CDK6 inactivation counteracts CALR-mutant-induced MPN evolution and sensitizes MPN stem cells to interferon-α

Brian Ringhofer1, Wolfram Polzer1, Michaela Prchal-Murphy1

  • 1Department of Biological Sciences and Pathobiology, Institute of Pharmacology and Toxicology University of Veterinary Medicine Vienna Vienna Austria.

Hemasphere
|May 14, 2026
PubMed

Insights

In myeloproliferative neoplasms (MPNs), inhibiting cyclin-dependent kinase 6 (CDK6) with palbociclib enhances interferon-alpha (IFNα) therapy. This combination shows improved efficacy and a better safety profile in MPN cells.

Area of Science:

  • Hematology
  • Oncology
  • Molecular Biology

Background:

  • Interferon-alpha (IFNα) is a key therapy for myeloproliferative neoplasms (MPNs) with JAK/STAT activation.
  • Patient responses to IFNα vary, necessitating combination strategies.
  • Cyclin-dependent kinase 6 (CDK6) has been linked to IFN signaling pathways.

Purpose of the Study:

  • To investigate the role of CDK6 inhibition in enhancing IFN responsiveness in MPN cells.
  • To evaluate the therapeutic potential of combining CDK6 inhibitors with pegylated IFNα (pegIFNα) in MPNs.

Main Methods:

  • Utilized CALRdel52 knockin mice for genetic ablation of Cdk6.
  • Assessed MPN cell apoptosis and proliferation in vitro and in vivo.
  • Pharmacologic inhibition of CDK6 with palbociclib in combination with pegIFNα.
  • Analyzed CDK6 and IFNAR1 expression in MPN patient samples.

Main Results:

  • Genetic ablation of Cdk6 in MPN cells reduced spleen weight and platelet counts, inducing interferon-associated programs and upregulating IFNAR1.
  • CDK6 inhibition synergized with pegIFNα, inhibiting MPN cell growth.
  • Lower CDK6 expression in MPN patients correlated with higher IFNAR1 and stronger responses to the combination therapy.
  • The combination therapy demonstrated a favorable therapeutic window with reduced cytotoxicity in control cells.

Conclusions:

  • CDK6 acts as a brake on IFN signaling in MPN cells.
  • Combining CDK6 inhibition (palbociclib) with pegIFNα enhances anti-neoplastic effects in MPNs.
  • This combination represents a potential novel therapeutic strategy for improving MPN treatment.

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