Metoclopramide treatment blocks CD93-signaling-mediated self-renewal of chronic myeloid leukemia stem cells.

Abstract:

:Self-renewal is a key characteristic of leukemia stem cells (LSCs) responsible for the development and maintenance of leukemia. In this study, we identify CD93 as an important regulator of self-renewal and proliferation of murine and human LSCs, but not hematopoietic stem cells (HSCs). The intracellular domain of CD93 promotes gene transcription via the transcriptional regulator SCY1-like pseudokinase 1 independently of ligation of the extracellular domain. In a drug library screen, we identify the anti-emetic agent metoclopramide as an efficient blocker of CD93 signaling. Metoclopramide treatment reduces murine and human LSCs in vitro and prolongs survival of chronic myeloid leukemia (CML) mice through downregulation of pathways related to stemness and proliferation in LSCs. Overall, these results identify CD93 signaling as an LSC-specific regulator of self-renewal and proliferation and a targetable pathway to eliminate LSCs in CML.

journal_name

Cell Rep

journal_title

Cell reports

authors

Riether C,Radpour R,Kallen NM,Bürgin DT,Bachmann C,Schürch CM,Lüthi U,Arambasic M,Hoppe S,Albers CE,Baerlocher GM,Ochsenbein AF

doi

10.1016/j.celrep.2020.108663

subject

Has Abstract

pub_date

2021-01-26 00:00:00

pages

108663

issue

4

issn

2211-1247

pii

S2211-1247(20)31652-1

journal_volume

34

pub_type

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