Abstract
A variety of cancers depend on JAK2 signaling, including the high-risk subset of B cell acute lymphoblastic leukemias (B-ALLs) with CRLF2 rearrangements. Type I JAK2 inhibitors induce paradoxical JAK2 hyperphosphorylation in these leukemias and have limited activity. To improve the efficacy of JAK2 inhibition in B-ALL, we developed the type II inhibitor CHZ868, which stabilizes JAK2 in an inactive conformation. CHZ868 potently suppressed the growth of CRLF2-rearranged human B-ALL cells, abrogated JAK2 signaling, and improved survival in mice with human or murine B-ALL. CHZ868 and dexamethasone synergistically induced apoptosis in JAK2-dependent B-ALLs and further improved in vivo survival compared to CHZ868 alone. These data support the testing of type II JAK2 inhibition in patients with JAK2-dependent leukemias and other disorders.
Copyright © 2015 Elsevier Inc. All rights reserved.
Publication types
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Research Support, N.I.H., Extramural
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Research Support, Non-U.S. Gov't
MeSH terms
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Aminopyridines / administration & dosage*
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Aminopyridines / pharmacology
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Animals
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Antineoplastic Agents / administration & dosage*
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Antineoplastic Agents / pharmacology
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Antineoplastic Combined Chemotherapy Protocols / administration & dosage
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Apoptosis
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Benzimidazoles / administration & dosage*
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Benzimidazoles / pharmacology
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Cell Line, Tumor
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Cytoprotection / drug effects
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Dexamethasone / administration & dosage*
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Drug Resistance, Neoplasm / drug effects*
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Drug Synergism
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Humans
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Janus Kinase 2 / antagonists & inhibitors*
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Janus Kinase 2 / chemistry
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Janus Kinase 2 / genetics
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Mice
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Mutation
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Precursor Cell Lymphoblastic Leukemia-Lymphoma / drug therapy*
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Precursor Cell Lymphoblastic Leukemia-Lymphoma / genetics
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Protein Kinase Inhibitors / administration & dosage*
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Protein Kinase Inhibitors / pharmacology
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Signal Transduction / drug effects
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Xenograft Model Antitumor Assays
Substances
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Aminopyridines
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Antineoplastic Agents
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Benzimidazoles
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CHZ868
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Protein Kinase Inhibitors
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Dexamethasone
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JAK2 protein, human
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Janus Kinase 2