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Updated: Apr 4, 2026

A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
Stathmin 1 inhibition amplifies ruxolitinib-induced apoptosis in JAK2V617F cells
João Agostinho Machado-Neto1, Paula de Melo Campos1, Patricia Favaro1,2
1Hematology and Hemotherapy Center, University of Campinas/Hemocentro-Unicamp, Instituto Nacional de Ciência e Tecnologia do Sangue, Campinas, São Paulo, Brazil.
Abstract:
The JAK/STAT pathway is constitutively activated in myeloproliferative neoplasms and can be inhibited by ruxolitinib, a selective JAK1/2 inhibitor. The JAK2(V617F) mutation leads to constitutive STAT3 phosphorylation and potentially leads to inhibition of Stathmin 1 activity via STAT3. In support of this hypothesis, we found that, in HEL JAK2(V617F) cells, ruxolitinib treatment decreased STAT3 and Stathmin 1 association, induced Stathmin 1 activation and microtubule instability. Silencing of Stathmin 1 significantly reduced cell proliferation and clonal growth, and increased apoptosis induced by ruxolitinib. Stathmin 1 silencing also prevented ruxolitinib-induced microtubule instability. To phenocopy the effect of Stathmin 1 inhibition, cells were treated with paclitaxel, a microtubule-stabilizing drug, in association or not with ruxolitinib; combined treatment significantly increased apoptosis, when compared to monotherapy. Notably, Stathmin 1 mRNA levels were highly expressed in CD34(+) cells from primary myelofibrosis patients. We then proposed that an undesired effect of ruxolitinib treatment may constitute Stathmin 1 activation and microtubule instability in JAK2(V617F) cells. Induction of microtubule stability, through Stathmin 1 silencing or paclitaxel treatment, combined with ruxolitinib could be an effective strategy for promoting apoptosis in JAK2(V617F) cells.
Insights
Ruxolitinib, a JAK inhibitor, activates Stathmin 1 and destabilizes microtubules in myeloproliferative neoplasms. Combining ruxolitinib with microtubule-stabilizing drugs like paclitaxel enhances apoptosis, offering a novel therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- The JAK/STAT pathway is crucial in myeloproliferative neoplasms (MPNs) and is targeted by ruxolitinib.
- The JAK2(V617F) mutation drives MPNs, leading to STAT3 activation and potential Stathmin 1 inhibition.
Purpose of the Study:
- To investigate the effect of ruxolitinib on Stathmin 1 and microtubule dynamics in JAK2(V617F)-mutated cells.
- To explore the therapeutic potential of combining ruxolitinib with microtubule-stabilizing agents.
Main Methods:
- Utilized HEL JAK2(V617F) cells and primary myelofibrosis patient samples.
- Assessed protein interactions, Stathmin 1 activation, microtubule stability, cell proliferation, apoptosis, and gene expression.
- Employed ruxolitinib, Stathmin 1 silencing, and paclitaxel treatment.
Main Results:
- Ruxolitinib treatment decreased STAT3-Stathmin 1 association, activated Stathmin 1, and induced microtubule instability.
- Stathmin 1 silencing reduced cell proliferation and enhanced ruxolitinib-induced apoptosis and microtubule instability.
- Combined ruxolitinib and paclitaxel treatment significantly increased apoptosis compared to monotherapy.
- High Stathmin 1 mRNA levels were observed in CD34(+) cells from primary myelofibrosis patients.
Conclusions:
- Ruxolitinib treatment may inadvertently activate Stathmin 1 and destabilize microtubules in JAK2(V617F) cells.
- Inducing microtubule stability via Stathmin 1 silencing or paclitaxel, in combination with ruxolitinib, is a promising strategy for promoting apoptosis in JAK2(V617F)-driven MPNs.
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