Inhibition of PLK1 by capped-dose volasertib exerts substantial efficacy in MDS and sAML while sparing healthy haematopoiesis
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Inhibition of PLK1 by capped-dose volasertib exerts substantial efficacy in MDS and sAML while sparing healthy haematopoiesis. / Dill, Veronika; Kauschinger, Johanna; Hauch, Richard T; Buschhorn, Lars; Odinius, Timo O; Müller-Thomas, Catharina; Mishra, Ritu; Kyncl, Michele C; Schmidt, Burkhard; Prodinger, Peter M; Hempel, Dirk; Bellos, Frauke; Höllein, Alexander; Kern, Wolfgang; Haferlach, Torsten; Slotta-Huspenina, Julia; Bassermann, Florian; Peschel, Christian; Götze, Katharina S; Waizenegger, Irene C; Höckendorf, Ulrike; Jost, Philipp J; Jilg, Stefanie.
in: EUR J HAEMATOL, Jahrgang 104, Nr. 2, 22.11.2019, S. 125-137.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Inhibition of PLK1 by capped-dose volasertib exerts substantial efficacy in MDS and sAML while sparing healthy haematopoiesis
AU - Dill, Veronika
AU - Kauschinger, Johanna
AU - Hauch, Richard T
AU - Buschhorn, Lars
AU - Odinius, Timo O
AU - Müller-Thomas, Catharina
AU - Mishra, Ritu
AU - Kyncl, Michele C
AU - Schmidt, Burkhard
AU - Prodinger, Peter M
AU - Hempel, Dirk
AU - Bellos, Frauke
AU - Höllein, Alexander
AU - Kern, Wolfgang
AU - Haferlach, Torsten
AU - Slotta-Huspenina, Julia
AU - Bassermann, Florian
AU - Peschel, Christian
AU - Götze, Katharina S
AU - Waizenegger, Irene C
AU - Höckendorf, Ulrike
AU - Jost, Philipp J
AU - Jilg, Stefanie
N1 - © 2019 The Authors. European Journal of Haematology published by John Wiley & Sons Ltd.
PY - 2019/11/22
Y1 - 2019/11/22
N2 - INTRODUCTION: Targeting the cell cycle machinery represents a rational therapeutic approach in myelodysplastic syndromes (MDS) and secondary acute myeloid leukemia (sAML). Despite substantial response rates, clinical use of the PLK inhibitor volasertib has been hampered by elevated side effects such as neutropenia and infections.OBJECTIVES: The primary objective was to analyse whether a reduced dose of volasertib was able to limit toxic effects on the healthy haematopoiesis while retaining its therapeutic effect.METHODS: Bone marrow mononuclear cells (BMMNCs) of patients with MDS/sAML (n = 73) and healthy controls (n = 28) were treated with volasertib (1 μM to 1 nM) or vehicle control. Short-term viability analysis was performed by flow cytometry after 72 hours. For long-term viability analysis, colony-forming capacity was assessed after 14 days. Protein expression of RIPK3 and MCL-1 was quantified via flow cytometry.RESULTS: Reduced dose levels of volasertib retained high cell death-inducing efficacy in primary human stem and progenitor cells of MDS/sAML patients without affecting healthy haematopoiesis in vitro. Interestingly, volasertib reduced colony-forming capacity and cell survival independent of clinical stage or mutational status.CONCLUSIONS: Volasertib offers a promising therapeutic approach in patients with adverse prognostic profile. RIPK3 and MCL-1 might be potential biomarkers for sensitivity to volasertib treatment.
AB - INTRODUCTION: Targeting the cell cycle machinery represents a rational therapeutic approach in myelodysplastic syndromes (MDS) and secondary acute myeloid leukemia (sAML). Despite substantial response rates, clinical use of the PLK inhibitor volasertib has been hampered by elevated side effects such as neutropenia and infections.OBJECTIVES: The primary objective was to analyse whether a reduced dose of volasertib was able to limit toxic effects on the healthy haematopoiesis while retaining its therapeutic effect.METHODS: Bone marrow mononuclear cells (BMMNCs) of patients with MDS/sAML (n = 73) and healthy controls (n = 28) were treated with volasertib (1 μM to 1 nM) or vehicle control. Short-term viability analysis was performed by flow cytometry after 72 hours. For long-term viability analysis, colony-forming capacity was assessed after 14 days. Protein expression of RIPK3 and MCL-1 was quantified via flow cytometry.RESULTS: Reduced dose levels of volasertib retained high cell death-inducing efficacy in primary human stem and progenitor cells of MDS/sAML patients without affecting healthy haematopoiesis in vitro. Interestingly, volasertib reduced colony-forming capacity and cell survival independent of clinical stage or mutational status.CONCLUSIONS: Volasertib offers a promising therapeutic approach in patients with adverse prognostic profile. RIPK3 and MCL-1 might be potential biomarkers for sensitivity to volasertib treatment.
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Bone Marrow Cells/metabolism
KW - Cell Cycle Proteins/antagonists & inhibitors
KW - Female
KW - Gene Expression Regulation, Leukemic/drug effects
KW - Hematopoiesis/drug effects
KW - Humans
KW - Leukemia, Myeloid, Acute/drug therapy
KW - Male
KW - Myelodysplastic Syndromes/drug therapy
KW - Myeloid Cell Leukemia Sequence 1 Protein/biosynthesis
KW - Protein-Serine-Threonine Kinases/antagonists & inhibitors
KW - Proto-Oncogene Proteins/antagonists & inhibitors
KW - Pteridines/administration & dosage
KW - Receptor-Interacting Protein Serine-Threonine Kinases/biosynthesis
U2 - 10.1111/ejh.13354
DO - 10.1111/ejh.13354
M3 - SCORING: Journal article
C2 - 31758597
VL - 104
SP - 125
EP - 137
JO - EUR J HAEMATOL
JF - EUR J HAEMATOL
SN - 0902-4441
IS - 2
ER -