PON2 is the group of genes related to dexamethasone resistance in acute lymphoblastic leukemia (ALL). Dexamethasone is a glucocorticoid used in ALL treatment, but if a patient is resistant their prognosis is poorer. The study found that inhibiting PON2 can improve the prognosis of ALL patients by restoring their sensitivity to dexamethasone-induced apoptosis and overcoming dexamethasone resistance.
2. Acute lymphoblastic leukemia (ALL), including B-cell
lymphoblastic leukemia (B-ALL) and T-cell lymphoblastic
leukemia (T-ALL), is a heterogeneous blood and bone
marrow disease characterized by malignant clones of
primitive and immature lymphocytes that is frequently
found in pediactric fields.
ACUTE LIMPHOBLASTIC LEUKEMIA
3. Dexamethasone is a glucocorticoid often
used alongside chemotherapy for ALL
treatment.
The dysregulated paraoxonase 2 (PON2) is a
group of genes associated with cell invasion,
metastasis, drug resistance (glucocorticoids),
tumor therapy, and leads to a very poor
prognosis regarding ALL.
Silencing PON2 decreased the sensitivity of
DEX-resistant ALL cells, improving its
therapeutic effects.
DEXAMETHASONE AND PON2
4. The high frequency of chemotherapy resistance is ultimately
responsible for clinical relapse in acute lymphoblastic
leukemia (ALL). Nevertheless, the molecular mechanism
relevant to glucocorticoid (GC) resistance remains ambiguous.
OBJECTIVE
5. METHODS
SHRNA TRANSFECTION
Transfection is used to silence a specific
gene, in this case it was used to
transfect the short hairpin RNA ofPON2
looking to silence this gene expression
in REH and SUP-15R cells, creating a
knockdown
APOPTOSIS ASSAY
Apoptosis assay was used to measure
the apoptosis rate ofDEX resistant ALL
cells after silencing PON2.
6. qRT-PCR WESTERN BLOTTING
PCR is a test used to make millions of
copies of a specific DNA and amplify
them to facilitate the study. In this
case it was used to find the mRNA
levels of PON2 in different types of
ALL (dex resistan, dex sensitive), to
evaluate transfection efficiency and
the expression of apoptosis proteins.
Electrophoresis is used to separate
the proteins so they can be
specifically identified using an
antibody. In this case, western
blotting was performed for PON2,
Bcl-2, Bax and GAPDH (used as an
internal reference).
7. RESULTS
PON2 is elevated in DEX-resistant ALL cells Silencing PON2 raises the DEX sensitivity of ALL
cells
PON2 silencing restores the sensitivity of ALL cell
toward DEX-induced apoptosis
9. DISCUSSION
AUTHOR STATEMENT STATUS
Bachetti T,
Ferretti G,
Sahekbar A
Agree
Cellular resistance to
GC has become a
major obstacle in
reaching successful
treatment and
prognosis for B-ALL
Upregulation of PON2 has
been observed in cancer,
and it has been proposed
that PON2 is implicated in
stress resistance and
tumor survival
Poulard C,
Baulu E, Lee
BH
Agree
PON2 has been found to
be highly upregulated in
gene expression profiling
studies addressing
pediatric ALL
Ross ME, Zhou
X, Song G
Agree
10. Understanding the reason treatments don´t work (incluiding
genes being overexpressed/underexpressed) by conducting a
series of experiments, will lead us to a more accurate
diagnosis and treatment focused not only on the disease but
the specifical condition.
CONCLUSIONS
The inhibition of PON2 can definitely improve the prognosis
of patients struggling with ALL, this could only be known by
going from the root of the disease to the bigger symptoms.
11. PON2 blockade overcomes dexamethasone
resistance in acute lymphoblastic leukemia
Dexamethasone PON2
ALL
Dexamethasone is a
glucocorticoid used in ALL
treatment, if a patient is
resistant to dexamethasone
their prognosis won’t be as
good
PON2 is the group of genes
related to dexamethasone
resistance
Acute lymphoblastic
leukemia is a type ofcancer
that affects the blood and
bone marrow, causing the
expression of immature
lymphocytes
Gets treated with
Is very common in child
Resistance
When inhibited
improves prognosis
It works by
inducing
apoptosis
By restoring the sensitivity
to DEX