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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Zeng, Yunxin Zhang, Xinyu Lin, Dongjun Feng, Xiaohui Liu, Yuye Fang, Zhengwen Zhang, Weijian Chen, Yu Zhao, Meng Wu, Jun Jiang, Linjia |
| Abstract | The hypoxic microenvironment is presumed to be a sanctuary for myeloid leukemia cells that causes relapse following chemotherapy, but the underlying mechanism remains elusive. Using a zebrafish xenograft model, we observed that the hypoxic hematopoietic tissue preserved most of the chemoresistant leukemic cells following the doxorubicin (Dox) treatment. And hypoxia upregulated TFEB, a master regulator of lysosomal biogenesis, and increased lysosomes in leukemic cells. Specimens from relapsed myeloid leukemia patients also harbored excessive lysosomes, which trapped Dox and prevented drug nuclear influx leading to leukemia chemoresistance. Pharmaceutical inhibition of lysosomes enhanced Dox-induced cytotoxicity against leukemic cells under hypoxia circumstance. To overcome lysosome associated chemoresistance, we developed a pH-sensitive dextran-doxorubicin nanomedicine (Dex-Dox) that efficiently released Dox from lysosomes and increased drug nuclear influx. More importantly, Dex-Dox treatment significantly improved the chemotherapy outcome in the zebrafish xenografts transplanted with cultured leukemic cells or relapsed patient specimens. Overall, we developed a novel lysosome targeting nanomedicine that is promising to overcome the myeloid leukemia chemoresistance. |
| Related Links | https://jhoonline.biomedcentral.com/counter/pdf/10.1186/s13045-021-01199-8.pdf |
| Ending Page | 6 |
| Page Count | 6 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 17568722 |
| DOI | 10.1186/s13045-021-01199-8 |
| Journal | Journal of Hematology & Oncology |
| Issue Number | 1 |
| Volume Number | 14 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2021-11-08 |
| Access Restriction | Open |
| Subject Keyword | Oncology Hematology Cancer Research Myeloid leukemia Chemotherapy Doxorubicin Hypoxia Lysosome |
| Content Type | Text |
| Subject | Hematology Cancer Research Oncology Molecular Biology |
| Journal Impact Factor | 29.9/2023 |
| 5-Year Journal Impact Factor | 27.1/2023 |
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