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BCR::ABL1 tyrosine kinase inhibitors induce ribosome collisions to activate ZAK-dependent ribotoxic stress and apoptosis in chronic myeloid leukemia - PubMed

6 hours ago
  • #Translation Elongation
  • #Ribotoxic Stress Response
  • #Chronic Myeloid Leukemia
  • BCR::ABL1 inhibitors in CML cause ribosome collisions and activate the ribotoxic stress response (RSR).
  • ZAK expression increases with CML progression; it promotes AKT activity but is paradoxically needed for inhibitor-induced apoptosis.
  • Inhibitors slow translation via mTOR-EEF2K and EEF2 phosphorylation, leading to collided ribosomes that trigger ZAK-p38 activation and apoptosis.
  • Translation flux modulation affects BCR::ABL1 inhibitor efficacy, showing RSR as a therapeutic target in CML.