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E35 ablates acute leukemia stem and progenitor cells in vitro and in vivo
Authors:Yingyu Chen  Jing Zheng  Donghui Gan  Yanxin Chen  Na Zhang  Yuwen Chen  Zhenxing Lin  Wenfeng Wang  Haijun Chen  Donghong Lin  Jianda Hu
Institution:1. Department of Hematology, Fujian Institute of Hematology, Fujian Medical University Union Hospital, Fuzhou, Fujian, China;2. Department of Hematology, Fujian Institute of Hematology, Fujian Medical University Union Hospital, Fuzhou, Fujian, China

Department of Hematology, The Affiliated Hospital of Putian University, Putian, Fujian, China;3. Key Laboratory of Molecule Synthesis and Function Discovery (Fujian Province University), College of Chemistry, Fuzhou University, Fuzhou, Fujian, China;4. Department of Clinical Laboratory, School of Medical Technology and Engineering, Fujian Medical University, Fujian, China

Abstract:Leukemia stem cells (LSCs) have critical functions in acute leukemia (AL) pathogenesis, participating in its initiation and relapse. Thus, identifying new molecules to eradicate LSCs represents a high priority for AL management. This work identified E35, a novel Emodin derivative, which strongly inhibited growth and enhanced apoptosis of AL stem cell lines, and primary stem and progenitor cells from AL cases, while sparing normal hematopoietic cells. Furthermore, functional assays in cultured cells and animals suggested that E35 preferentially ablated primitive leukemia cell populations without impairing their normal counterparts. Moreover, molecular studies showed that E35 remarkably downregulated drug-resistant gene and dramatically inhibited the Akt/mammalian target of rapamycin signaling pathway. Notably, the in vivo anti-LSC activity of E35 was further confirmed in murine xenotransplantation models. Collectively, these findings indicate E35 constitutes a novel therapeutic candidate for AL, potentially targeting leukemia stem and progenitor cells.
Keywords:acute leukemia  Akt/mTOR  apoptosis  E35  leukemia stem/progenitor cells  xenograft model
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