Targeting oncogenic interleukin-7 receptor signalling with N-acetylcysteine in T cell acute lymphoblastic leukaemia Journal Article


Authors: Mansour, M. R.; Reed, C.; Eisenberg, A. R.; Tseng, J. C.; Twizere, J. C.; Daakour, S.; Yoda, A.; Rodig, S. J.; Tal, N.; Shochat, C.; Berezovskaya, A.; DeAngelo, D. J.; Sallan, S. E.; Weinstock, D. M.; Izraeli, S.; Kung, A. L.; Kentsis, A.; Look, A. T.
Article Title: Targeting oncogenic interleukin-7 receptor signalling with N-acetylcysteine in T cell acute lymphoblastic leukaemia
Abstract: Summary: Activating mutations of the interleukin-7 receptor (IL7R) occur in approximately 10% of patients with T cell acute lymphoblastic leukaemia (T-ALL). Most mutations generate a cysteine at the transmembrane domain leading to receptor homodimerization through disulfide bond formation and ligand-independent activation of STAT5. We hypothesized that the reducing agent N-acetylcysteine (NAC), a well-tolerated drug used widely in clinical practice to treat acetaminophen overdose, would reduce disulfide bond formation, and inhibit mutant IL7R-mediated oncogenic signalling. We found that treatment with NAC disrupted IL7R homodimerization in IL7R-mutant DND-41 cells as assessed by non-reducing Western blot, as well as in a luciferase complementation assay. NAC led to STAT5 dephosphorylation and cell apoptosis at clinically achievable concentrations in DND-41 cells, and Ba/F3 cells transformed by an IL7R-mutant construct containing a cysteine insertion. The apoptotic effects of NAC could be rescued in part by a constitutively active allele of STAT5. Despite using doses lower than those tolerated in humans, NAC treatment significantly inhibited the progression of human DND-41 cells engrafted in immunodeficient mice. Thus, targeting leukaemogenic IL7R homodimerization with NAC offers a potentially effective and feasible therapeutic strategy that warrants testing in patients with T-ALL. © 2014 John Wiley & Sons Ltd.
Keywords: signal transduction; controlled study; human cell; cancer growth; nonhuman; polymerase chain reaction; mouse; cell viability; cell survival; apoptosis; animal experiment; animal model; gene frequency; in vivo study; in vitro study; acute lymphoblastic leukemia; molecular cloning; western blotting; dimerization; drug bioavailability; drug metabolism; protein dephosphorylation; drug half life; t-cell lymphoma; t cell leukemia; therapy; interleukin 7 receptor; acetylcysteine; acute leukaemia; human; female; priority journal; article
Journal Title: British Journal of Haematology
Volume: 168
Issue: 2
ISSN: 0007-1048
Publisher: John Wiley & Sons  
Date Published: 2015-01-01
Start Page: 230
End Page: 238
Language: English
DOI: 10.1111/bjh.13115
PROVIDER: scopus
PMCID: PMC4303513
PUBMED: 25256574
DOI/URL:
Notes: Export Date: 2 April 2015 -- Source: Scopus
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  1. Alex   Kentsis
    103 Kentsis