2019
DOI: 10.1101/863183
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SAMHD1 is a key regulator of the lineage-specific response of acute lymphoblastic leukaemias to nelarabine

Abstract: The nucleoside analogue nelarabine, the prodrug of arabinosylguanine (AraG), has been known for decades to be effective against acute lymphoblastic leukaemias of T-cell (T-ALL), but not of B-cell (B-ALL) origin. The mechanisms underlying this lineage-specific drug sensitivity have remained elusive. Data from pharmacogenomics studies and from a panel of ALL cell lines revealed an inverse correlation of SAMHD1 expression and nelarabine sensitivity. SAMHD1 can hydrolyse and thus inactivate triphosphorylated nucle… Show more

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Cited by 3 publications
(2 citation statements)
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References 56 publications
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“…For example, targeting SAMHD1 by the Vpx protein has been found to benefit cytarabine therapy for hematological malignancies 39 . Moreover, SAMHD1 expression levels determine acute lymphoblastic leukemia cell response to nelarabine 40 .Therefore, these findings, along with our observations, suggest that SAMHD1 is a potential therapeutic target for improving chemotherapy efficacy in treating malignancies.…”
Section: Discussionsupporting
confidence: 70%
“…For example, targeting SAMHD1 by the Vpx protein has been found to benefit cytarabine therapy for hematological malignancies 39 . Moreover, SAMHD1 expression levels determine acute lymphoblastic leukemia cell response to nelarabine 40 .Therefore, these findings, along with our observations, suggest that SAMHD1 is a potential therapeutic target for improving chemotherapy efficacy in treating malignancies.…”
Section: Discussionsupporting
confidence: 70%
“…Nelarabine is the soluble prodrug of ara‐G, which is selectively cytotoxic to T leukaemic cells, likely due to their low endogenous SAMHD1 levels 29 . Initial early phase trials of nelarabine showed its efficacy as a single agent in paediatric relapsed/refractory T‐ALL, with neurotoxicity the most common dose‐limiting toxicity 30,31 .…”
Section: Nelarabinementioning
confidence: 99%