SlideShare a Scribd company logo
MARIA CAMILA ORTEGA GONZÁLEZ
3RD SEMESTER
MOLECULAR BIOLOGY
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
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
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
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.
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).
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
RESULTS
PON2 knockdown inhibits tumor growth by sensitizing B-ALL cells to DEX in vivo
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
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.
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

More Related Content

Similar to Seminario biomol Maria Camila Ortega .pdf

DamonPhamFINALPoster
DamonPhamFINALPosterDamonPhamFINALPoster
DamonPhamFINALPoster
Damon Pham
 
Epigenetics in human diseases
Epigenetics in human diseasesEpigenetics in human diseases
Epigenetics in human diseases
kamali purushothaman
 
DNA damage response.pptx
DNA damage response.pptxDNA damage response.pptx
DNA damage response.pptx
Jegadeshwari Bhaskaran
 
Infect. Immun.-2016-Jain-439-51
Infect. Immun.-2016-Jain-439-51Infect. Immun.-2016-Jain-439-51
Infect. Immun.-2016-Jain-439-51
Neena Jain
 
Apoptosis
Apoptosis Apoptosis
Apoptosis
yadavkaushal
 
A Glimpse at Precision Medicine in AML.
A Glimpse at Precision Medicine in AML.A Glimpse at Precision Medicine in AML.
A Glimpse at Precision Medicine in AML.
MarwaGamaleldin1
 
Sindrome di rett
Sindrome di rettSindrome di rett
Sindrome di rett
iva martini
 
Identifying Biomarkers for Diffuse Large B-Cell Lymphoma Subtypes
Identifying Biomarkers for Diffuse Large B-Cell Lymphoma SubtypesIdentifying Biomarkers for Diffuse Large B-Cell Lymphoma Subtypes
Identifying Biomarkers for Diffuse Large B-Cell Lymphoma Subtypes
CrimsonpublishersCancer
 
Final lysosomal storage diseases2
Final lysosomal storage diseases2Final lysosomal storage diseases2
Final lysosomal storage diseases2
Anupam Singh
 
Jc, Ph-like acute lymphoblastic leukemia (ALL)
Jc, Ph-like acute lymphoblastic leukemia (ALL)Jc, Ph-like acute lymphoblastic leukemia (ALL)
Jc, Ph-like acute lymphoblastic leukemia (ALL)
Mohsin Maqbool
 
steroid resistant nephrotic syndrome
steroid resistant nephrotic syndromesteroid resistant nephrotic syndrome
steroid resistant nephrotic syndrome
Pediatric Nephrology
 
LLA 2011 - L. Mazzucchelli - Principles of pathology and microscopic diagnosi...
LLA 2011 - L. Mazzucchelli - Principles of pathology and microscopic diagnosi...LLA 2011 - L. Mazzucchelli - Principles of pathology and microscopic diagnosi...
LLA 2011 - L. Mazzucchelli - Principles of pathology and microscopic diagnosi...
European School of Oncology
 
Systemic Lupus Erythematosus ssssss.pptx
Systemic Lupus Erythematosus ssssss.pptxSystemic Lupus Erythematosus ssssss.pptx
Systemic Lupus Erythematosus ssssss.pptx
Juan Diego
 
Invasive candidiadis
Invasive candidiadisInvasive candidiadis
Invasive candidiadis
Superior University
 
Cancer Medicine - 2023 - Ma - Novel strategies to reverse chemoresistance in ...
Cancer Medicine - 2023 - Ma - Novel strategies to reverse chemoresistance in ...Cancer Medicine - 2023 - Ma - Novel strategies to reverse chemoresistance in ...
Cancer Medicine - 2023 - Ma - Novel strategies to reverse chemoresistance in ...
damodara kumaran
 
FEOCROMOCITOMA PHYSIOLOGIA ENFERMEDAD ADRENAL
FEOCROMOCITOMA PHYSIOLOGIA ENFERMEDAD ADRENALFEOCROMOCITOMA PHYSIOLOGIA ENFERMEDAD ADRENAL
FEOCROMOCITOMA PHYSIOLOGIA ENFERMEDAD ADRENAL
AdictivitySong
 
Hematology 2013-thein-354-61
Hematology 2013-thein-354-61Hematology 2013-thein-354-61
Hematology 2013-thein-354-61
Alyssa236
 
Bif application simon
Bif application simonBif application simon
EngenuitySC's Science Cafe - March with Dr. Patrick Woster
EngenuitySC's Science Cafe - March with Dr. Patrick WosterEngenuitySC's Science Cafe - March with Dr. Patrick Woster
EngenuitySC's Science Cafe - March with Dr. Patrick Woster
EngenuitySC
 
