Abstract:
Objective To investigate the effect of dasatinib (BMS-354825) on the proliferation of chronic lymphocytic leukemia (CLL) cell lines and the activation and function of wild-type/ibrutinib-resistant bruton tyrosine kinase (BTK) in vitro.
Methods The inhibitory effect of dasatinib at different concentrations on the proliferation of CLL cell lines were observed. After transfection of indicated plasmids (wild-type BTK and its mutants BTKC481S, BTKT474F and BTKT474I/C481S) and treatment with dasatinib and ibrutinib, the phosphorylation levels of BTK and its initial downstream target PLCγ2 were measured by Western blot.
Results The proliferation of CLL cell lines MEC-1 and JVM3 cells were significantly inhibited by dasatinib in a dose-dependent manner with an IC50 value of 3.54 mol/L and 0.65 mol/L, respectively. The phosphorylation of wild-type BTK and PLCγ2 was inhibited by 0.5 mol/L ibrutinib and 0.2 mol/L dasatinib. Upon activation of the BCR signaling, BTKC481S, BTKT474F and BTKT474I/C481S were functionally activated and phosphorylated its downstream target PLCγ2. All the mutations were resistant to ibrutinib at physical concentrations. Furthermore, 0.5 mol/L dasatinib inhibited the activation of BTKC481S followed by inhibition of PLCγ2 activation, but did not suppress the activation of BTKT474F and BTKT474I/C481S, which suggested that dasatinib might overcome BTKC481S-induced resistance to ibrutinib, without effect on "gatekeeper" BTK alterations.
Conclusions Dasatinib inhibits the activation and function of both wild-type BTK and BTKC481S and hence inhibits the proliferation of CLL cells, which is promising to overcome ibrutinib resistance caused by BTKC481S.