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Development of Epigenetic Modifiers With Therapeutic Potential in Fms-Related Tyrosine Kinase 3/Internal Tandem Duplication (Flt3/Itd) Acute Myeloid Leukemia and Other Blood Malignancies Publisher



Carullo G1 ; Rossi S1 ; Giudice V2 ; Pezzotta A3 ; Chianese U4 ; Scala P2 ; Carbone S3 ; Fontana A1 ; Panzeca G1 ; Pasquini S5 ; Contri C6 ; Gemma S1 ; Ramunno A7 ; Saponara S8 Show All Authors
Authors
  1. Carullo G1
  2. Rossi S1
  3. Giudice V2
  4. Pezzotta A3
  5. Chianese U4
  6. Scala P2
  7. Carbone S3
  8. Fontana A1
  9. Panzeca G1
  10. Pasquini S5
  11. Contri C6
  12. Gemma S1
  13. Ramunno A7
  14. Saponara S8
  15. Galvani F9
  16. Lodola A9
  17. Mor M9
  18. Benedetti R4, 10
  19. Selleri C2
  20. Varani K6
  21. Butini S1
  22. Altucci L4, 10, 11
  23. Vincenzi F6
  24. Pistocchi A3
  25. Campiani G1, 12
Show Affiliations
Authors Affiliations
  1. 1. Department of Biotechnology, Chemistry and Pharmacy, University of Siena, Via Aldo Moro 2, Siena, 53100, Italy
  2. 2. Department of Medicine, Surgery, Dentistry “Scuola Medica Salernitana”, University of Salerno, Via S. Allende, SA, Baronissi, 84081, Italy
  3. 3. Department of Medical Biotechnology and Translational Medicine, University of Milan, LITA, Fratelli Cervi 93, Segrate, MI 20054, Italy
  4. 4. Department of Precision Medicine, University of Campania Luigi Vanvitelli, Via de Crecchio 7, Naples, 80138, Italy
  5. 5. Department of Chemical, Pharmaceutical and Agricultural Sciences, University of Ferrara, Borsari 46, Ferrara, 44121, Italy
  6. 6. Department of Translational Medicine, University of Ferrara, Via Borsari 46, Ferrara, 44121, Italy
  7. 7. Department of Pharmacy, University of Salerno, Giovanni Paolo II, 132, Fisciano, SA 84084, Italy
  8. 8. Department of Life Sciences, University of Siena, Via Aldo Moro 2, Siena, 53100, Italy
  9. 9. Department of Food and Drug, University of Parma, Parco Area delle Scienze 27/A, Parma, 43124, Italy
  10. 10. Program of Medical Epigenetics, Vanvitelli Hospital, Naples, 80138, Italy
  11. 11. Biogem Institute of Molecular and Genetic Biology, Ariano Irpino, 83031, Italy
  12. 12. Bioinformatics Research Center, School of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, 81746-7346, Iran

Source: ACS Pharmacology and Translational Science Published:2024


Abstract

Blood cancers encompass a group of diseases affecting the blood, bone marrow, or lymphatic system, representing the fourth most commonly diagnosed cancer worldwide. Leukemias are characterized by the dysregulated proliferation of myeloid and lymphoid cells with different rates of progression (acute or chronic). Among the chronic forms, hairy cell leukemia (HCL) is a rare disease, and no drugs have been approved to date. However, acute myeloid leukemia (AML) is one of the most aggressive malignancies, with a low survival rate, especially in cases with FLT3-ITD mutations. Epigenetic modifications have emerged as promising strategies for the treatment of blood cancers. Epigenetic modulators, such as histone deacetylase (HDAC) inhibitors, are increasingly used for targeted cancer therapy. New hydroxamic acid derivatives, preferentially inhibiting HDAC6 (5a-q), were developed and their efficacy was investigated in different blood cancers, including multiple myeloma (MM), HCL, and AML, pointing out their pro-apoptotic effect as the mechanism of cell death. Among the inhibitors described, 5c, 5g, and 5h were able to rescue the hematopoietic phenotype in vivo using the FLT3-ITD zebrafish model of AML. 5c (leuxinostat) proved its efficacy in cells from FLT3-ITD AML patients, promoting marked acetylation of α-tubulin compared to histone H3, thereby confirming HDAC6 as a preferential target for this new class of hydroxamic acid derivatives at the tested doses. © 2024 American Chemical Society.
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