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Prostaglandin E1 and Its Analog Misoprostol Inhibit Human CML Stem Cell Self-Renewal via EP4 Receptor Activation and Repression of AP-1.

Cell stem cell | 2017

Effective treatment of chronic myelogenous leukemia (CML) largely depends on the eradication of CML leukemic stem cells (LSCs). We recently showed that CML LSCs depend on Tcf1 and Lef1 factors for self-renewal. Using a connectivity map, we identified prostaglandin E1 (PGE1) as a small molecule that partly elicited the gene expression changes in LSCs caused by Tcf1/Lef1 deficiency. Although it has little impact on normal hematopoiesis, we found that PGE1 treatment impaired the persistence and activity of LSCs in a pre-clinical murine CML model and a xenograft model of transplanted CML patient CD34+ stem/progenitor cells. Mechanistically, PGE1 acted on the EP4 receptor and repressed Fosb and Fos AP-1 factors in a β-catenin-independent manner. Misoprostol, an FDA-approved EP4 agonist, conferred similar protection against CML. These findings suggest that activation of this PGE1-EP4 pathway specifically targets CML LSCs and that the combination of PGE1/misoprostol with conventional tyrosine-kinase inhibitors could provide effective therapy for CML.

Pubmed ID: 28844837 RIS Download

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Associated grants

  • Agency: NCI NIH HHS, United States
    Id: R01 CA102031
  • Agency: BLRD VA, United States
    Id: I01 BX002903
  • Agency: NIGMS NIH HHS, United States
    Id: R01 GM104369
  • Agency: NIAID NIH HHS, United States
    Id: R21 AI119160
  • Agency: NCI NIH HHS, United States
    Id: P30 CA086862
  • Agency: NIAID NIH HHS, United States
    Id: R01 AI112579
  • Agency: NHGRI NIH HHS, United States
    Id: R01 HG006130
  • Agency: NIAID NIH HHS, United States
    Id: R21 AI115149
  • Agency: NCI NIH HHS, United States
    Id: P50 CA097274
  • Agency: NIH HHS, United States
    Id: S10 OD016199
  • Agency: NCI NIH HHS, United States
    Id: R01 CA172546
  • Agency: NIGMS NIH HHS, United States
    Id: R01 GM108716
  • Agency: NIAID NIH HHS, United States
    Id: R01 AI121080

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This is a list of tools and resources that we have found mentioned in this publication.


Connectivity Map 02 (tool)

RRID:SCR_015674

Collection of genome-wide transcriptional expression data from cultured human cells treated with bioactive small molecules and simple pattern-matching algorithms. camp aims to enable the discovery of functional connections between drugs, genes and diseases through the transitory feature of common gene-expression changes.

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Anti-Prostaglandin E Receptor EP4 antibody (Phycoerythrin) (antibody)

RRID:AB_2713946

This polyclonal targets Prostaglandin E Receptor EP4

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Prostaglandin E Receptor EP2 antibody (Phycoerythrin) (antibody)

RRID:AB_10563848

This polyclonal targets Prostaglandin E Receptor EP2 antibody (Phycoerythrin)

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TopHat (software resource)

RRID:SCR_013035

Software tool for fast and high throughput alignment of shotgun cDNA sequencing reads generated by transcriptomics technologies. Fast splice junction mapper for RNA-Seq reads. Aligns RNA-Seq reads to mammalian-sized genomes using ultra high-throughput short read aligner Bowtie, and then analyzes mapping results to identify splice junctions between exons.TopHat2 is accurate alignment of transcriptomes in presence of insertions, deletions and gene fusions.

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FlowJo (software resource)

RRID:SCR_008520

Software for single-cell flow cytometry analysis. Its functions include management, display, manipulation, analysis and publication of the data stream produced by flow and mass cytometers.

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B6.Cg-Commd10Tg(Vav1-icre)A2Kio/J (organism)

RRID:IMSR_JAX:008610

Mus musculus with name B6.Cg-Commd10Tg(Vav1-icre)A2Kio/J from IMSR.

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B6.SJL-Ptprca Pepc/BoyJ (organism)

RRID:IMSR_JAX:002014

Mus musculus with name B6.SJL-Ptprca Pepc/BoyJ from IMSR.

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B6.129-Ctnnb1tm2Kem/KnwJ (organism)

RRID:IMSR_JAX:004152

Mus musculus with name B6.129-Ctnnb1tm2Kem/KnwJ from IMSR.

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NOD.Cg-Prkdcscid Il2rg/SzJ (organism)

RRID:IMSR_JAX:005557

Mus musculus with name NOD.Cg-Prkdcscid Il2rg/SzJ from IMSR.

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K-562 (cell line)

RRID:CVCL_0004

Cell line K-562 is a Cancer cell line with a species of origin Homo sapiens (Human)

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