Differentiation therapy for the treatment of t(8;21) acute myeloid leukemia using histone deacetylase inhibitors Journal Article


Authors: Bots, M.; Verbrugge, I.; Martin, B. P.; Salmon, J. M.; Ghisi, M.; Baker, A.; Stanley, K.; Shortt, J.; Ossenkoppele, G. J.; Zuber, J.; Rappaport, A. R.; Atadja, P.; Lowe, S. W.; Johnstone, R. W.
Article Title: Differentiation therapy for the treatment of t(8;21) acute myeloid leukemia using histone deacetylase inhibitors
Abstract: Epigenetic modifying enzymes such as histone deacetylases (HDACs), p300, and PRMT1 are recruited by AML1/ETO, the pathogenic protein for t(8;21) acute myeloid leukemia (AML), providing a strong molecular rationale for targeting these enzymes to treat this disease. Although early phase clinical assessment indicated that treatment with HDAC inhibitors (HDACis) may be effective in t(8;21) AML patients, rigorous preclinical studies to identify the molecular and biological events that may determine therapeutic responses have not been performed. Using an AML mouse model driven by expression of AML1/ETO9a (A/E9a), we demonstrated that treatment of mice bearing t(8;21) AML with the HDACi panobinostat caused a robust antileukemic response that did not require functional p53 nor activation of conventional apoptotic pathways. Panobinostat triggered terminal myeloid differentiation via proteasomal degradation of A/E9a. Importantly, conditional A/E9a deletion phenocopied the effects of panobinostat and other HDACis, indicating that destabilization of A/E9a is critical for the antileukemic activity of these agents. © 2014 by The American Society of Hematology.
Keywords: controlled study; protein expression; treatment response; acute granulocytic leukemia; gene deletion; histone deacetylase inhibitor; doxorubicin; nonhuman; cytarabine; animal cell; mouse; animal tissue; apoptosis; protein degradation; clinical assessment; animal experiment; animal model; gene locus; cell differentiation; antineoplastic activity; drug effect; protein p53; hybrid protein; vorinostat; chromosome translocation; fetus; bone marrow cell; doxycycline; tumor gene; panobinostat; molecularly targeted therapy; priority journal; article
Journal Title: Blood
Volume: 123
Issue: 9
ISSN: 0006-4971
Publisher: American Society of Hematology  
Date Published: 2014-02-27
Start Page: 1341
End Page: 1352
Language: English
DOI: 10.1182/blood-2013-03-488114
PROVIDER: scopus
PMCID: PMC3938147
PUBMED: 24415537
DOI/URL:
Notes: Export Date: 1 May 2014 -- CODEN: BLOOA -- Source: Scopus
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  1. Scott W Lowe
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