Journal: bioRxiv
Article Title: Glutamine-Dependent Downregulation of FLT3-ITD is a Mechanism of FLT3 Inhibitor Resistance in FLT3-ITD AML in Hypoxia
doi: 10.64898/2026.05.02.722336
Figure Lengend Snippet: FLT3-ITD AML cells are resistant to FLT3 inhibitors in hypoxia, associated with post-translational FLT3-ITD downregulation. A. Primary FLT3-ITD AML blasts from two patients were cultured for 48 hours under normoxia (21%O 2 ) or hypoxia (<1% O 2 ) with the FLT3 inhibitors gilteritinib or quizartinib at increasing concentrations and cytotoxicity was measured using the WST-1 assay. Cytotoxicity of both gilteritinib and quizartinib was reduced in hypoxia (red lines) compared with normoxia (black lines). Data represent means of three replicate wells. B. Blasts from three FLT3-ITD AML patients cultured in normoxia and hypoxia were harvested at 0, 48 and 96 hours and immunoblotted for expression of FLT3, p-STAT5, STAT5 and vinculin loading control. Bands were quantified by densitometry and FLT3, p-STAT5 and STAT5 were normalized to vinculin and to Time 0. Immunoblots and graphs are shown. FLT3-ITD and p-STAT5 were downregulated in hypoxia, but not in normoxia, while total STAT5 remained stable in both. C. FLT3 and GAPDH control mRNA was measured by RT-qPCR in blasts from three FLT3-ITD AML patients cultured for 0, 48 and 96 hours in hypoxia and normoxia. Graphs of FLT3 mRNA, normalized to GAPDH mRNA, show no decrease in FLT3 mRNA. D. FLT3-ITD AML patient blasts were treated with cycloheximide (CHX, 100 µg/mL) to block new protein translation, with or without addition of the proteasome inhibitor MG-132 (20 µmol/L) after 30 minutes to block proteasomal degradation, then harvested at 0, 1, 2, and 4 hours, starting 1 hour after addition CHX, and immunoblotted for FLT3 and vinculin control. Bands were quantified by densitometry and FLT3 protein half-lives were calculated by linear regression analysis. FLT3-ITD protein turnover was accelerated in hypoxia (1.0 vs. 2.5 hours), in the absence, but not presence, of MG-132, consistent with increased proteasomal degradation in hypoxia.
Article Snippet: The human FLT3-ITD AML cell lines MV4-11 and MOLM-14, with homozygous and heterozygous FLT3-ITD, respectively (American Type Culture Collection, Manassas, VA, USA) were maintained in RPMI 1640 medium (Gibco, Grand Island, NY, USA) with 10% fetal bovine serum, 1% penicillin-streptomycin and 2 mM L-glutamine, unless otherwise indicated, and were tested for Mycoplasma every six months ( ).
Techniques: Cell Culture, WST-1 Assay, Expressing, Control, Western Blot, Quantitative RT-PCR, Blocking Assay