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Novel mTOR inhibitory activity of ciclopirox enhances parthenolide antileukemia activity
Siddhartha Sen1, Duane C Hassane, Cheryl Corbett
1Division of Hematology and Medical Oncology, Department of Medicine, Weill Medical College of Cornell University, New York, New York, USA.
Abstract:
Ciclopirox, an antifungal agent commonly used for the dermatologic treatment of mycoses, has been shown recently to have antitumor properties. Although the exact mechanism of ciclopirox is unclear, its antitumor activity has been attributed to iron chelation and inhibition of the translation initiation factor eIF5A. In this study, we identify a novel function of ciclopirox in the inhibition of mTOR. As with other mTOR inhibitors, we show that ciclopirox significantly enhances the ability of the established preclinical antileukemia compound, parthenolide, to target acute myeloid leukemia. The combination of parthenolide and ciclopirox demonstrates greater toxicity against acute myeloid leukemia than treatment with either compound alone. We also demonstrate that the ability of ciclopirox to inhibit mTOR is specific to ciclopirox because neither iron chelators nor other eIF5A inhibitors affect mTOR activity, even at high doses. We have thus identified a novel function of ciclopirox that might be important for its antileukemic activity.
Insights
Ciclopirox, an antifungal, shows new antitumor effects by inhibiting mTOR. This enhances parthenolide
Area of Science:
- Pharmacology
- Oncology
- Molecular Biology
Background:
- Ciclopirox, an antifungal, exhibits antitumor properties.
- Its mechanism involves iron chelation and eIF5A inhibition.
- The precise mechanism underlying its antitumor activity remains under investigation.
Purpose of the Study:
- To identify a novel function of ciclopirox.
- To investigate ciclopirox's effect on mTOR signaling.
- To evaluate the combination of ciclopirox and parthenolide for acute myeloid leukemia treatment.
Main Methods:
- Investigated ciclopirox's effect on mTOR activity.
- Assessed the synergistic toxicity of ciclopirox and parthenolide against acute myeloid leukemia cells.
- Differentiated ciclopirox's mTOR inhibition from iron chelation and eIF5A inhibition.
Main Results:
- Ciclopirox was found to inhibit mTOR, a novel function.
- The combination of ciclopirox and parthenolide showed enhanced toxicity against acute myeloid leukemia.
- mTOR inhibition by ciclopirox is specific and not related to iron chelation or eIF5A inhibition.
Conclusions:
- Ciclopirox possesses a novel mTOR-inhibiting function.
- This mTOR inhibition may contribute to ciclopirox's antileukemic activity.
- The combination therapy of ciclopirox and parthenolide shows promise for acute myeloid leukemia treatment.
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