Cotreatment with panobinostat and JAK2 inhibitor TG101209 attenuates JAK2V617F levels and signaling and exerts synergistic cytotoxic effects against human myeloproliferative neoplastic cells Journal Article


Authors: Wang, Y.; Fiskus, W.; Chong, D. G.; Buckley, K. M.; Natarajan, K.; Rao, R.; Joshi, A.; Balusu, R.; Koul, S.; Chen, J.; Savoie, A.; Ustun, C.; Jillella, A. P.; Atadja, P.; Levine, R. L.; Bhalla, K. N.
Article Title: Cotreatment with panobinostat and JAK2 inhibitor TG101209 attenuates JAK2V617F levels and signaling and exerts synergistic cytotoxic effects against human myeloproliferative neoplastic cells
Abstract: The mutant JAK2V617F tyrosine kinase (TK) is present in the majority of patients with BCR-ABL-negative myeloproliferative neoplasms (MPNs). JAK2V617F activates downstream signaling through the signal transducers and activators of transcription (STAT), RAS/mitogen-activated protein kinase (MAPK), and phosphatidylinositol 3 (PI3)/AKT pathways, conferring proliferative and survival advantages in the MPN hematopoietic progenitor cells (HPCs). Treatment with the pan-histone deacetylase (HDAC) inhibitor panobinostat (PS) is known to inhibit the chaperone function of heat shock protein 90, as well as induce growth arrest and apoptosis of transformed HPCs. Here, we demonstrate that PS treatment depletes the autophosphorylation, expression, and downstream signaling of JAK2V617F. Treatment with PS also disrupted the chaperone association of JAK2V617F with hsp90, promoting proteasomal degradation of JAK2V617F. PS also induced apoptosis of the cultured JAK2V617F-expressing human erythroleukemia HEL92.1.7 and Ba/F3-JAK2V617F cells. Treatment with the JAK2 TK inhibitor TG101209 attenuated JAK2V617F autophosphorylation and induced apoptosis of HEL92.1.7 and Ba/F3-JAK2V617F cells. Cotreatment with PS and TG101209 further depleted JAK/STAT signaling and synergistically induced apoptosis of HEL92.1.7 and Ba/F3-JAK2V617F cells. Cotreatment with TG101209 and PS exerted greater cytotoxicity against primary CD34<sup>+</sup> MPN cells than normal CD34 <sup>+</sup> HPCs. These in vitro findings suggest combination therapy with HDAC and JAK2V617F inhibitors is of potential value for the treatment of JAK2V617F-positive MPN. © 2009 by The American Society of Hematology.
Keywords: signal transduction; controlled study; protein expression; human cell; myeloproliferative disorder; janus kinase 2; janus kinase inhibitor; drug potentiation; nonhuman; antineoplastic agent; polymerase chain reaction; animal cell; mouse; animal; metabolism; animals; mice; cd34 antigen; apoptosis; proteasome; gene expression; enzyme degradation; antineoplastic combined chemotherapy protocols; cytotoxicity; drug effect; enzyme inhibitor; enzyme activity; pyrimidines; autophosphorylation; phosphorylation; drug synergism; blotting, western; enzyme inhibitors; sulfonamide; sulfonamides; western blotting; tumor cell; immunoprecipitation; hematopoietic stem cells; hydroxamic acids; heat shock protein 90; lymphoproliferative disease; hematopoietic stem cell; pyrimidine derivative; enzyme binding; panobinostat; hydroxamic acid; chaperone; n tert butyl 3 [5 methyl 2 [4 (4 methyl 1 piperazinyl)phenylamino] 4 pyrimidinylamino]benzenesulfonamide; stat protein; jak2 protein, human; lymphoproliferative disorders
Journal Title: Blood
Volume: 114
Issue: 24
ISSN: 0006-4971
Publisher: American Society of Hematology  
Date Published: 2009-12-03
Start Page: 5024
End Page: 5033
Language: English
DOI: 10.1182/blood-2009-05-222133
PUBMED: 19828702
PROVIDER: scopus
PMCID: PMC2788976
DOI/URL:
Notes: --- - "Cited By (since 1996): 3" - "Export Date: 30 November 2010" - "CODEN: BLOOA" - "Source: Scopus"
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  1. Ross Levine
    775 Levine