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A synergistic interaction between PRMT5 and LSD1 inhibitors in AML
Nesteene Joy Param1, Elisa Arceci1, Francesco Fiorentino2,3
1Center for OncoGenomics and Innovative Therapeutics (COGIT); Center for Therapeutics Discovery, Department of Oncological Sciences and Pharmacological Sciences, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, NY, New York, USA.
Combining PRMT5 and LSD1 inhibitors shows synthetic lethality in acute myeloid leukemia (AML). This approach promotes AML blast differentiation, growth inhibition, and apoptosis, offering a novel therapeutic strategy.
Area of Science:
- Hematology
- Oncology
- Molecular Biology
Background:
- Acute myeloid leukemia (AML) is a cancer of blood-forming tissues.
- PRMT5 is implicated in AML stem cell maintenance and is a potential therapeutic target.
- Complete PRMT5 inhibition causes toxicity, necessitating synergistic therapies.
Purpose of the Study:
- To identify synergistic therapies for AML by targeting PRMT5-regulated pathways.
- To investigate the synthetic lethal interaction between PRMT5 and LSD1 inhibition in AML.
Main Methods:
- Conducted a targeted screen of compounds inhibiting PRMT5-regulated pathways.
- Identified synthetic lethality between PRMT5 and LSD1 inhibition.
- Generated dual compounds targeting both PRMT5 and LSD1.
- Analyzed transcriptome changes and p53 dependency.
Main Results:
- A synthetic lethal interaction was found between PRMT5 and LSD1 inhibition in AML.
- Combined inhibition reshaped the transcriptome, promoting AML differentiation.
- Synergistic effects included growth inhibition and apoptosis, dependent on p53.
- Dual compounds recapitulated the combination therapy effects.
Conclusions:
- The study uncovers a convergence of PRMT5 and LSD1 targets in AML.
- This synthetic lethal interaction provides a basis for novel AML therapeutic strategies.
- Targeting both PRMT5 and LSD1 offers a promising avenue for AML treatment.
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