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Chronic Myeloproliferative Disorders

The ρ-kinase inhibitors Y-27632 and fasudil act synergistically with imatinib to inhibit the expansion of ex vivo CD34+ CML progenitor cells

Abstract

Evidence from cell line-based studies indicates that ρ-kinase may play a role in the leukaemic transformation of human cells mediated by the BCR/ABL tyrosine kinase, manifest clinically as chronic myeloid leukaemia (CML). We therefore employed two separate inhibitors, Y-27632 and fasudil, to inhibit the activity of ρ-kinase against ex vivo CD34+ cells collected from patients with CML. We compared the effects of ρ-kinase inhibition in those cells with the effects of direct inhibition of BCR/ABL using the specific inhibitor imatinib. We found that inhibition of ρ-kinase inhibited the effective proliferation, and reduced survival of CML progenitor cells. When combined with imatinib, ρ-kinase inhibition added to the anti-proliferative and pro-apoptotic effects of the BCR/ABL inhibitor. Our studies may indicate therapeutic benefit in some cases for the combination of ρ-kinase inhibitors with imatinib.

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Correspondence to J Burthem.

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Burthem, J., Rees-Unwin, K., Mottram, R. et al. The ρ-kinase inhibitors Y-27632 and fasudil act synergistically with imatinib to inhibit the expansion of ex vivo CD34+ CML progenitor cells. Leukemia 21, 1708–1714 (2007). https://doi.org/10.1038/sj.leu.2404762

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