Enhancing anti-AML activity of venetoclax by isoflavone ME-344 through suppression of OXPHOS and/or purine biosynthesis in vitro

Copyright © 2023 Elsevier Inc. All rights reserved..

Venetoclax (VEN), in combination with low dose cytarabine (AraC) or a hypomethylating agent, is FDA approved to treat acute myeloid leukemia (AML) in patients who are over the age of 75 or cannot tolerate standard chemotherapy. Despite high response rates to these therapies, most patients succumb to the disease due to relapse and/or drug resistance, providing an unmet clinical need for novel therapies to improve AML patient survival. ME-344 is a potent isoflavone with demonstrated inhibitory activity toward oxidative phosphorylation (OXPHOS) and clinical activity in solid tumors. Given that OXPHOS inhibition enhances VEN antileukemic activity against AML, we hypothesized that ME-344 could enhance the anti-AML activity of VEN. Here we report that ME-344 enhanced VEN to target AML cell lines and primary patient samples while sparing normal hematopoietic cells. Cooperative suppression of OXPHOS was detected in a subset of AML cell lines and primary patient samples. Metabolomics analysis revealed a significant reduction of purine biosynthesis metabolites by ME-344. Further, lometrexol, a purine biosynthesis inhibitor, synergistically enhanced VEN-induced apoptosis in AML cell lines. Interestingly, AML cells with acquired AraC resistance showed significantly increased purine biosynthesis metabolites and sensitivities to ME-344. Furthermore, synergy between ME-344 and VEN was preserved in these AraC-resistant AML cells. In vivo studies revealed significantly prolonged survival upon combination therapy of ME-344 and VEN in NSGS mice bearing parental or AraC-resistant MV4-11 leukemia compared to the vehicle control. This study demonstrates that ME-344 enhances VEN antileukemic activity against preclinical models of AML by suppressing OXPHOS and/or purine biosynthesis.

Errataetall:

UpdateOf: Res Sq. 2023 Apr 28;:. - PMID 37162954

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:220

Enthalten in:

Biochemical pharmacology - 220(2024) vom: 27. Jan., Seite 115981

Sprache:

Englisch

Beteiligte Personen:

Hurrish, Katie H [VerfasserIn]
Su, Yongwei [VerfasserIn]
Patel, Shraddha [VerfasserIn]
Ramage, Cassandra L [VerfasserIn]
Zhao, Jianlei [VerfasserIn]
Temby, Brianna R [VerfasserIn]
Carter, Jenna L [VerfasserIn]
Edwards, Holly [VerfasserIn]
Buck, Steven A [VerfasserIn]
Wiley, Sandra E [VerfasserIn]
Hüttemann, Maik [VerfasserIn]
Polin, Lisa [VerfasserIn]
Kushner, Juiwanna [VerfasserIn]
Dzinic, Sijana H [VerfasserIn]
White, Kathryn [VerfasserIn]
Bao, Xun [VerfasserIn]
Li, Jing [VerfasserIn]
Yang, Jay [VerfasserIn]
Boerner, Julie [VerfasserIn]
Hou, Zhanjun [VerfasserIn]
Al-Atrash, Gheath [VerfasserIn]
Konoplev, Sergej N [VerfasserIn]
Busquets, Jonathan [VerfasserIn]
Tiziani, Stefano [VerfasserIn]
Matherly, Larry H [VerfasserIn]
Taub, Jeffrey W [VerfasserIn]
Konopleva, Marina [VerfasserIn]
Ge, Yubin [VerfasserIn]
Baran, Natalia [VerfasserIn]

Links:

Volltext

Themen:

843G0TDV51
Acute myeloid leukemia
Bridged Bicyclo Compounds, Heterocyclic
Isoflavones
Journal Article
ME-344
N54AIC43PW
Oxidative phosphorylation
Purine biosynthesis
Purines
Sulfonamides
Venetoclax

Anmerkungen:

Date Completed 29.01.2024

Date Revised 29.01.2024

published: Print-Electronic

UpdateOf: Res Sq. 2023 Apr 28;:. - PMID 37162954

Citation Status MEDLINE

doi:

10.1016/j.bcp.2023.115981

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365721379