Pharmacogenetics_of_CBZ_Warfarin_Exam_Question_Neurology_PG.pptx
Pharmacogenetics_of_CBZ_Warfarin_Exam_Question_Neurology_PG.pptxPharmacogenetics_of_CBZ_Warfarin_Exam_Question_Neurology_PG.pptx
Pharmacogenetics_of_CBZ_Warfarin_Exam_Question_Neurology_PG.pptx
Seth GSMC and KEM Municipal Hospital
 

Similar to Seminario biomol Maria Camila Ortega .pdf (20)

DamonPhamFINALPoster
DamonPhamFINALPosterDamonPhamFINALPoster
DamonPhamFINALPoster
 
Epigenetics in human diseases
Epigenetics in human diseasesEpigenetics in human diseases
Epigenetics in human diseases
 
DNA damage response.pptx
DNA damage response.pptxDNA damage response.pptx
DNA damage response.pptx
 
Infect. Immun.-2016-Jain-439-51
Infect. Immun.-2016-Jain-439-51Infect. Immun.-2016-Jain-439-51
Infect. Immun.-2016-Jain-439-51
 
Apoptosis
Apoptosis Apoptosis
Apoptosis
 
A Glimpse at Precision Medicine in AML.
A Glimpse at Precision Medicine in AML.A Glimpse at Precision Medicine in AML.
A Glimpse at Precision Medicine in AML.
 
Sindrome di rett
Sindrome di rettSindrome di rett
Sindrome di rett
 
Identifying Biomarkers for Diffuse Large B-Cell Lymphoma Subtypes
Identifying Biomarkers for Diffuse Large B-Cell Lymphoma SubtypesIdentifying Biomarkers for Diffuse Large B-Cell Lymphoma Subtypes
Identifying Biomarkers for Diffuse Large B-Cell Lymphoma Subtypes
 
Final lysosomal storage diseases2
Final lysosomal storage diseases2Final lysosomal storage diseases2
Final lysosomal storage diseases2
 
Jc, Ph-like acute lymphoblastic leukemia (ALL)
Jc, Ph-like acute lymphoblastic leukemia (ALL)Jc, Ph-like acute lymphoblastic leukemia (ALL)
Jc, Ph-like acute lymphoblastic leukemia (ALL)
 
steroid resistant nephrotic syndrome
steroid resistant nephrotic syndromesteroid resistant nephrotic syndrome
steroid resistant nephrotic syndrome
 
LLA 2011 - L. Mazzucchelli - Principles of pathology and microscopic diagnosi...
LLA 2011 - L. Mazzucchelli - Principles of pathology and microscopic diagnosi...LLA 2011 - L. Mazzucchelli - Principles of pathology and microscopic diagnosi...
LLA 2011 - L. Mazzucchelli - Principles of pathology and microscopic diagnosi...
 
Systemic Lupus Erythematosus ssssss.pptx
Systemic Lupus Erythematosus ssssss.pptxSystemic Lupus Erythematosus ssssss.pptx
Systemic Lupus Erythematosus ssssss.pptx
 
Invasive candidiadis
Invasive candidiadisInvasive candidiadis
Invasive candidiadis
 
Cancer Medicine - 2023 - Ma - Novel strategies to reverse chemoresistance in ...
Cancer Medicine - 2023 - Ma - Novel strategies to reverse chemoresistance in ...Cancer Medicine - 2023 - Ma - Novel strategies to reverse chemoresistance in ...
Cancer Medicine - 2023 - Ma - Novel strategies to reverse chemoresistance in ...
 
FEOCROMOCITOMA PHYSIOLOGIA ENFERMEDAD ADRENAL
FEOCROMOCITOMA PHYSIOLOGIA ENFERMEDAD ADRENALFEOCROMOCITOMA PHYSIOLOGIA ENFERMEDAD ADRENAL
FEOCROMOCITOMA PHYSIOLOGIA ENFERMEDAD ADRENAL
 
Hematology 2013-thein-354-61
Hematology 2013-thein-354-61Hematology 2013-thein-354-61
Hematology 2013-thein-354-61
 
Bif application simon
Bif application simonBif application simon
Bif application simon
 
EngenuitySC's Science Cafe - March with Dr. Patrick Woster
EngenuitySC's Science Cafe - March with Dr. Patrick WosterEngenuitySC's Science Cafe - March with Dr. Patrick Woster
EngenuitySC's Science Cafe - March with Dr. Patrick Woster
 
