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Updated: May 10, 2026

Pre-clinical Evaluation of Tyrosine Kinase Inhibitors for Treatment of Acute Leukemia
Published on: September 18, 2013
JAK inhibitors suppress t(8;21) fusion protein-induced leukemia
1Moores UCSD Cancer Center, University of California San Diego, La Jolla, CA, USA.
Abstract:
Oncogenic mutations in components of the JAK/STAT pathway, including those in cytokine receptors and JAKs, lead to increased activity of downstream signaling and are frequently found in leukemia and other hematological disorders. Thus, small-molecule inhibitors of this pathway have been the focus of targeted therapy in these hematological diseases. We previously showed that t(8;21) fusion protein acute myeloid leukemia (AML)1-ETO and its alternatively spliced variant AML1-ETO9a (AE9a) enhance the JAK/STAT pathway via downregulation of CD45, a negative regulator of this pathway. To investigate the therapeutic potential of targeting JAK/STAT in t(8;21) leukemia, we examined the effects of a JAK2-selective inhibitor TG101209 and a JAK1/2-selective inhibitor INCB18424 on t(8;21) leukemia cells. TG101209 and INCB18424 inhibited proliferation and promoted apoptosis of these cells. Furthermore, TG101209 treatment in AE9a leukemia mice reduced tumor burden and significantly prolonged survival. TG101209 also significantly impaired the leukemia-initiating potential of AE9a leukemia cells in secondary recipient mice. These results demonstrate the potential therapeutic efficacy of JAK inhibitors in treating t(8;21) AML.
Insights
Targeting the JAK/STAT pathway with inhibitors like TG101209 shows promise for treating acute myeloid leukemia (AML) driven by the t(8;21) fusion protein. These JAK inhibitors effectively reduced leukemia cell growth and improved survival in preclinical models.
Area of Science:
- Oncology
- Molecular Biology
- Hematology
Background:
- The JAK/STAT pathway is frequently dysregulated in hematological malignancies, making it a target for cancer therapy.
- The t(8;21) fusion protein AML1-ETO and its variant AE9a enhance JAK/STAT signaling by downregulating CD45, a key pathway regulator.
- Targeting JAK/STAT signaling is a potential therapeutic strategy for t(8;21) acute myeloid leukemia (AML).
Purpose of the Study:
- To investigate the therapeutic efficacy of JAK inhibitors in t(8;21) AML.
- To evaluate the effects of TG101209 (JAK2-selective) and INCB18424 (JAK1/2-selective) on t(8;21) leukemia cells and in vivo models.
Main Methods:
- Treatment of t(8;21) leukemia cells with JAK inhibitors TG101209 and INCB18424.
- Assessment of cell proliferation and apoptosis.
- In vivo studies using AE9a leukemia mouse models treated with TG101209.
- Evaluation of tumor burden, survival, and leukemia-initiating potential in secondary recipients.
Main Results:
- Both TG101209 and INCB18424 inhibited proliferation and induced apoptosis in t(8;21) leukemia cells.
- TG101209 treatment in mice significantly reduced tumor burden and prolonged survival.
- TG101209 impaired the leukemia-initiating capacity of AE9a leukemia cells in secondary recipients.
Conclusions:
- JAK inhibitors demonstrate significant therapeutic potential for treating t(8;21) AML.
- Targeting JAK/STAT signaling offers a promising strategy for AML therapy.
- TG101209 shows efficacy in reducing tumor burden and improving survival in preclinical models of t(8;21) AML.
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