Depsipeptide and roxithromycin induce apoptosis of lymphoma cells by blocking extracellular signal-regulated kinase activation
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Updated: May 3, 2026

Identification of Mediators of T-cell Receptor Signaling via the Screening of Chemical Inhibitor Libraries
Published on: January 22, 2019
Sohshi Morimura1, Makoto Sugaya, Hiromichi Kai
1Department of Dermatology, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
Abstract:
Depsipeptide (FK228), a histone deacetylase inhibitor, was recently approved for use in cutaneous T-cell lymphoma. Roxithromycin (RXM) is a macrolide antibiotic that can induce apoptosis of some T-cell lines. In this study, we investigated whether combination of FK228 and RXM had a synergistic inhibitory effect on cell survival of various lymphoma cells and which signaling pathway was affected by the drugs in the presence or absence of chemokines, which were reported to inhibit apoptosis of some tumor cells. FK228 and RXM additively decreased the number of HUT-78, Ki-JK and EL-4 lymphoma cells at doses over 50 nmol/L and 50 μmol/L, respectively. These drugs inhibited phosphorylation of Akt and extracellular signal-regulated kinase (ERK) of EL-4 cells in a dose-dependent manner. Significant association between ERK phosphorylation and cell number or annexin V(+) cells suggested that the ERK pathway may be critical for survival of EL-4 cells. Combination of 10 or 50 nmol/L of FK228 and 10 μmol/L of RXM decreased cell number of HUT78 and EL-4 compared to a single use of each drug. Our in vitro study suggested that combination of FK228 and RXM may be helpful for enhancing tumor killing effects. Although further study is necessary, this combination may be applicable to patients with cutaneous T-cell lymphoma in the future.
Insights
The combination of depsipeptide (FK228) and roxithromycin (RXM) showed additive effects in reducing lymphoma cell survival. This drug combination may enhance tumor-killing effects, potentially benefiting cutaneous T-cell lymphoma patients.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Depsipeptide (FK228) is an approved histone deacetylase inhibitor for cutaneous T-cell lymphoma.
- Roxithromycin (RXM), a macrolide antibiotic, can induce apoptosis in certain T-cell lines.
- Chemokines may inhibit tumor cell apoptosis, influencing treatment efficacy.
Purpose of the Study:
- To investigate the synergistic effect of combining FK228 and RXM on lymphoma cell survival.
- To identify signaling pathways affected by FK228 and RXM, with or without chemokines.
- To evaluate the potential of this drug combination for cancer therapy.
Main Methods:
- In vitro assessment of FK228 and RXM effects on HUT-78, Ki-JK, and EL-4 lymphoma cells.
- Dose-response analysis of drug-induced cell death and apoptosis.
- Western blot analysis to examine Akt and extracellular signal-regulated kinase (ERK) phosphorylation.
- Evaluation of drug combinations at specific concentrations.
Main Results:
- FK228 and RXM additively decreased lymphoma cell numbers at specific doses.
- Both drugs inhibited Akt and ERK phosphorylation in EL-4 cells.
- ERK phosphorylation was significantly associated with cell number and apoptosis markers.
- Combined FK228 and RXM reduced cell numbers more effectively than single agents.
Conclusions:
- The combination of FK228 and RXM demonstrates additive cytotoxic effects against lymphoma cells.
- The extracellular signal-regulated kinase (ERK) pathway appears critical for lymphoma cell survival.
- This combination therapy shows promise for enhancing anti-lymphoma activity in vitro.
- Further research may support the clinical application of FK228 and RXM in cutaneous T-cell lymphoma treatment.
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