Pharmacogenetics_of_CBZ_Warfarin_Exam_Question_Neurology_PG.pptx
Pharmacogenetics_of_CBZ_Warfarin_Exam_Question_Neurology_PG.pptxPharmacogenetics_of_CBZ_Warfarin_Exam_Question_Neurology_PG.pptx
Pharmacogenetics_of_CBZ_Warfarin_Exam_Question_Neurology_PG.pptx
 

Recently uploaded

Cardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdfCardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdf
shivalingatalekar1
 
THERAPEUTIC ANTISENSE MOLECULES .pptx
THERAPEUTIC ANTISENSE MOLECULES    .pptxTHERAPEUTIC ANTISENSE MOLECULES    .pptx
THERAPEUTIC ANTISENSE MOLECULES .pptx
70KRISHPATEL
 
NVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control programNVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control program
Sapna Thakur
 
Role of Mukta Pishti in the Management of Hyperthyroidism
Role of Mukta Pishti in the Management of HyperthyroidismRole of Mukta Pishti in the Management of Hyperthyroidism
Role of Mukta Pishti in the Management of Hyperthyroidism
Dr. Jyothirmai Paindla
 
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptxMuscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
The Electrocardiogram - Physiologic Principles
The Electrocardiogram - Physiologic PrinciplesThe Electrocardiogram - Physiologic Principles
The Electrocardiogram - Physiologic Principles
MedicoseAcademics
 
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune DiseaseCell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
Health Advances
 
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxDoes Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
walterHu5
 
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptxEar and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in IndiaTop 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Swastik Ayurveda
 
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptxThyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptxshare - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
Tina Purnat
 
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeNovas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Prof. Marcus Renato de Carvalho
 
Adhd Medication Shortage Uk - trinexpharmacy.com
Adhd Medication Shortage Uk - trinexpharmacy.comAdhd Medication Shortage Uk - trinexpharmacy.com
Adhd Medication Shortage Uk - trinexpharmacy.com
reignlana06
 
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptxHow STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
FFragrant
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
PsychoTech Services
 
Best Ayurvedic medicine for Gas and Indigestion
Best Ayurvedic medicine for Gas and IndigestionBest Ayurvedic medicine for Gas and Indigestion
Best Ayurvedic medicine for Gas and Indigestion
Swastik Ayurveda
 
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
rishi2789
 
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachIntegrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Ayurveda ForAll
 
The Best Ayurvedic Antacid Tablets in India
The Best Ayurvedic Antacid Tablets in IndiaThe Best Ayurvedic Antacid Tablets in India
The Best Ayurvedic Antacid Tablets in India
Swastik Ayurveda
 

Recently uploaded (20)

Cardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdfCardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdf
 
THERAPEUTIC ANTISENSE MOLECULES .pptx
THERAPEUTIC ANTISENSE MOLECULES    .pptxTHERAPEUTIC ANTISENSE MOLECULES    .pptx
THERAPEUTIC ANTISENSE MOLECULES .pptx
 
NVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control programNVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control program
 
Role of Mukta Pishti in the Management of Hyperthyroidism
Role of Mukta Pishti in the Management of HyperthyroidismRole of Mukta Pishti in the Management of Hyperthyroidism
Role of Mukta Pishti in the Management of Hyperthyroidism
 
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptxMuscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
 
The Electrocardiogram - Physiologic Principles
The Electrocardiogram - Physiologic PrinciplesThe Electrocardiogram - Physiologic Principles
The Electrocardiogram - Physiologic Principles
 
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune DiseaseCell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
 
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxDoes Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
 
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptxEar and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
 
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in IndiaTop 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in India
 
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptxThyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
 
share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptxshare - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
 
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeNovas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
 
Adhd Medication Shortage Uk - trinexpharmacy.com
Adhd Medication Shortage Uk - trinexpharmacy.comAdhd Medication Shortage Uk - trinexpharmacy.com
Adhd Medication Shortage Uk - trinexpharmacy.com
 
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptxHow STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
 
Best Ayurvedic medicine for Gas and Indigestion
Best Ayurvedic medicine for Gas and IndigestionBest Ayurvedic medicine for Gas and Indigestion
Best Ayurvedic medicine for Gas and Indigestion
 
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
 
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachIntegrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
 
The Best Ayurvedic Antacid Tablets in India
The Best Ayurvedic Antacid Tablets in IndiaThe Best Ayurvedic Antacid Tablets in India
The Best Ayurvedic Antacid Tablets in India
 

Seminario biomol Maria Camila Ortega .pdf

  • 1. MARIA CAMILA ORTEGA GONZÁLEZ 3RD SEMESTER MOLECULAR BIOLOGY
  • 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
  • 8. RESULTS PON2 knockdown inhibits tumor growth by sensitizing B-ALL cells to DEX in vivo
  • 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