We prove that the SH2-containing tyrosine phosphatase 1 (SHP-1) plays a prominent role as resistance determinant of imatinib (IMA) treatment response in chronic myelogenous leukemia cell lines (sensitive/ KCL22-S and resistant/KCL22-R). Indeed, SHP-1 expression is significantly lower in resistant than in sensitive cell line, in which coimmunoprecipitation analysis shows the interaction between SHP-1 and a second tyrosine phosphatase SHP-2, a positive regulator of RAS/MAPK pathway.In KCL22-R SHP-1 ectopic expression restores both SHP-1/SHP-2 interaction and IMA responsiveness; it also decreases SHP-2 activity after IMA treatment. Consistently, SHP-2 knocking-down in KCL22-R reduces either STAT3 activation or cell viability after IMA exposure. Therefore, our data suggest that SHP-1 plays an important role in BCR-ABL-independent IMA resistance modulating the activation signals that SHP-2 receives from both BCR/ABL and membrane receptor tyrosine kinases. The role of SHP-1 as a determinant of IMA sensitivity has been further confirmed in 60 consecutive untreated patients with chronic myelogenous leukemia, whose SHP-1 mRNA levels were significantly lower in case of IMA treatment failure (P < .0001). In conclusion, we suggest that SHP-1 could be a new biologic indicator at baseline of IMA sensitivity in patients with chronic myelogenous leukemia. (Blood. 2011;118(13): 3634-3644)
IntroductionImatinib (IMA)-targeted inhibition of BCR-ABL is considered the standard front-line therapy for chronic myelogenous leukemia (CML). 1 Although most patients respond to the therapy, primary or acquired resistance to IMA may occur during treatment. 2,3 In addition, the depth of response to the therapy is highly variable: most patients achieve complete cytogenetic remission (CCyR), whereas a more restricted number of them obtains major molecular remission (MMR) and even fewer complete molecular remission. Until now, knowledge of resistance mechanisms is still limited: acquisition of mutations within the kinase domain of BCR-ABL is the main known and common mechanism of resistance. 4 However, ABL mutations seem to be particularly frequent only in acquired resistance or in advanced phases of CML, instead it is less common in front-line resistance. Various BCR-ABL-independent mechanisms of IMA resistance have been proposed, and it is possible that a complex phenomenon of resistance might be sustained by still unknown BCR-ABL-independent molecular mechanisms. [5][6][7] SHP-1 and SHP-2 are two SH2-containing tyrosine phosphatases involved in cell growth regulation. Although they share significant overall sequence identity, they often seem to have opposite biologic functions. 8,9 Indeed, SHP-1 has been described as a negative signal transducer, whereas SHP-2 is a positive regulator of signaling pathways. Note, both SHP-1 and SHP-2 play a role in hematopoietic neoplasias.The activated form of SHP-2, involving phosphorylation at Tyr542 and Tyr580, 10 is associated with GAB1, which is a critical factor to sustain ERK activation downstream of se...