Discovery Biology, Incyte Corporation, Wilmington, DE 19880, USA.
Neoplasia. 2010 Jan;12(1):28-38. doi: 10.1593/neo.91192.
Cytokines in the bone marrow of multiple myeloma patients activate Janus kinase (JAK)/signal transducer and activator of transcription (STAT) signaling pathways in tumor cells and promote tumor growth, survival, and drug resistance. INCB16562 was developed as a novel, selective, and orally bioavailable small-molecule inhibitor of JAK1 and JAK2 markedly selective over JAK3. The specific cellular activity of the inhibitor was demonstrated by its potent and dose-dependent inhibition of cytokine-dependent JAK/STAT signaling and cell proliferation in the absence of effects on Bcr-Abl-expressing cells. Treatment of myeloma cells with INCB16562 potently inhibited interleukin-6 (IL-6)-induced phosphorylation of STAT3. Moreover, the proliferation and survival of myeloma cells dependent on IL-6 for growth, as well as the IL-6-induced growth of primary bone marrow-derived plasma cells from a multiple myeloma patient, were inhibited by INCB16562. Induction of caspase activation and apoptosis was observed and attributed, at least in part, to the suppression of Mcl-1 expression. Importantly, INCB16562 abrogated the protective effects of recombinant cytokines or bone marrow stromal cells and sensitized myeloma cells to cell death by exposure to dexamethasone, melphalan, or bortezomib. Oral administration of INCB16562 antagonized the growth of myeloma xenografts in mice and enhanced the antitumor activity of relevant agents in combination studies. Taken together, these data suggest that INCB16562 is a potent JAK1/2 inhibitor and that mitigation of JAK/STAT signaling by targeting JAK1 and JAK2 will be beneficial in the treatment of myeloma patients, particularly in combination with other agents.
多发性骨髓瘤患者骨髓中的细胞因子激活肿瘤细胞中的 Janus 激酶(JAK)/信号转导和转录激活因子(STAT)信号通路,并促进肿瘤生长、存活和耐药性。INCB16562 是一种新型、选择性和口服生物可利用的 JAK1 和 JAK2 小分子抑制剂,对 JAK3 具有显著选择性。抑制剂的特定细胞活性通过其对细胞因子依赖性 JAK/STAT 信号和细胞增殖的有效和剂量依赖性抑制来证明,而对表达 Bcr-Abl 的细胞没有影响。用 INCB16562 处理骨髓瘤细胞可强烈抑制白细胞介素-6(IL-6)诱导的 STAT3 磷酸化。此外,依赖 IL-6 生长的骨髓瘤细胞的增殖和存活,以及来自多发性骨髓瘤患者的原代骨髓来源浆细胞的 IL-6 诱导生长,均被 INCB16562 抑制。观察到诱导 caspase 激活和细胞凋亡,并归因于至少部分原因是 Mcl-1 表达的抑制。重要的是,INCB16562 消除了重组细胞因子或骨髓基质细胞的保护作用,并通过使骨髓瘤细胞对地塞米松、美法仑或硼替佐米的细胞死亡敏感来增强其对相关药物的敏感性。INCB16562 的口服给药拮抗了骨髓瘤异种移植物在小鼠中的生长,并在联合研究中增强了相关药物的抗肿瘤活性。总之,这些数据表明 INCB16562 是一种有效的 JAK1/2 抑制剂,通过靶向 JAK1 和 JAK2 减轻 JAK/STAT 信号将有益于多发性骨髓瘤患者的治疗,特别是与其他药物联合使用时。
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