Abstract:Objective To investigate the effect of Nilotinib and Imatinib on gene expression profile of chronic myelocytic leukemia (CML) cells and clarify the molecular mechanism underlying the suppression of tyrosine kinase inhibitors against leukemia. Methods The expression profiling dataset GSE19567 was downloaded from the online Gene Expression Omnibus database. The BRB-ArrayTools software was applied to control quality and identify the differentially-expressed genes (DEGs), then the GO function enrichment, KEGG pathway enrichment, pathway relation network, and gene interaction network analyses were preformed based on these differential genes. Results In total, 519 differential genes were screened out, of which 177 genes were up-regulated and 342 genes were down-regulated. GO enrichment analysis revealed that DEGs were mainly involved in biological processes of small molecule metabolism, blood coagulation, transcriptional regulation, regulation of cell proliferation and apoptosis, and performed the molecular functions of protein binding, protein dimerization activity, sequence-specific DNA binding and ATP binding. KEGG analysis showed that DEGs were mostly enriched in metabolic pathway, PI3K-Akt signaling pathway, JAK-STAT signaling pathway, and HIF-1 signaling pathway. The network analyses identified the hub genes such as SHMT2, CBS, CTH and HK2, and core pathways including MAPK signaling pathway, cell cycle and apoptosis. Conclusions Tyrosine kinase inhibitors affect the genes involved in metabolic and signal transduction pathways, and the mechanism of suppression of CML cells may include cell cycle arrest and induction of apoptosis, which provides the foundation for further developing targeted treatments for leukemia.