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A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
HSP90 is a therapeutic target in JAK2-dependent myeloproliferative neoplasms in mice and humans
Sachie Marubayashi1, Priya Koppikar, Tony Taldone
1Human Oncology and Pathogenesis Program, Memorial Sloan-Kettering Cancer Center, New York, New York 10065, USA.
Abstract:
JAK2 kinase inhibitors were developed for the treatment of myeloproliferative neoplasms (MPNs), following the discovery of activating JAK2 mutations in the majority of patients with MPN. However, to date JAK2 inhibitor treatment has shown limited efficacy and apparent toxicities in clinical trials. We report here that an HSP90 inhibitor, PU-H71, demonstrated efficacy in cell line and mouse models of the MPN polycythemia vera (PV) and essential thrombocytosis (ET) by disrupting JAK2 protein stability. JAK2 physically associated with both HSP90 and PU-H71 and was degraded by PU-H71 treatment in vitro and in vivo, demonstrating that JAK2 is an HSP90 chaperone client. PU-H71 treatment caused potent, dose-dependent inhibition of cell growth and signaling in JAK2 mutant cell lines and in primary MPN patient samples. PU-H71 treatment of mice resulted in JAK2 degradation, inhibition of JAK-STAT signaling, normalization of peripheral blood counts, and improved survival in MPN models at doses that did not degrade JAK2 in normal tissues or cause substantial toxicity. Importantly, PU-H71 treatment also reduced the mutant allele burden in mice. These data establish what we believe to be a novel therapeutic rationale for HSP90 inhibition in the treatment of JAK2-dependent MPN.
Insights
HSP90 inhibitor PU-H71 effectively treats myeloproliferative neoplasms (MPNs) by degrading JAK2 protein, showing promise for polycythemia vera and essential thrombocytosis models with reduced toxicity.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Activating JAK2 mutations drive myeloproliferative neoplasms (MPNs).
- Current JAK2 inhibitors show limited efficacy and toxicity in MPN treatment.
- Novel therapeutic strategies targeting JAK2 are needed for MPNs.
Purpose of the Study:
- To investigate the efficacy of HSP90 inhibitor PU-H71 in JAK2-dependent MPNs.
- To determine if PU-H71 disrupts JAK2 protein stability and impacts MPN progression.
- To establish a therapeutic rationale for HSP90 inhibition in MPN treatment.
Main Methods:
- Assessed PU-H71 efficacy in MPN cell lines and mouse models.
- Investigated JAK2 protein association with HSP90 and degradation by PU-H71.
- Evaluated JAK-STAT signaling, cell growth, and peripheral blood counts in treated mice.
- Determined the effect of PU-H71 on mutant allele burden in vivo.
Main Results:
- PU-H71 treatment degraded JAK2 protein in vitro and in vivo.
- PU-H71 inhibited cell growth and JAK-STAT signaling in JAK2-mutant cells and MPN samples.
- Mice treated with PU-H71 showed normalized blood counts, improved survival, and reduced mutant allele burden.
- PU-H71 demonstrated efficacy at non-toxic doses in normal tissues.
Conclusions:
- JAK2 is an HSP90 chaperone client protein.
- HSP90 inhibition by PU-H71 represents a novel therapeutic strategy for JAK2-dependent MPNs.
- PU-H71 shows significant therapeutic potential for polycythemia vera and essential thrombocytosis.
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