1. Targeting Bfl-1 via acute CDK9 inhibition overcomes intrinsic BH3-mimetic resistance in lymphomas.
- Author
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Boiko S, Proia T, San Martin M, Gregory GP, Wu MM, Aryal N, Hattersley M, Shao W, Saeh JC, Fawell SE, Johnstone RW, Drew L, and Cidado J
- Subjects
- Animals, Antineoplastic Agents pharmacology, Bridged Bicyclo Compounds, Heterocyclic therapeutic use, Cell Line, Tumor, Cyclin-Dependent Kinase 9 physiology, Cycloheximide pharmacology, Female, Gene Expression Regulation, Neoplastic drug effects, Humans, Leupeptins pharmacology, Macrocyclic Compounds therapeutic use, Mice, Mice, Inbred NOD, Mice, SCID, Minor Histocompatibility Antigens biosynthesis, Minor Histocompatibility Antigens genetics, Myeloid Cell Leukemia Sequence 1 Protein biosynthesis, Myeloid Cell Leukemia Sequence 1 Protein genetics, Neoplasm Proteins biosynthesis, Neoplasm Proteins genetics, Peptide Fragments antagonists & inhibitors, Piperazines pharmacology, Proto-Oncogene Proteins antagonists & inhibitors, Proto-Oncogene Proteins c-bcl-2 biosynthesis, Proto-Oncogene Proteins c-bcl-2 genetics, Pyridines pharmacology, Sulfonamides therapeutic use, Xenograft Model Antitumor Assays, Bridged Bicyclo Compounds, Heterocyclic pharmacology, Cyclin-Dependent Kinase 9 antagonists & inhibitors, Drug Resistance, Neoplasm drug effects, Lymphoma, Large B-Cell, Diffuse drug therapy, Macrocyclic Compounds pharmacology, Molecular Targeted Therapy, Neoplasm Proteins antagonists & inhibitors, Proto-Oncogene Proteins c-bcl-2 antagonists & inhibitors, Sulfonamides pharmacology
- Abstract
BH3 mimetics like venetoclax target prosurvival Bcl-2 family proteins and are important therapeutics in the treatment of hematological malignancies. We demonstrate that endogenous Bfl-1 expression can render preclinical lymphoma tumor models insensitive to Mcl-1 and Bcl-2 inhibitors. However, suppression of Bfl-1 alone was insufficient to fully induce apoptosis in Bfl-1-expressing lymphomas, highlighting the need for targeting additional prosurvival proteins in this context. Importantly, we demonstrated that cyclin-dependent kinase 9 (CDK9) inhibitors rapidly downregulate both Bfl-1 and Mcl-1, inducing apoptosis in BH3-mimetic-resistant lymphoma cell lines in vitro and driving in vivo tumor regressions in diffuse large B-cell lymphoma patient-derived xenograft models expressing Bfl-1. These data underscore the need to clinically develop CDK9 inhibitors, like AZD4573, for the treatment of lymphomas using Bfl-1 as a selection biomarker., (© 2021 by The American Society of Hematology.)
- Published
- 2021
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