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Combined effects of novel tyrosine kinase inhibitor AMN107 and histone deacetylase inhibitor LBH589 against Bcr-Abl-expressing human leukemia cells.

Abstract
AMN107 (Novartis Pharmaceuticals, Basel, Switzerland) has potent in vitro and in vivo activity against the unmutated and most common mutant forms of Bcr-Abl. Treatment with the histone deacetylase inhibitor LBH589 (Novartis) depletes Bcr-Abl levels. We determined the effects of AMN107 and/or LBH589 in Bcr-Abl-expressing human K562 and LAMA-84 cells, as well as in primary chronic myelogenous leukemia (CML) cells. AMN107 was more potent than imatinib mesylate (IM) in inhibiting Bcr-Abl tyrosine kinase (TK) activity and attenuating p-STAT5, p-AKT, Bcl-x(L), and c-Myc levels in K562 and LAMA-84 cells. Cotreatment with LBH589 and AMN107 exerted synergistic apoptotic effects with more attenuation of p-STAT5, p-ERK1/2, c-Myc, and Bcl-x(L) and increases in p27 and Bim levels. LBH589 attenuated Bcr-Abl levels and induced apoptosis of mouse pro-B BaF3 cells containing ectopic expression of Bcr-Abl or the IM-resistant, point-mutant Bcr-AblT315I and Bcr-AblE255K. Treatment with LBH589 also depleted Bcr-Abl levels and induced apoptosis of IM-resistant primary human CML cells, including those with expression of Bcr-AblT315I. As compared with either agent alone, cotreatment with AMN107 and LBH589 induced more loss of cell viability of primary IM-resistant CML cells. Thus, cotreatment with LBH589 and AMN107 is active against cultured or primary IM-resistant CML cells, including those with expression of Bcr-AblT315I.
AuthorsWarren Fiskus, Michael Pranpat, Purva Bali, Maria Balasis, Sandhya Kumaraswamy, Sandhya Boyapalle, Kathy Rocha, Jie Wu, Francis Giles, Paul W Manley, Peter Atadja, Kapil Bhalla
JournalBlood (Blood) Vol. 108 Issue 2 Pg. 645-52 (Jul 15 2006) ISSN: 0006-4971 [Print] United States
PMID16537804 (Publication Type: Journal Article)
Chemical References
  • Benzamides
  • Histone Deacetylase Inhibitors
  • Hydroxamic Acids
  • Indoles
  • Piperazines
  • Pyrimidines
  • Imatinib Mesylate
  • Panobinostat
  • Protein-Tyrosine Kinases
  • Fusion Proteins, bcr-abl
  • nilotinib
Topics
  • Animals
  • Apoptosis (drug effects)
  • Benzamides
  • Cell Line, Tumor
  • Drug Resistance, Neoplasm
  • Drug Synergism
  • Fusion Proteins, bcr-abl (antagonists & inhibitors)
  • Histone Deacetylase Inhibitors
  • Humans
  • Hydroxamic Acids (pharmacology)
  • Imatinib Mesylate
  • Indoles
  • Leukemia (drug therapy, pathology)
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive (drug therapy, pathology)
  • Mice
  • Panobinostat
  • Piperazines (pharmacology)
  • Protein-Tyrosine Kinases (antagonists & inhibitors)
  • Pyrimidines (pharmacology)
  • Tumor Cells, Cultured

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