title: Inhibition of apoptosis by downregulation of hBex1, a novel mechanism, contributes to the chemoresistance of Bcr/Abl+ leukemic cells.
abstract: Overexpression of multidrug resistance proteins (Mdrs) and enhanced antiapoptotic capability are two of the main mechanisms by which Bcr/Abl(+) chronic myeloid leukemia cells acquire drug resistance; however, it has been shown that Mdr-1 expression provides minimal protection against cell apoptosis induced by chemotherapeutic drugs. The mechanism by which cells acquire an enhanced antiapoptosis capacity in the drug-resistant process needs to be further understood. Here, we identified human brain expressed X-linked 1 (hBex1) as a downstream target of the p75 neurotrophin receptor pathway in imatinib-resistant K562 cells by comparing the gene expression profiles with the parent K562 cells. Silencing hBex1 inhibited imatinib-induced cell apoptosis and overexpression of hBex1-sensitized cells to imatinib-induced apoptosis. Further investigation revealed that hBex1 associates with protocadherin 10 (PCDH10). Silencing of pcdh10 attenuated apoptosis induced by imatinib in hBex1 transfected cells, suggesting that, in addition to Mdr and Bcl-2 family members, reduced expression of hBex1 can also inhibit imatinib-induced apoptosis. These data provide evidence that expression of hBex1 in leukemic cells is a novel mechanism by which chemoresistance is achieved and suggests that hBex1 is a potential molecular target for the development of novel leukemia treatments.
authors.affiliation: Cancer Institute, Second Affiliated Hospital of Zhejiang University School of Medicine, Zhejiang Province, Hangzhou, PR China.
authors.forename: Kefeng
authors.initials: K
authors.lastname: Ding
authors.forename: Yanyan
authors.initials: Y
authors.lastname: Su
authors.forename: Lingrong
authors.initials: L
authors.lastname: Pang
authors.forename: Qinghua
authors.initials: Q
authors.lastname: Lu
authors.forename: Zhanhuai
authors.initials: Z
authors.lastname: Wang
authors.forename: Suzhan
authors.initials: S
authors.lastname: Zhang
authors.forename: Shu
authors.initials: S
authors.lastname: Zheng
authors.forename: Jianshan
authors.initials: J
authors.lastname: Mao
authors.forename: Yongliang
authors.initials: Y
authors.lastname: Zhu
mesh_terms: D017209:Apoptosis / Q000502:physiology*; D045744:Cell Line, Tumor; D015536:Down-Regulation; D019008:Drug Resistance, Neoplasm; D020868:Gene Silencing; D016313:Genes, abl; D006801:Humans; D007938:Leukemia / Q000235:genetics / Q000473:pathology* / Q000503:physiopathology; D009419:Nerve Tissue Proteins / Q000235:genetics / Q000502:physiology*; D034741:RNA, Small Interfering
chemical_list: C469586:BEX1 protein, human; D009419:Nerve Tissue Proteins; D034741:RNA, Small Interfering