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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.
Abstract:
We herein report on the activity of the JAK2/JAK3 small molecule inhibitor atiprimod on mouse FDCP-EpoR cells carrying either wild-type (JAK2 (WT)) or mutant (JAK2 (V617F)) JAK2, human acute megakaryoblastic leukemia cells carrying JAK2 (V617F) (SET-2 cell line), and human acute megakaryocytic leukemia carrying mutated JAK3 (CMK cells). Atiprimod inhibited more efficaciously the proliferation of FDCP-EpoR JAK2 (V617F) (IC(50) 0.42 μM) and SET-2 cells (IC(50) 0.53 μM) than that of CMK (IC(50) 0.79 μM) or FDCP-EpoR JAK2 (WT) cells (IC(50) 0.69 μM). This activity was accompanied by inhibition of the phosphorylation of JAK2 and downstream signaling proteins STAT3, STAT5, and AKT in a dose- and time-dependent manner. Atiprimod-induced cell growth inhibition of JAK2 (V617F)-positive cells was coupled with induction of apoptosis, as evidenced by heightened mitochondrial membrane potential and caspase-3 activity, as well as PARP cleavage, increased turnover of the anti-apoptotic X-linked mammalian inhibitor of apoptosis (XIAP) protein, and inhibition of the pro-apoptotic protein BCL-2 in a time- and dose-dependent manner. Furthermore, atiprimod was more effective at inhibiting the proliferation of peripheral blood hematopoietic progenitors obtained from patients with JAK2 (V617F)-positive polycythemia vera than at inhibiting hematopoietic progenitors from normal individuals (p = 0.001). The effect on primary expanded erythroid progenitors was paralleled by a decrease in JAK2(V617F) mutant allele burden in single microaspirated BFU-E and CFU-GM colonies. Taken together, our data supports the clinical testing of atiprimod in patients with hematologic malignancies driven by constitutive activation of JAK2 or JAK3 kinases.
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.
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