Cedars Sinai Medical Center, Los Angeles, CA, USA
Division of Hematology and Medical Oncology, Oregon Health and Science University Knight Cancer Institute, Portland, OR, USA.
Haematologica. 2019 Jun;104(6):1209-1220. doi: 10.3324/haematol.2018.201483. Epub 2019 Jan 3.
Proteolysis targeting chimeric molecule ARV 825 causes ubiquitination of bromodomains resulting in their efficient degradation by proteasome activity. Bromodomain degradation down-regulates MYC transcription contributing to growth inhibition of various human cancers. We examined the therapeutic potential of ARV 825 against multiple myeloma (MM) cells both and In a dose-dependent manner, ARV 825 inhibited proliferation of 13 human MM cell lines and three fresh patient samples, and was associated with cell cycle arrest and apoptosis. ARV 825 rapidly and efficiently degraded BRD 2 and BRD 4. Sensitivity of MM cells to ARV 825 was positively correlated with cereblon levels. RNA sequencing analysis showed important genes such as CCR1, RGS, MYB and MYC were down-regulated by ARV 825. A total of 170 small molecule inhibitors were screened for synergy with ARV 825. Combination of ARV 825 with inhibitor of either dual PI3K/mTOR, CRM1, VEGFR, PDGFRα/b, FLT3, IGF-1R, protein kinase C, CBP-EP300 or JAK1/2 showed synergistic activity. Importantly, ARV 825 significantly inhibited the growth of MM xenografts and improved mice survival. Taken together, our results, in conjunction with recently published findings, provide a rationale for investigating the efficacy of ARV 825 for MM, use of cereblon as a biomarker for therapy of MM patients, and the combination of ARV 825 with small molecule inhibitors to improve the outcome of MM patients.
蛋白水解靶向嵌合分子 ARV-825 导致溴结构域的泛素化,从而使其被蛋白酶体活性有效降解。溴结构域的降解下调 MYC 转录,有助于各种人类癌症的生长抑制。我们研究了 ARV-825 对多发性骨髓瘤 (MM) 细胞的治疗潜力,包括 和 。ARV-825 以剂量依赖性方式抑制 13 个人类 MM 细胞系和三个新鲜患者样本的增殖,并与细胞周期停滞和凋亡有关。ARV-825 快速有效地降解 BRD2 和 BRD4。MM 细胞对 ARV-825 的敏感性与 cereblon 水平呈正相关。RNA 测序分析表明,CCR1、RGS、MYB 和 MYC 等重要基因被 ARV-825 下调。总共筛选了 170 种小分子抑制剂以寻找与 ARV-825 的协同作用。ARV-825 与双重 PI3K/mTOR、CRM1、VEGFR、PDGFRα/b、FLT3、IGF-1R、蛋白激酶 C、CBP-EP300 或 JAK1/2 的抑制剂联合使用显示出协同活性。重要的是,ARV-825 显著抑制 MM 异种移植的生长并提高小鼠的存活率。总之,我们的结果与最近发表的研究结果一起,为研究 ARV-825 治疗 MM 的疗效、将 cereblon 用作 MM 患者治疗的生物标志物以及将 ARV-825 与小分子抑制剂联合使用以改善 MM 患者的预后提供了依据。