Cyclin-dependent kinase 9 as a potential specific molecular target in NK-cell leukemia/lymphoma

Shiori Kinoshita1, Takashi Ishida2,3, Asahi Ito1

  • 1Department of Hematology and Oncology, Nagoya City University Graduate School of Medical Sciences, Japan.

Haematologica
|August 5, 2018
PubMed

Insights

BAY 1143572, a selective inhibitor of cyclin-dependent kinase 9, shows promise for treating aggressive natural killer (NK) cell leukemias. This drug reduced tumor cell infiltration and improved survival in preclinical models.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Natural killer (NK) cell leukemias/lymphomas, including extranodal NK/T-cell lymphoma and aggressive NK-cell leukemia, are associated with poor prognoses.
  • Cyclin-dependent kinase 9 (CDK9) is a key regulator of transcription elongation and a potential therapeutic target in hematologic malignancies.

Purpose of the Study:

  • To evaluate the therapeutic potential of BAY 1143572, a selective CDK9 inhibitor, against aggressive NK cell leukemias/lymphomas.
  • To investigate the mechanism of action of BAY 1143572 in preclinical models of NK cell malignancies.

Main Methods:

  • BAY 1143572 was tested in vitro on NK cell leukemia/lymphoma lines and primary patient cells.
  • A xenogeneic mouse model was established using primary aggressive NK-cell leukemia cells to test BAY 1143572 in vivo.
  • Effects on RNA polymerase II C-terminal domain phosphorylation, c-Myc and Mcl-1 levels, cell growth, apoptosis, tumor infiltration, and survival were assessed.

Main Results:

  • BAY 1143572 inhibited CDK9, leading to reduced phosphorylation of RNA polymerase II C-terminal domain.
  • This inhibition decreased c-Myc and Mcl-1 levels, causing growth arrest and apoptosis in NK cell lines and primary cells.
  • In vivo administration of BAY 1143572 reduced tumor cell infiltration and improved survival in a mouse model of aggressive NK-cell leukemia.

Conclusions:

  • BAY 1143572 effectively inhibits CDK9 and demonstrates preclinical efficacy against aggressive NK cell leukemias/lymphomas.
  • The drug's mechanism involves downregulation of key oncogenic and anti-apoptotic proteins, leading to tumor cell death and reduced dissemination.
  • BAY 1143572 represents a potential targeted therapy for patients with poor-prognosis NK cell malignancies.

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