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CDK7 controls E2F- and MYC-driven proliferative and metabolic vulnerabilities in multiple myeloma
Yao Yao1,2, Jessica Fong Ng1, Woojun Daniel Park3
1Jerome Lipper Multiple Myeloma Disease Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
Abstract:
Therapeutic targeting of CDK7 has proven beneficial in preclinical studies, yet the off-target effects of currently available CDK7 inhibitors make it difficult to pinpoint the exact mechanisms behind MM cell death mediated by CDK7 inhibition. Here, we show that CDK7 expression positively correlates with E2F and MYC transcriptional programs in cells from patients with multiple myeloma (MM); its selective targeting counteracts E2F activity via perturbation of the cyclin-dependent kinases/Rb axis and impairs MYC-regulated metabolic gene signatures translating into defects in glycolysis and reduced levels of lactate production in MM cells. CDK7 inhibition using the covalent small-molecule inhibitor YKL-5-124 elicits a strong therapeutic response with minimal effects on normal cells, and causes in vivo tumor regression, increasing survival in several mouse models of MM including a genetically engineered mouse model of MYC-dependent MM. Through its role as a critical cofactor and regulator of MYC and E2F activity, CDK7 is therefore a master regulator of oncogenic cellular programs supporting MM growth and survival, and a valuable therapeutic target providing rationale for development of YKL-5-124 for clinical use.
Insights
Targeting CDK7, a master regulator of cancer cell growth, effectively inhibits multiple myeloma (MM) by disrupting key gene programs and metabolic functions. This approach shows promise for MM treatment with minimal impact on healthy cells.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Cyclin-dependent kinase 7 (CDK7) plays a role in cancer cell proliferation.
- Existing CDK7 inhibitors have off-target effects, complicating mechanism elucidation.
- Understanding CDK7's role in multiple myeloma (MM) is crucial for targeted therapy development.
Purpose of the Study:
- To investigate the precise mechanisms by which CDK7 inhibition affects multiple myeloma (MM) cells.
- To evaluate the therapeutic potential of selective CDK7 inhibition in MM models.
Main Methods:
- Correlation analysis of CDK7 expression with E2F and MYC transcriptional programs in MM patient cells.
- Selective targeting of CDK7 using the covalent inhibitor YKL-5-124.
- Assessment of E2F activity, MYC-regulated metabolic genes, glycolysis, and lactate production in MM cells.
- In vivo studies using mouse models of MM, including a MYC-dependent model.
Main Results:
- CDK7 expression positively correlates with E2F and MYC activity in MM cells.
- Selective CDK7 inhibition counteracts E2F activity and impairs MYC-driven metabolic gene expression, leading to reduced glycolysis and lactate production.
- YKL-5-124 treatment resulted in significant tumor regression and increased survival in MM mouse models.
- Minimal effects were observed in normal cells, indicating therapeutic selectivity.
Conclusions:
- CDK7 is a master regulator of oncogenic programs essential for MM growth and survival.
- Selective CDK7 inhibition, particularly with YKL-5-124, offers a promising therapeutic strategy for multiple myeloma.
- YKL-5-124 demonstrates potential for clinical development in MM treatment due to its efficacy and selectivity.
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