Overcoming adaptive resistance in AML by synergistically targeting FOXO3A-GNG7-mTOR axis with FOXO3A inhibitor Gardenoside and rapamycin  

作　　者：Zhe Chen Qian Guo Shichen Huang Lei Li Feng Wu Zhilong Liu Zhigang Li Tao Chen Guanbin Song Shuangnian Xu Jieping Chen Yu Hou 

机构地区：[1]Department of Hematology,Southwest Hospital,Third Military Medical University(Army Medical University),Chongqing 400038,China [2]Institute of Life Sciences,Chongqing Medical University,Chongqing 400016,China [3]Key Laboratory of Biorheological Science and Technology,Ministry of Education,College of Bioengineering,Chongqing University,Chongqing 400044,China [4]Chongqing Foreign Language School,Chongqing 400039,China

出　　处：《Genes & Diseases》2024年第1期397-412,共16页基因与疾病（英文）

基　　金：supported by the Chongqing Science Fund for Distinguished Young Scholars,China(C(STB2022NSCQJQX0032);National Science Foundation of China(No.81970100,82170115 and 81700135);the Doctor Research Project of Chongqing,China(No.CSTB2022BSXMJCX0005)。

摘　　要：Therapeutic targeting FOxO3A(a forkhead transcription factor)represents a prom-ising strategy to suppress acute myeloid leukemia(AML).However,the effective inhibitors that target FOXO3A are lacking and the adaptive response signaling weakens the cytotoxic effect of FOxO3A depletion on AML cells.Here,we show that FOxO3A deficiency induces a compensa-tory response involved in the reactive activation of mTOR that leads to signaling rebound and adaptive resistance.Mitochondrial metabolism acts downstream of mTOR to provoke activa-tion of JNK/c-JUN via reactive oxygen species(ROS).At the molecular level,FOXO3A directly binds to the promoter of G protein gamma subunit 7(GNG7)and preserves its expression,while GNG7 interacts with mTOR and restricts phosphorylated activation of mTOR.Consequently,combinatorial inhibition of FOXO3A and mTOR show a synergistic cytotoxic effect on AML cells and prolongs survival in a mouse model of AML.Through a structure-based virtual screening,we report one potent small-molecule FOxO3A inhibitor(Gardenoside)that exhibits a strong effect of anti-FOXO3A DNA binding.Gardenoside synergizes with rapamycin to substantially reduce tumor burden and extend survival in AML patient-derived xenograft model.These results demonstrate that mTOR can mediate adaptive resistance to FOxO3A inhibition and validate a combinatorial approach for treating AML.

关 键 词：AML Combinatorial inhibition FOXO3A GNG7 MTOR 

分 类 号：R733.71[医药卫生—肿瘤]