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Updated: Nov 10, 2025

Pre-clinical Evaluation of Tyrosine Kinase Inhibitors for Treatment of Acute Leukemia
Published on: September 18, 2013
Shikonin Derivatives from Onsoma visianii Decrease Expression of Phosphorylated STAT3 in Leukemia Cells and Exert
Zeljko Todorovic1, Jelena Milovanovic2,3, Dragana Arsenijevic2,4
1Department of Internal Medicine, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
Shikonin derivatives, isobutyrylshikonin (IBS) and α-methylbutyrylshikonin (MBS), show antitumor effects against chronic lymphocytic leukemia (CLL) and B-cell prolymphocytic leukemia (B-PLL). These compounds induce apoptosis and inhibit proliferation by decreasing STAT3 phosphorylation.
Area of Science:
- Pharmacology
- Oncology
- Molecular Biology
Background:
- Chronic lymphocytic leukemia (CLL) and B-cell prolymphocytic leukemia (B-PLL) are B-cell malignancies with limited treatment options.
- Shikonins, natural compounds from *Onosma visianii*, have shown potential antitumor activity, but their effects on CLL and B-PLL are largely unknown.
Purpose of the Study:
- To investigate the antitumor effects of shikonin derivatives on mouse CLL (BCL1) and human B-PLL (JVM-13) cells.
- To elucidate the molecular mechanisms underlying the cytotoxic and anti-proliferative activities of shikonin derivatives.
Main Methods:
- Cytotoxicity was assessed using MTT assays.
- Cell death, proliferation, cell cycle, and molecular marker expression were analyzed by flow cytometry.
- STAT3-regulated gene expression was quantified using quantitative real-time PCR (q-RT-PCR).
- In vivo antitumor activity was evaluated in mice bearing BCL1 leukemia.
Main Results:
- Isobutyrylshikonin (IBS) and α-methylbutyrylshikonin (MBS) demonstrated significant antitumor activity in vitro and in vivo.
- These derivatives induced cell cycle arrest and apoptosis, inhibited proliferation, and reduced leukemia cell burden in mice.
- IBS and MBS decreased the phosphorylation of STAT3 and its downstream targets.
- The addition of AG490 (a Jak2 inhibitor) enhanced cell death, confirming the role of STAT3 inhibition.
Conclusions:
- Shikonin derivatives, particularly IBS and MBS, possess potent antitumor properties against CLL and B-PLL.
- The mechanism involves the inhibition of STAT3 phosphorylation, leading to apoptosis induction, proliferation inhibition, and attenuation of leukemia stemness.
- These findings suggest shikonins as potential therapeutic agents for B-cell leukemias.
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