Unique anti-myeloma activity by thiazolidine-2,4-dione compounds with Pim inhibiting activity
Shiro Fujii1, Shingen Nakamura1, Asuka Oda1
1Department of Haematology, Endocrinology and Metabolism, Tokushima University Graduate School, Tokushima, Japan.
Abstract:
Proviral Integrations of Moloney virus 2 (PIM2) is overexpressed in multiple myeloma (MM) cells, and regarded as an important therapeutic target. Here, we aimed to validate the therapeutic efficacy of different types of PIM inhibitors against MM cells for their possible clinical application. Intriguingly, the thiazolidine-2,4-dione-family compounds SMI-16a and SMI-4a reduced PIM2 protein levels and impaired MM cell survival preferentially in acidic conditions, in contrast to other types of PIM inhibitors, including AZD1208, CX-6258 and PIM447. SMI-16a also suppressed the drug efflux function of breast cancer resistance protein, minimized the sizes of side populations and reduced in vitro colony-forming capacity and in vivo tumourigenic activity in MM cells, suggesting impairment of their clonogenic capacity. PIM2 is known to be subject to ubiquitination-independent proteasomal degradation. Consistent with this, the proteasome inhibitors bortezomib and carfilzomib increased PIM2 protein levels in MM cells without affecting its mRNA levels. However, SMI-16a mitigated the PIM2 protein increase and cooperatively enhanced anti-MM effects in combination with carfilzomib. Collectively, the thiazolidine-2,4-dione-family compounds SMI-16a and SMI-4a uniquely reduce PIM2 protein in MM cells, which may contribute to their profound efficacy in addition to their immediate kinase inhibition. Their combination with proteasome inhibitors is envisioned.
Insights
New PIM2 inhibitors, SMI-16a and SMI-4a, show unique efficacy against multiple myeloma (MM) by reducing PIM2 protein levels, especially in acidic environments. These compounds also enhance proteasome inhibitor effectiveness in MM treatment.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Proviral Integrations of Moloney virus 2 (PIM2) is overexpressed in multiple myeloma (MM) cells, presenting a key therapeutic target.
- Existing PIM inhibitors have varying efficacies and mechanisms against MM.
Purpose of the Study:
- To validate the therapeutic efficacy of different PIM inhibitors against MM cells.
- To explore novel therapeutic strategies targeting PIM2 in MM.
Main Methods:
- Screening of various PIM inhibitors, including thiazolidine-2,4-dione compounds (SMI-16a, SMI-4a) and others (AZD1208, CX-6258, PIM447).
- Assessment of PIM2 protein levels, MM cell survival, drug efflux function, and clonogenic capacity.
- Evaluation of drug combinations with proteasome inhibitors (bortezomib, carfilzomib).
Main Results:
- SMI-16a and SMI-4a reduced PIM2 protein levels and impaired MM cell survival, particularly in acidic conditions.
- SMI-16a suppressed breast cancer resistance protein efflux, reduced side populations, and inhibited in vitro/in vivo tumorigenicity.
- SMI-16a mitigated PIM2 protein increase induced by proteasome inhibitors and showed synergistic anti-MM effects with carfilzomib.
Conclusions:
- Thiazolidine-2,4-dione compounds SMI-16a and SMI-4a uniquely reduce PIM2 protein in MM cells, contributing to their efficacy.
- The combination of SMI-16a with proteasome inhibitors offers a promising therapeutic strategy for multiple myeloma.
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