Öppna denna publikation i ny flik eller fönster >>Center for Haematology and Regenerative Medicine, Department of Medicine Huddinge, Karolinska Institutet, Huddinge, Sweden.
Science for Life Laboratory (SciLifeLab), Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
Science for Life Laboratory (SciLifeLab), Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
Science for Life Laboratory (SciLifeLab), Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden; Instituto de Biomedicina de Sevilla (IBiS), Hospital Universitario Virgen del Rocío, CSIC, Universidad de Sevilla, Sevilla, Spain; Departamento de Biología Celular, Facultad de Biología, Universidad de Sevilla, Sevilla, Spain.
Center for Haematology and Regenerative Medicine, Department of Medicine Huddinge, Karolinska Institutet, Huddinge, Sweden; Department of Medicine, Division of Hematology, Karolinska University Hospital, Huddinge, Sweden.
Center for Haematology and Regenerative Medicine, Department of Medicine Huddinge, Karolinska Institutet, Huddinge, Sweden; Department of Medicine, Division of Hematology, Karolinska University Hospital, Huddinge, Sweden.
Department of Medicine, Division of Hematology, Karolinska University Hospital, Huddinge, Sweden; Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden; Hematology Unit, Department of Medical Sciences, Uppsala University, Uppsala, Sweden.
Umeå universitet, Medicinska fakulteten, Institutionen för medicinsk kemi och biofysik.
Center for Haematology and Regenerative Medicine, Department of Medicine Huddinge, Karolinska Institutet, Huddinge, Sweden; Department of Medicine, Division of Hematology, Karolinska University Hospital, Huddinge, Sweden.
Center for Haematology and Regenerative Medicine, Department of Medicine Huddinge, Karolinska Institutet, Huddinge, Sweden.
Science for Life Laboratory (SciLifeLab), Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
Division of Paediatric Oncology and Surgery, Department of Women’s and Children’s Health, Karolinska Institutet, Stockholm, Sweden.
Division of Paediatric Oncology and Surgery, Department of Women’s and Children’s Health, Karolinska Institutet, Stockholm, Sweden; Paediatric Oncology, Astrid Lindgren Children’s Hospital, Karolinska University Hospital, Stockholm, Sweden.
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2026 (Engelska)Ingår i: Cell Cycle, ISSN 1538-4101, E-ISSN 1551-4005, Vol. 25, nr 1, s. 1-19Artikel i tidskrift (Refereegranskat) Published
Abstract [en]
Cytarabine (ara-C) and fludarabine (F-ara-A) are key drugs in leukaemia treatment. SAMHD1 is known to confer resistance to ara-C and F-ara-A, and we previously identified ribonucleotide reductase inhibitors as indirect SAMHD1 inhibitors in a phenotypic screen. The inosine monophosphate dehydrogenase (IMPDH) inhibitor mycophenolic acid (MPA) was also a hit in this screen. IMPDH inhibitors (IMPDHi) have previously shown efficacy against KMT2A-rearranged (KMT2Ar) acute myeloid leukaemia (AML). We investigated whether IMPDH inhibition could enhance the effect of ara-C and F-ara-A in AML cell lines and primary AML samples, and whether this effect was linked to KMT2A status. We found that sensitivity to IMPDHi was independent of KMT2A status. IMPDHi synergized with ara-C and F-ara-A in a SAMHD1-dependent manner in a subset of AML cells, but not in acute lymphoblastic leukaemia cell lines. Mechanistically, IMPDHi depleted allosteric SAMHD1 activators GTP and dGTP, thereby increasing active triphosphate metabolites in SAMHD1-proficient, but not SAMHD1-deficient, cells. Our findings suggest that the addition of IMPDHi to ara-C and F-ara-A may have therapeutic benefits in some AML cases.
Ort, förlag, år, upplaga, sidor
Taylor & Francis Group, 2026
Nyckelord
IMPDH, KMT2A, leukemia, SAMHD1, therapy resistance
Nationell ämneskategori
Hematologi Cancer och onkologi
Identifikatorer
urn:nbn:se:umu:diva-247986 (URN)10.1080/15384101.2025.2601796 (DOI)001640225100001 ()41399259 (PubMedID)2-s2.0-105024974208 (Scopus ID)
Forskningsfinansiär
Svenska Sällskapet för Medicinsk Forskning (SSMF), SG-23–0178-BCancerfonden, 24–0829-PTCancerfonden, 19–0056-JIACancerfonden, 23–2782-PjCancerfonden, 24 3398 PjCancerfonden, 25 3999 IA JCIACancerfonden, 22–2377-PjBarncancerfonden, TJ2022-0063Barncancerfonden, PR2022-0003Barncancerfonden, PR2023-0031Svenska läkaresällskapet, SLS-998536Sjöbergstiftelsen, 2020–008Vetenskapsrådet, 2024–02941Vetenskapsrådet, 2022–00675Vetenskapsrådet, 2020–01902Karolinska Institutet, 2021–00272
2025-12-292025-12-292026-03-31Bibliografiskt granskad