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I-kappa-kinase-2 (IKK-2) inhibition potentiates vincristine cytotoxicity in non-Hodgkin's lymphoma.

AbstractBACKGROUND:
IKK-2 is an important regulator of the nuclear factor-κB (NF-κB) which has been implicated in survival, proliferation and apoptosis resistance of lymphoma cells. In this study, we investigated whether inhibition of IKK-2 impacts cell growth or cytotoxicity of selected conventional chemotherapeutic agents in non-Hodgkin's lymphoma.Two established model systems were used; Follicular (WSU-FSCCL) and Diffuse Large Cell (WSU-DLCL2) Lymphoma, both of which constitutively express p-IκB. A novel, selective small molecule inhibitor of IKK-2, ML120B (N-[6-chloro-7-methoxy-9H-β-carbolin-8-yl]-2-methylnicotinamide) was used to perturb NF-κB in lymphoma cells. The growth inhibitory effect of ML120B (M) alone and in combination with cyclophosphamide monohydrate (C), doxorubicin (H) or vincristine (V) was evaluated in vitro using short-term culture assay. We also determined efficacy of the combination in vivo using the SCID mouse xenografts.
RESULTS:
ML120B down-regulated p-IκBα protein expression in a concentration dependent manner, caused growth inhibition, increased G0/G1 cells, but did not induce apoptosis. There was no significant enhancement of cell kill in the M/C or M/H combination. However, there was strong synergy in the M/V combination where the vincristine concentration can be lowered by a hundred fold in the combination for comparable G2/M arrest and apoptosis. ML120B prevented vincristine-induced nuclear translocation of p65 subunit of NF-κB. In vivo, ML120B was effective by itself and enhanced CHOP anti-tumor activity significantly (P = 0.001) in the WSU-DLCL2-SCID model but did not prevent CNS lymphoma in the WSU-FSCCL-SCID model.
CONCLUSIONS:
For the first time, this study demonstrates that perturbation of IKK-2 by ML120B leads to synergistic enhancement of vincristine cytotoxicity in lymphoma. These results suggest that disruption of the NF-κB pathway is a useful adjunct to cytotoxic chemotherapy in lymphoma.
AuthorsAyad Al-Katib, Alan A Arnold, Amro Aboukameel, Angela Sosin, Peter Smith, Anwar N Mohamed, Frances W Beck, Ramzi M Mohammad
JournalMolecular cancer (Mol Cancer) Vol. 9 Pg. 228 (Sep 01 2010) ISSN: 1476-4598 [Electronic] England
PMID20809973 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Chemical References
  • Antitussive Agents
  • Enzyme Inhibitors
  • Niacinamide
  • Vincristine
  • Doxorubicin
  • Cyclophosphamide
  • I-kappa B Kinase
Topics
  • Animals
  • Antitussive Agents (therapeutic use)
  • Apoptosis (drug effects)
  • Blotting, Western
  • Cell Cycle (drug effects)
  • Cell Line, Tumor
  • Cyclophosphamide (therapeutic use)
  • Doxorubicin (therapeutic use)
  • Enzyme Inhibitors (therapeutic use)
  • Female
  • Flow Cytometry
  • Humans
  • I-kappa B Kinase (antagonists & inhibitors)
  • Lymphoma, Large B-Cell, Diffuse (drug therapy)
  • Lymphoma, Non-Hodgkin (drug therapy)
  • Mice
  • Mice, SCID
  • Microscopy, Fluorescence
  • Niacinamide (analogs & derivatives, therapeutic use)
  • Vincristine (therapeutic use)
  • Xenograft Model Antitumor Assays

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