Targeting Myc through BET-PROTAC elicits potent anti-lymphoma activity in diffuse large B cell lymphoma

Hui Wang1,2, Ximei Wu1,2, Jingjing Gao1,2

  • 1Center for Drug Research and Development, Guangdong Pharmaceutical University, Guangzhou, China.

PubMed

Insights

BET proteolysis targeting chimeras (PROTACs) show superior anti-tumor activity against diffuse large B cell lymphoma (DLBCL) compared to traditional inhibitors. ARV-825, a BET PROTAC, effectively degrades c-Myc and BET proteins, offering a promising new strategy for DLBCL treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Discovery

Background:

  • Diffuse large B cell lymphoma (DLBCL) has a poor prognosis, with c-Myc identified as a key therapeutic target.
  • Directly targeting c-Myc is challenging; however, the bromodomain and extraterminal (BET) protein family regulates c-Myc and offers an alternative therapeutic avenue.
  • BET proteolysis targeting chimeras (PROTACs) offer a novel approach to degrade BET proteins, potentially providing more durable effects than BET inhibitors.

Purpose of the Study:

  • To compare the anti-tumor efficacy of a BET PROTAC (ARV-825) with a BET inhibitor (JQ1) in DLBCL.
  • To evaluate the impact of ARV-825 and JQ1 on DLBCL cell proliferation, apoptosis, cell cycle, and c-Myc/BET protein levels.
  • To assess the in vivo efficacy of ARV-825 in a DLBCL mouse model.

Main Methods:

  • Cell proliferation assays (CCK-8), apoptosis analysis (Annexin V/PI staining), and cell cycle analysis (PI staining).
  • Western blotting to determine BET family protein and c-Myc expression levels.
  • In vivo efficacy studies using a SCID mouse model implanted with SU-DHL-4 cells.

Main Results:

  • ARV-825 demonstrated superior inhibition of DLBCL cell proliferation, enhanced apoptosis induction, and promoted cell cycle arrest compared to JQ1.
  • ARV-825 was more effective in downregulating both BET protein and c-Myc levels than JQ1, in vitro and in vivo.
  • ARV-825 treatment led to prolonged survival in the in vivo mouse model.

Conclusions:

  • BET PROTACs, exemplified by ARV-825, exhibit significant anti-tumor activity against DLBCL.
  • ARV-825's ability to effectively degrade BET proteins and c-Myc suggests its potential as a novel therapeutic strategy for DLBCL.
  • These findings support the clinical investigation of BET PROTACs for treating diffuse large B cell lymphoma.

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