Preclinical characterization of atiprimod, a novel JAK2 AND JAK3 inhibitor

Alfonso Quintás-Cardama1, Taghi Manshouri, Zeev Estrov

  • 1Department of Leukemia, UT MD Anderson Cancer Center, Unit 428, 1515 Holcombe Blvd, Houston TX 77030, USA.

Insights

The JAK2/JAK3 inhibitor atiprimod effectively reduced proliferation and induced apoptosis in cancer cells with JAK2 (V617F) mutations. It also decreased the JAK2 mutant allele burden in polycythemia vera patients, supporting clinical trials.

Area of Science:

  • Oncology
  • Molecular Biology
  • Hematology

Background:

  • Janus kinase (JAK) signaling pathways are crucial in hematopoiesis and immune responses.
  • Constitutive activation of JAK2 (V617F) and JAK3 mutations drives various hematologic malignancies.
  • Targeting JAK kinases offers a therapeutic strategy for these diseases.

Purpose of the Study:

  • To evaluate the efficacy of the small molecule JAK2/JAK3 inhibitor atiprimod.
  • To assess atiprimod's activity against cells with wild-type and mutant JAK2, and mutated JAK3.
  • To investigate atiprimod's effects on signaling pathways and apoptosis in cancer cells and patient-derived progenitors.

Main Methods:

  • In vitro studies using mouse FDCP-EpoR cells (JAK2 WT and V617F), human leukemia cell lines (SET-2, CMK).
  • Assays included cell proliferation (IC50), Western blotting for signaling proteins (STAT3, STAT5, AKT), apoptosis markers (caspase-3, PARP cleavage, mitochondrial potential).
  • Evaluation of atiprimod's effect on primary hematopoietic progenitors from polycythemia vera patients and healthy individuals.

Main Results:

  • Atiprimod potently inhibited proliferation of JAK2 (V617F)-mutated cells (FDCP-EpoR V617F, SET-2) and JAK3-mutated cells (CMK) compared to JAK2 WT cells.
  • Inhibition of JAK2 phosphorylation and downstream signaling (STAT3, STAT5, AKT) was observed in a dose- and time-dependent manner.
  • Atiprimod induced apoptosis in JAK2 (V617F)-positive cells and reduced the JAK2 (V617F) mutant allele burden in patient-derived erythroid progenitors.

Conclusions:

  • Atiprimod demonstrates significant anti-proliferative and pro-apoptotic activity against JAK2/JAK3-driven hematologic malignancies.
  • The drug's efficacy in reducing mutant allele burden in patient samples is promising.
  • These findings support the clinical investigation of atiprimod for hematologic malignancies with constitutive JAK2 or JAK3 activation.

Related Concept Videos

The JAK-STAT Signaling Pathway01:20

The JAK-STAT Signaling Pathway

Several cytokine receptors have tightly bound Janus kinase or JAK proteins attached at their cytosolic tail. Small signaling molecules such as cytokines, growth hormones, or prolactins bind to the cytokine receptors and initiate their dimerization. The dimerization brings the cytosolic JAKs together that trans-phosphorylate and activates each other. The activated JAKs now phosphorylate cytosolic tails of the cytokine receptors, which serve as binding sites for adaptor proteins such as  SH2...
Preclinical Development: Overview01:28

Preclinical Development: Overview

Preclinical development consists of a series of tests that ensure the safety and efficacy of a new therapeutic compound before it is tested in humans. There are four main phases to this process. First, safety pharmacology tests are conducted to ensure the drug does not produce any acutely harmful effects. These tests examine parameters such as bronchoconstriction, cardiac dysrhythmias, blood pressure changes, and ataxia. Next, preliminary toxicological testing is performed to determine the...
PI3K/mTOR/AKT Signaling Pathway01:22

PI3K/mTOR/AKT Signaling Pathway

The mammalian target of rapamycin  (mTOR) is a serine/threonine kinase that regulates growth, proliferation, and cell survival in response to hormones, growth factors, or nutrient availability. This kinase exists in two structurally and functionally distinct forms: mTOR complex 1  (mTORC1) and mTOR complex 2  (mTORC2). The first form (mTORC1) is composed of a rapamycin-sensitive Raptor and proline-rich Akt substrate, PRAS40. In contrast,  mTORC2 consists of a rapamycin-insensitive companion...
Dipeptidyl Peptidase 4 Inhibitors01:23

Dipeptidyl Peptidase 4 Inhibitors

Dipeptidyl peptidase 4 (DPP-4) is a serine protease widely distributed in the body. It's involved in the inactivation of GLP-1 and GIP hormones, which are crucial for insulin regulation. DPP-4 inhibitors, such as sitagliptin (Januvia), saxagliptin (Onglyza), linagliptin (Tradjenta), alogliptin (Nesina), and vildagliptin (Galvus), help increase the proportion of active GLP-1, enhancing insulin secretion. These inhibitors work by competitively binding to DPP-4. This binding causes a significant...
Inhibition of CDK Activity02:34

Inhibition of CDK Activity

The orderly progression of the cell cycle depends on the activation of Cdk protein by binding to its cyclin partner. However, the cell cycle must be restricted when undergoing abnormal changes. Most cancers correlate to the deregulated cell cycle, and since Cdks are a central component of the cell cycle, Cdk inhibitors are extensively studied to develop anticancer agents. For instance, cyclin D associates with several Cdks, such as Cdk 4/6, to form an active complex. The cyclin D-Cdk4/6 complex...
Therapeutic Drug Monitoring: Overview and Classification01:16

Therapeutic Drug Monitoring: Overview and Classification

Therapeutic Drug Monitoring (TDM) is a clinical practice that measures specific drug levels in a patient's blood at designated intervals to ensure the drug concentration stays within a therapeutic range. This monitoring is crucial for optimizing individual dosage regimens, enhancing therapeutic efficacy, and minimizing drug-related toxicity. TDM is vital for drugs with narrow therapeutic windows, significant variability in pharmacokinetics, and a clear correlation between plasma levels and...