Lithium, a classic drug in psychiatry, improves nilotinib-mediated antileukemic effects.
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| Abstract | :  Although Tyrosine kinase inhibitors (TKIs) that target Bcr-Abl play a key role in Chronic Myeloid Leukemia (CML) therapy, they do not eradicate CML-initiating cells, which lead to the emergence of drug resistance. Here we used the lithium, a GSK-3 inhibitor, to attempt to potentiate the effects of nilotinib against leukemia cells. For this purpose, a K562 leukemia cell line and bone marrow cells from untreated Chronic Myeloid Leukemia (CML) patients, prior to any exposure to TKIs, were used as a model. Our results demonstrated that the combination of lithium + nilotinib (L + N) induced K562-cell death and cleaved caspase-3 when compared to lithium or nilotinib alone, accompanied by GSK-3β phosphorylation and Bcr-Abl oncoprotein levels reduction. Interestingly, these events were related to autophagy induction, expressed by increased LC3II protein levels in the group treated with L + N. Furthermore, the clonogenic capacity of progenitor cells from CML patients was drastically reduced by L + N, as well as lithium and nilotinib when used separately. The number of cell aggregates (clusters), were increased by all treatments (L + N, lithium, and nilotinib). This pioneering research has demonstrated that lithium might be of therapeutic value when targeting Bcr-Abl cells with nilotinib because it triggers cell death in addition to exerting classical antiproliferative effects, opening new perspectives for novel target and therapeutic approaches to eradicate CML. | 
| Year of Publication | :  2018 | 
| Journal | :  Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie | 
| Volume | :  99 | 
| Number of Pages | :  237-244 | 
| Date Published | :  2018 | 
| ISSN Number | :  0753-3322 | 
| URL | :  http://linkinghub.elsevier.com/retrieve/pii/S0753-3322(17)35441-0 | 
| DOI | :  10.1016/j.biopha.2018.01.027 | 
| Short Title | :  Biomed Pharmacother | 
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