Obatoclax is a clinical stage
drug candidate that has been proposed to target and inhibit prosurvival members of the Bcl-2 family, and thereby contribute to
cancer cell lethality. The insolubility of this compound, however, has precluded the use of many classical
drug-target interaction assays for its study. Thus, a direct demonstration of the proposed mechanism of action, and preferences for individual Bcl-2 family members, remain to be established.
METHODS: Employing modified
proteins and
lipids, we recapitulated the constitutive association and topology of mitochondrial outer membrane Mcl-1 and Bak in synthetic large
unilamellar liposomes, and measured bakdependent bilayer permeability. Additionally, cellular and
tumor models, dependent on Mcl-1 for survival, were employed.
RESULTS: We show that regulation of bilayer permeabilization by the tBid - Mcl-1 - Bak axis closely resemblesthe tBid - Bcl-XL - Bax model.
Obatoclax rapidly and completely partitioned into liposomal
lipid but also rapidly exchanged between
liposome particles. In this system,
obatoclax was found to be a direct and potent antagonist of
liposome-bound Mcl-1 but not of
liposome-bound Bcl-XL, and did not directly influence Bak. A 2.5 molar excess of
obatoclax relative to Mcl-1 overcame Mcl-1-mediated inhibition of tBid-Bak activation. Similar results were found for induction of Bak oligomers by Bim.
Obatoclax exhibited potent lethality in a cellmodel dependent on Mcl-1 for viability but not in cells dependent on Bcl-XL. Molecular modeling predicts that the 3-methoxy moiety of
obatoclax penetrates into the P2 pocket of the BH3 binding site of Mcl-1. A desmethoxy derivative of
obatoclax failed to inhibit Mcl-1 in
proteoliposomes and did not kill cells whose survival depends on Mcl-1. Systemic treatment of mice bearing Tsc2(+) (/) (-) Em-myc
lymphomas (whose cells depend on Mcl-1 for survival) with
obatoclax conferred a survival advantage compared to vehicle alone (median 31 days vs 22 days, respectively; p=0.003). In an Akt-
lymphoma mouse model, the anti-
tumor effects of
obatoclax synergized with
doxorubicin. Finally, treatment of the
multiple myeloma KMS11 cell model (dependent on Mcl-1 for survival) with
dexamethasone induced Bim and Bim-dependent lethality. As predicted for an Mcl-1 antagonist,
obatoclax and
dexamethasone were synergistic in this model.
CONCLUSIONS: Taken together, these findings indicate that
obatoclax is a potent antagonist of membranerestricted Mcl-1.
Obatoclax represents an attractive chemical series to generate second generation Mcl-1 inhibitors.