TY - JOUR A1 - Kumar, Rahul A1 - Pereira, Raquel Soares A1 - Zanetti, Costanza A1 - Minciacchi, Valentina R. A1 - Merten, Maximilian A1 - Meister, Melanie A1 - Niemann, Julian A1 - Dietz, Marina A1 - Rüssel, Nina A1 - Schnütgen, Frank A1 - Tamai, Minori A1 - Akahane, Koshi A1 - Inukai, Takeshi A1 - Oellerich, Thomas A1 - Kvasnicka, Hans Michael A1 - Pfeifer, Heike A1 - Nicolini, Franck E. A1 - Heilemann, Mike A1 - Van Etten, Richard A. A1 - Krause, Daniela Sandra T1 - Specific, targetable interactions with the microenvironment influence imatinib-resistant chronic myeloid leukemia T2 - Leukemia N2 - Therapy resistance in leukemia may be due to cancer cell-intrinsic and/or -extrinsic mechanisms. Mutations within BCR-ABL1, the oncogene giving rise to chronic myeloid leukemia (CML), lead to resistance to tyrosine kinase inhibitors (TKI), and some are associated with clinically more aggressive disease and worse outcome. Using the retroviral transduction/transplantation model of CML and human cell lines we faithfully recapitulate accelerated disease course in TKI resistance. We show in various models, that murine and human imatinib-resistant leukemia cells positive for the oncogene BCR-ABL1T315I differ from BCR-ABL1 native (BCR-ABL1) cells with regards to niche location and specific niche interactions. We implicate a pathway via integrin β3, integrin-linked kinase (ILK) and its role in deposition of the extracellular matrix (ECM) protein fibronectin as causative of these differences. We demonstrate a trend towards a reduced BCR-ABL1T315I+ tumor burden and significantly prolonged survival of mice with BCR-ABL1T315I+ CML treated with fibronectin or an ILK inhibitor in xenogeneic and syngeneic murine transplantation models, respectively. These data suggest that interactions with ECM proteins via the integrin β3/ILK-mediated signaling pathway in BCR-ABL1T315I+ cells differentially and specifically influence leukemia progression. Niche targeting via modulation of the ECM may be a feasible therapeutic approach to consider in this setting. Y1 - 2020 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/56551 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-565514 SN - 1476-5551 VL - 34 SP - 2087 EP - 2101 PB - Springer Nature CY - London ER -