A Phenotypic Screen for Small-Molecule Inhibitors of Constitutively Active Mutant Thrombopoietin Receptor Implicated

Anna Ngo, Ann Zhufang Koay, Christian Pecquet

  • 1Experimental Therapeutics Centre, 31 Biopolis Way, #03-01 Nanos, Singapore 138669, Singapore.. Singapore.

Abstract

Insights

Researchers identified a novel monoamine receptor inhibitor that targets cells with active thrombopoietin receptor (TpoR) or erythropoietin receptor (EpoR) signaling. This compound shows synergistic effects with ruxolitinib, offering a potential new treatment for myeloproliferative neoplasms.

Area of Science:

  • Pharmacology
  • Molecular Biology
  • Oncology

Background:

  • Myeloproliferative neoplasms (MPNs) are often driven by mutations in Janus Kinase 2 (JAK2) or the thrombopoietin receptor (TpoR).
  • Current treatments like ruxolitinib target JAK2, but specific TpoR inhibitors could offer greater precision for TpoR-mutated MPNs.

Purpose of the Study:

  • To identify specific inhibitors of TpoR signaling using a cell-based phenotypic screen.
  • To evaluate the efficacy and potential synergistic effects of identified compounds in preclinical models.

Main Methods:

  • Screened a library of 505,483 small molecules for inhibitory activity against cells expressing TpoR mutants.
  • Utilized Ba/F3 cell lines engineered to express specific TpoR mutations (e.g., W515L) and wild-type receptors.
  • Assessed compound effects on cell viability, colony formation in primary bone marrow cells, and drug-drug interactions.

Main Results:

  • Identified indole analogs with preferential inhibition of cell viability in TpoR W515L mutant cells.
  • Observed preferential inhibition in cells expressing erythropoietin receptor (EpoR) under specific stimulation conditions.
  • Demonstrated inhibition of ex vivo colony formation in JAK2 V617F mouse bone marrow cells.
  • Showcased synergistic effects when the identified indole analog was combined with ruxolitinib, particularly when stimulating both IL-3 and TpoR pathways.

Conclusions:

  • A novel monoamine receptor inhibitor was discovered, capable of inhibiting cell viability in TpoR- and EpoR-driven signaling pathways.
  • The identified compound exhibits drug synergism with ruxolitinib, suggesting a potential combination therapy strategy for MPNs.

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