatted citation
x
Spandidos Publications style
Guo Y, Wang F, Xiang B, Ma H and Gong Y: Tanshinone IIA potentiates the efficacy of imatinib by regulating the AKT‑MDM2‑P53 signaling pathway in Philadelphia chromosome‑positive acute lymphoblastic leukemia. Oncol Lett 23: 7, 2022.
APA
Guo, Y., Wang, F., Xiang, B., Ma, H., & Gong, Y. (2022). Tanshinone IIA potentiates the efficacy of imatinib by regulating the AKT‑MDM2‑P53 signaling pathway in Philadelphia chromosome‑positive acute lymphoblastic leukemia. Oncology Letters, 23, 7. https://doi.org/10.3892/ol.2021.13125
MLA
Guo, Y., Wang, F., Xiang, B., Ma, H., Gong, Y."Tanshinone IIA potentiates the efficacy of imatinib by regulating the AKT‑MDM2‑P53 signaling pathway in Philadelphia chromosome‑positive acute lymphoblastic leukemia". Oncology Letters 23.1 (2022): 7.
Chicago
Guo, Y., Wang, F., Xiang, B., Ma, H., Gong, Y."Tanshinone IIA potentiates the efficacy of imatinib by regulating the AKT‑MDM2‑P53 signaling pathway in Philadelphia chromosome‑positive acute lymphoblastic leukemia". Oncology Letters 23, no. 1 (2022): 7. https://doi.org/10.3892/ol.2021.13125
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