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Figure 5 from p97 Inhibition Synergistically Enhances Hypomethylating Therapy through Targeting of PLK1 in Acute Myeloid Leukemia

Year: 2026
Type: other
Abstract: PLK1 is a key pharmacodynamic target of the CB-5339/DAC combination. A, Targeted PLK1 knockdown impairs AML cell proliferation. MOLM-13 cells were transduced with nontargeted control of PLK1-targeted lentiviral shRNA. Knockdown efficiency was determined by immunoblotting. Cell numbers were quantified for both conditions at 48 hours after lentiviral transduction. N = 3 ± SD; * indicates a significant difference from control shRNA, P < 0.005. B and C, Effects of targeted PLK1 knockdown on sensitivity to CB-5339 and DAC. MOLM-13 cells were infected with lentiviral nontargeted control or PLK1-targeted shRNA. Cells were treated with the indicated concentrations of CB-5339 and DAC. Cell viability was determined by MTT assay. N = 3 ± SD; * indicates a significant difference from control shRNA, P < 0.05. D, High PLK1 expression is associated with resistance to hypomethylating therapy. Within the ELN2022 adverse-risk group, patients with AML were stratified based on PLK1 levels comparing PLK1-low expression (bottom 25%) and PLK1-high expression (top 25%). Hypomethylating therapy response (azacitidine) is shown as an AUC in which higher values indicate greater resistance. Each dot represents an individual patient. Statistical significance was determined using a two-sided Wilcoxon rank-sum test (*, P = 0.05). E, PLK1 is a determinant of sensitivity to the CB-5339/DAC combination. MOLM-13 cells transduced with nontargeted control shRNA or PLK1-targeted shRNA lentiviral vectors were treated with 250 nmol/L CB-5339, 500 nmol/L DAC, or both drugs for 72 hours. The impact of drug treatment on cell viability was determined by MTT assay. N = 3 ± SD; * indicates a significant difference from control shRNA, P < 0.005. F, Overexpression of PLK1 promotes resistance to CB-5339 and DAC. PLK1 was overexpressed in MOLM-13 cells using PLK1-Myc-DDK lentiviral particles. Overexpression efficiency was assessed by immunoblotting. Vector control and PLK1-overexpressing cells were treated with 200 nmol/L CB-5339, 300 nmol/L DAC, and the combination for 72 hours. The effects of drug treatment on cell viability were quantified for each experimental condition by MTT assay. Mean ± SD, n = 3. * indicates a significant difference from vector control cells, P < 0.05.
Subfield: Hematology
Field: Medicine
Open Access status: gold
OpenAlex ID: W7166065555
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