Confounding off-target effects of BH3 mimetics at commonly used concentrations: MIM1, UMI-77, and A-1210477

David J Mallick1, Ryan S Soderquist2, Darcy Bates3

  • 1Department of Molecular and Systems Biology, Geisel School of Medicine at Dartmouth, Lebanon, NH, 03756, USA.

Cell Death & Disease
|February 24, 2019
PubMed

Insights

Researchers investigated MCL1 inhibitors, finding MIM1 and UMI-77 indirectly kill cancer cells by inducing NOXA. A-1210477 showed a novel, rapid apoptosis pathway independent of BAX/BAK, offering potential therapeutic avenues.

Area of Science:

  • Molecular Biology
  • Cancer Therapeutics
  • Drug Discovery

Background:

  • Targeting anti-apoptotic BCL2 family proteins is a key cancer therapy strategy, with BCL2-selective inhibitor ABT-199 (venetoclax) showing clinical success.
  • MCL1 is crucial for cancer cell survival and can drive drug resistance, necessitating the development of effective MCL1 inhibitors.
  • Many purported MCL1 inhibitors have been misclassified, acting indirectly by inducing the pro-apoptotic protein NOXA rather than directly inhibiting MCL1.

Purpose of the Study:

  • To investigate whether three putative MCL1 inhibitors (MIM1, UMI-77, and A-1210477) directly inhibit MCL1 or indirectly induce NOXA.
  • To characterize the mechanism of action for compounds that sensitize cancer cells to ABT-199.
  • To identify novel mechanisms of apoptosis induction for potential therapeutic development.

Main Methods:

  • Assessed the effect of MIM1, UMI-77, and A-1210477 on NOXA induction and MCL1 inhibition in cancer cells.
  • Utilized cell-free assays and cytotoxicity assessments to evaluate compound activity.
  • Investigated apoptosis pathways, including cytochrome c release, caspase activation, and mitochondrial membrane potential, in response to A-1210477.

Main Results:

  • MIM1 and UMI-77 induced NOXA via the unfolded protein response pathway, sensitizing leukemia cells to ABT-199 in a NOXA-dependent manner, indicating indirect MCL1 antagonism.
  • A-1210477 did not induce NOXA but sensitized cells to ABT-199 by preventing MCL1 degradation.
  • At higher concentrations, A-1210477 triggered rapid, BAX/BAK-independent apoptosis with cytochrome c release and caspase activation, bypassing canonical mitochondrial pathways.

Conclusions:

  • MIM1 and UMI-77 function indirectly by upregulating NOXA, not by directly targeting MCL1.
  • A-1210477 exhibits a novel, rapid apoptotic mechanism independent of BAX/BAK and mitochondrial membrane potential.
  • The unique apoptotic pathway induced by A-1210477 warrants further investigation for its therapeutic potential in cancer treatment.

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