c-Myc plays a critical role in the antileukemic activity of the Mcl-1-selective inhibitor AZD5991 in acute myeloid leukemia

© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature..

Acute myeloid leukemia (AML) is an aggressive disease with a low 5-year overall survival rate of 29.5%. Thus, more effective therapies are in need to prolong survival of AML patients. Mcl-1 is overexpressed in AML and is associated with poor prognosis, representing a promising therapeutic target. The oncoprotein c-Myc is also overexpressed in AML and is a significant prognostic factor. In addition, Mcl-1 is required for c-Myc induced AML, indicating that c-Myc-driven AML harbors a Mcl-1 dependency and co-targeting of Mcl-1 and c-Myc represents a promising strategy to eradicate AML. In this study, we investigated the role of c-Myc in the antileukemic activity of Mcl-1 selective inhibitor AZD5991 and the antileukemic activity of co-targeting of Mcl-1 and c-Myc in preclinical models of AML. We found that c-Myc protein levels negatively correlated with AZD5991 EC50s in AML cell lines and primary patient samples. AZD5991 combined with inhibition of c-Myc synergistically induced apoptosis in AML cell lines and primary patient samples, and cooperatively targeted leukemia progenitor cells. AML cells with acquired resistance to AZD5991 were resensitized to AZD5991 when c-Myc was inhibited. The combination also showed promising and synergistic antileukemic activity in vitro against AML cell lines with acquired resistance to the main chemotherapeutic drug AraC and primary AML cells derived from a patient at relapse post chemotherapy. The oncoprotein c-Myc represents a potential biomarker of AZD5991 sensitivity and inhibition of c-Myc synergistically enhances the antileukemic activity of AZD5991 against AML.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:27

Enthalten in:

Apoptosis : an international journal on programmed cell death - 27(2022), 11-12 vom: 09. Dez., Seite 913-928

Sprache:

Englisch

Beteiligte Personen:

Liu, Shuang [VerfasserIn]
Qiao, Xinan [VerfasserIn]
Wu, Shuangshuang [VerfasserIn]
Gai, Yuqinq [VerfasserIn]
Su, Yongwei [VerfasserIn]
Edwards, Holly [VerfasserIn]
Wang, Yue [VerfasserIn]
Lin, Hai [VerfasserIn]
Taub, Jeffrey W [VerfasserIn]
Wang, Guan [VerfasserIn]
Ge, Yubin [VerfasserIn]

Links:

Volltext

Themen:

10058-F4
AZD5991
Acute myeloid leukemia
C-Myc
Journal Article
MYC protein, human
Macrocyclic Compounds
Mcl-1
Myeloid Cell Leukemia Sequence 1 Protein
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 02.11.2022

Date Revised 22.11.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s10495-022-01756-7

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM344630781