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Targeting CaMKIIδ overcomes therapy resistance in acute myeloid leukemia by suppressing the STAT3/CDK6/BCL-2 survival
Zhaoxing Wu1,2, Shuwen Zheng1,2, Mengyuan Li1,2
1Department of Hematology (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education), the Second Affiliated Hospital, College of Medicine.
Abstract:
Relapse and therapy resistance remain major barriers to improving clinical outcomes in acute myeloid leukemia (AML), underscoring the need for actionable therapeutic targets. In this study, we identify CaMKIIδ as a novel vulnerability in AML. CaMKIIδ is aberrantly overactivated in primary and relapsed/refractory AML patient samples compared with healthy donor peripheral blood mononuclear cells, with elevated expression correlating with increased tumor burden and inferior survival. Mechanistically, CaMKIIδ inhibition induces rapid apoptosis in AML bulk and stem/progenitor cells by suppressing STAT3 phosphorylation, downregulating CDK6-mediated cell cycle progression, and reducing BCL-2-dependent survival. Strikingly, pharmacological blockade of CaMKIIδ using the small-molecule inhibitor hesperadin effectively eliminates AML cells in vitro and achieves sustained disease regression in AML xenograft mouse models. Our findings establish CaMKIIδ as a central regulator of AML cell survival and apoptosis, providing a preclinical rationale for targeting CaMKIIδ to overcome therapy resistance in AML.
Insights
Calcium/calmodulin-dependent protein kinase II delta (CaMKIIδ) is a novel target in acute myeloid leukemia (AML). Inhibiting CaMKIIδ induces apoptosis and overcomes resistance, offering a new therapeutic strategy for AML patients.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Relapse and therapy resistance are significant challenges in acute myeloid leukemia (AML) treatment.
- Identifying novel therapeutic targets is crucial for improving patient outcomes in AML.
Purpose of the Study:
- To identify novel vulnerabilities and therapeutic targets in acute myeloid leukemia (AML).
- To investigate the role of calcium/calmodulin-dependent protein kinase II delta (CaMKIIδ) in AML pathogenesis and its potential as a therapeutic target.
Main Methods:
- Analysis of CaMKIIδ expression in primary and relapse/refractory AML patient samples versus healthy donors.
- Investigating the mechanistic effects of CaMKIIδ inhibition on AML cell apoptosis, STAT3 phosphorylation, cell cycle progression (CDK6), and BCL-2-dependent survival.
- Evaluating the efficacy of the CaMKIIδ inhibitor hesperadin in vitro and in AML xenograft mouse models.
Main Results:
- CaMKIIδ is aberrantly overactivated in AML patient samples, correlating with tumor burden and poor survival.
- CaMKIIδ inhibition triggers rapid apoptosis in AML bulk and stem/progenitor cells by modulating key survival and cell cycle pathways.
- Pharmacological inhibition of CaMKIIδ with hesperadin demonstrates potent anti-leukemic activity in vitro and in vivo, leading to sustained disease regression.
Conclusions:
- CaMKIIδ is a critical regulator of AML cell survival and apoptosis, representing a novel vulnerability in the disease.
- Targeting CaMKIIδ offers a promising preclinical strategy to overcome therapy resistance and improve outcomes in acute myeloid leukemia.
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