CHK1 overexpression in T-cell acute lymphoblastic leukemia is essential for proliferation and survival by preventing excessive replication stress

LM Sarmento, V Póvoa, R Nascimento, G Real… - Oncogene, 2015 - nature.com
LM Sarmento, V Póvoa, R Nascimento, G Real, I Antunes, LR Martins, C Moita, PM Alves
Oncogene, 2015nature.com
Abstract Checkpoint kinase 1 (CHK1) is a key component of the ATR (ataxia telangiectasia-
mutated and Rad3-related)-dependent DNA damage response pathway that protect cells
from replication stress, a cell intrinsic phenomenon enhanced by oncogenic transformation.
Here, we show that CHK1 is overexpressed and hyperactivated in T-cell acute lymphoblastic
leukemia (T-ALL). CHEK1 mRNA is highly abundant in patients of the proliferative T-ALL
subgroup and leukemia cells exhibit constitutively elevated levels of the replication stress …
Abstract
Checkpoint kinase 1 (CHK1) is a key component of the ATR (ataxia telangiectasia-mutated and Rad3-related)-dependent DNA damage response pathway that protect cells from replication stress, a cell intrinsic phenomenon enhanced by oncogenic transformation. Here, we show that CHK1 is overexpressed and hyperactivated in T-cell acute lymphoblastic leukemia (T-ALL). CHEK1 mRNA is highly abundant in patients of the proliferative T-ALL subgroup and leukemia cells exhibit constitutively elevated levels of the replication stress marker phospho-RPA32 and the DNA damage marker γH2AX. Importantly, pharmacologic inhibition of CHK1 using PF-004777736 or CHK1 short hairpin RNA-mediated silencing impairs T-ALL cell proliferation and viability. CHK1 inactivation results in the accumulation of cells with incompletely replicated DNA, ensuing DNA damage, ATM/CHK2 activation and subsequent ATM-and caspase-3-dependent apoptosis. In contrast to normal thymocytes, primary T-ALL cells are sensitive to therapeutic doses of PF-004777736, even in the presence of stromal or interleukin-7 survival signals. Moreover, CHK1 inhibition significantly delays in vivo growth of xenotransplanted T-ALL tumors. We conclude that CHK1 is critical for T-ALL proliferation and viability by downmodulating replication stress and preventing ATM/caspase-3-dependent cell death. Pharmacologic inhibition of CHK1 may be a promising therapeutic alternative for T-ALL treatment.
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