Targeting WEE1 and asciminib suppresses ABL-tyrosine kinase inhibitor-resistant chronic myeloid leukemia cells

Abstract Background Chronic myeloid leukemia (CML) is a myeloproliferative neoplasm characterized by the uncontrolled proliferation of white blood cells. Tyrosine kinase inhibitors (TKIs) are the standard treatment; however, resistance to BCR::ABL1 mutations remains challenging. WEE1, a checkpoint k...

Full description

Saved in:
Bibliographic Details
Main Authors: Seiichi Okabe, Mitsuru Moriyama, Akihiko Gotoh, Daigo Akahane
Format: Article
Language:English
Published: Springer 2025-07-01
Series:Discover Oncology
Subjects:
Online Access:https://doi.org/10.1007/s12672-025-03036-7
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849764629697265664
author Seiichi Okabe
Mitsuru Moriyama
Akihiko Gotoh
Daigo Akahane
author_facet Seiichi Okabe
Mitsuru Moriyama
Akihiko Gotoh
Daigo Akahane
author_sort Seiichi Okabe
collection DOAJ
description Abstract Background Chronic myeloid leukemia (CML) is a myeloproliferative neoplasm characterized by the uncontrolled proliferation of white blood cells. Tyrosine kinase inhibitors (TKIs) are the standard treatment; however, resistance to BCR::ABL1 mutations remains challenging. WEE1, a checkpoint kinase involved in mitosis and DNA repair, is a potential therapeutic target for CML treatment. Methods Ponatinib-resistant CML cells were screened to identify candidates for overcoming drug resistance. The efficacy of the ABL TKI asciminib and the WEE1 inhibitor MK-1775 was evaluated using proliferation and colony formation assays. Public database analysis (GSE100026) assessed WEE1/PKMYT1 expression in CML. Results In vitro screening identified MK-1775 as a promising therapeutic candidate. WEE1/PKMYT1 expression was elevated in CML cells compared to healthy cells. Both asciminib and MK-1775 inhibited CML cell proliferation after 72 h, with enhanced cytotoxicity when combined. Co-treatment reduced colony formation and induced G2/M arrest, whereas an increase in the sub-G1 cell population indicated apoptosis. Furthermore, the combination treatment disrupted the mitochondrial membrane potential. Conclusions The combination of asciminib and WEE1 inhibition demonstrated greater efficacy than either drug alone, suggesting a novel therapeutic strategy for treating CML. These findings provide insights into overcoming TKI resistance and highlight a promising approach for future clinical applications.
format Article
id doaj-art-06db1213b73b4e588ef844aee6c03a60
institution DOAJ
issn 2730-6011
language English
publishDate 2025-07-01
publisher Springer
record_format Article
series Discover Oncology
spelling doaj-art-06db1213b73b4e588ef844aee6c03a602025-08-20T03:05:05ZengSpringerDiscover Oncology2730-60112025-07-0116111610.1007/s12672-025-03036-7Targeting WEE1 and asciminib suppresses ABL-tyrosine kinase inhibitor-resistant chronic myeloid leukemia cellsSeiichi Okabe0Mitsuru Moriyama1Akihiko Gotoh2Daigo Akahane3Department of Hematology, Tokyo Medical UniversityDepartment of Hematology, Tokyo Medical UniversityDepartment of Hematology, Tokyo Medical UniversityDepartment of Hematology, Tokyo Medical UniversityAbstract Background Chronic myeloid leukemia (CML) is a myeloproliferative neoplasm characterized by the uncontrolled proliferation of white blood cells. Tyrosine kinase inhibitors (TKIs) are the standard treatment; however, resistance to BCR::ABL1 mutations remains challenging. WEE1, a checkpoint kinase involved in mitosis and DNA repair, is a potential therapeutic target for CML treatment. Methods Ponatinib-resistant CML cells were screened to identify candidates for overcoming drug resistance. The efficacy of the ABL TKI asciminib and the WEE1 inhibitor MK-1775 was evaluated using proliferation and colony formation assays. Public database analysis (GSE100026) assessed WEE1/PKMYT1 expression in CML. Results In vitro screening identified MK-1775 as a promising therapeutic candidate. WEE1/PKMYT1 expression was elevated in CML cells compared to healthy cells. Both asciminib and MK-1775 inhibited CML cell proliferation after 72 h, with enhanced cytotoxicity when combined. Co-treatment reduced colony formation and induced G2/M arrest, whereas an increase in the sub-G1 cell population indicated apoptosis. Furthermore, the combination treatment disrupted the mitochondrial membrane potential. Conclusions The combination of asciminib and WEE1 inhibition demonstrated greater efficacy than either drug alone, suggesting a novel therapeutic strategy for treating CML. These findings provide insights into overcoming TKI resistance and highlight a promising approach for future clinical applications.https://doi.org/10.1007/s12672-025-03036-7Chronic myeloid leukemiaABL inhibitor resistanceSTAMP inhibitorWEE1 inhibitor
spellingShingle Seiichi Okabe
Mitsuru Moriyama
Akihiko Gotoh
Daigo Akahane
Targeting WEE1 and asciminib suppresses ABL-tyrosine kinase inhibitor-resistant chronic myeloid leukemia cells
Discover Oncology
Chronic myeloid leukemia
ABL inhibitor resistance
STAMP inhibitor
WEE1 inhibitor
title Targeting WEE1 and asciminib suppresses ABL-tyrosine kinase inhibitor-resistant chronic myeloid leukemia cells
title_full Targeting WEE1 and asciminib suppresses ABL-tyrosine kinase inhibitor-resistant chronic myeloid leukemia cells
title_fullStr Targeting WEE1 and asciminib suppresses ABL-tyrosine kinase inhibitor-resistant chronic myeloid leukemia cells
title_full_unstemmed Targeting WEE1 and asciminib suppresses ABL-tyrosine kinase inhibitor-resistant chronic myeloid leukemia cells
title_short Targeting WEE1 and asciminib suppresses ABL-tyrosine kinase inhibitor-resistant chronic myeloid leukemia cells
title_sort targeting wee1 and asciminib suppresses abl tyrosine kinase inhibitor resistant chronic myeloid leukemia cells
topic Chronic myeloid leukemia
ABL inhibitor resistance
STAMP inhibitor
WEE1 inhibitor
url https://doi.org/10.1007/s12672-025-03036-7
work_keys_str_mv AT seiichiokabe targetingwee1andasciminibsuppressesabltyrosinekinaseinhibitorresistantchronicmyeloidleukemiacells
AT mitsurumoriyama targetingwee1andasciminibsuppressesabltyrosinekinaseinhibitorresistantchronicmyeloidleukemiacells
AT akihikogotoh targetingwee1andasciminibsuppressesabltyrosinekinaseinhibitorresistantchronicmyeloidleukemiacells
AT daigoakahane targetingwee1andasciminibsuppressesabltyrosinekinaseinhibitorresistantchronicmyeloidleukemiacells