Combination of the histone deacetylase inhibitor LBH589 and the hsp90 inhibitor 17-AAG is highly active against human CML-BC cells and AML cells with activating mutation of FLT-3

Blood. 2005 Feb 15;105(4):1768-76. doi: 10.1182/blood-2004-09-3413. Epub 2004 Oct 28.

Abstract

Present studies show that LBH589, a novel cinnamic hydroxamic acid analog histone deacetylase inhibitor, induces acetylation of histone H3 and H4 and of heat shock protein 90 (hsp90), increases p21 levels, as well as induces cell-cycle G(1) phase accumulation and apoptosis of the human chronic myeloid leukemia blast crisis (CML-BC) K562 cells and acute leukemia MV4-11 cells with the activating length mutation of FLT-3. In MV4-11 cells, this was associated with marked attenuation of the protein levels of p-FLT-3, FLT-3, p-AKT, and p-ERK1/2. In K562 cells, exposure to LBH589 attenuated Bcr-Abl, p-AKT, and p-ERK1/2. Treatment with LBH589 inhibited the DNA binding activity of signal transducers and activators of transcription 5 (STAT5) in both K562 and MV4-11 cells. The hsp90 inhibitor 17-allyl-amino-demethoxy geldanamycin (17-AAG) also induced polyubiquitylation and proteasomal degradation of FLT-3 and Bcr-Abl by reducing their chaperone association with hsp90. Cotreatment with LBH589 and 17-AAG exerted synergistic apoptosis of MV4-11 and K562 cells. In the imatinib mesylate (IM)-refractory leukemia cells expressing Bcr-Abl with the T315I mutation, treatment with the combination attenuated the levels of the mutant Bcr-Abl and induced apoptosis. Finally, cotreatment with LBH589 and 17-AAG also induced more apoptosis of IM-resistant primary CML-BC and acute myeloid leukemia (AML) cells (with activating mutation of FLT-3) than treatment with either agent alone.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acute Disease
  • Apoptosis / drug effects
  • Benzamides
  • Benzoquinones
  • Blast Crisis / drug therapy
  • Blast Crisis / enzymology
  • Blast Crisis / metabolism*
  • Blast Crisis / pathology
  • Cell Line, Tumor
  • Drug Combinations
  • Drug Synergism
  • Enzyme Inhibitors / pharmacology*
  • Fusion Proteins, bcr-abl / antagonists & inhibitors
  • Fusion Proteins, bcr-abl / genetics
  • Fusion Proteins, bcr-abl / metabolism
  • Gene Deletion
  • Gene Expression Regulation
  • HSP90 Heat-Shock Proteins / antagonists & inhibitors*
  • HSP90 Heat-Shock Proteins / metabolism
  • Histone Deacetylase Inhibitors*
  • Humans
  • Hydroxamic Acids / analogs & derivatives*
  • Hydroxamic Acids / pharmacology*
  • Imatinib Mesylate
  • Indoles
  • K562 Cells
  • Lactams, Macrocyclic
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / drug therapy
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / enzymology
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / metabolism
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / pathology
  • Leukemia, Myeloid / drug therapy
  • Leukemia, Myeloid / enzymology
  • Leukemia, Myeloid / metabolism*
  • Leukemia, Myeloid / pathology
  • Panobinostat
  • Piperazines / pharmacology
  • Point Mutation
  • Polyubiquitin / metabolism
  • Proteasome Endopeptidase Complex / metabolism
  • Proto-Oncogene Proteins / genetics*
  • Proto-Oncogene Proteins / metabolism
  • Pyrimidines / pharmacology
  • Receptor Protein-Tyrosine Kinases / genetics*
  • Receptor Protein-Tyrosine Kinases / metabolism
  • Rifabutin / analogs & derivatives*
  • Rifabutin / pharmacology*
  • fms-Like Tyrosine Kinase 3

Substances

  • Benzamides
  • Benzoquinones
  • Drug Combinations
  • Enzyme Inhibitors
  • HSP90 Heat-Shock Proteins
  • Histone Deacetylase Inhibitors
  • Hydroxamic Acids
  • Indoles
  • Lactams, Macrocyclic
  • Piperazines
  • Proto-Oncogene Proteins
  • Pyrimidines
  • Polyubiquitin
  • Rifabutin
  • tanespimycin
  • Imatinib Mesylate
  • Panobinostat
  • FLT3 protein, human
  • Receptor Protein-Tyrosine Kinases
  • fms-Like Tyrosine Kinase 3
  • Fusion Proteins, bcr-abl
  • Proteasome Endopeptidase Complex