Artemis inhibition as a therapeutic strategy for acute lymphoblastic leukemia

As effective therapies for relapse and refractory B-cell acute lymphoblastic leukemia (B-ALL) remain problematic, novel therapeutic strategies are needed. Artemis is a key endonuclease in V(D)J recombination and nonhomologous end joining (NHEJ) of DNA double-strand break (DSB) repair. Inhibition of...

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Main Authors: Heather A. Ogana, Samantha Hurwitz, Chih-Lin Hsieh, Huimin Geng, Markus Müschen, Deepa Bhojwani, Mark A. Wolf, James Larocque, Michael R. Lieber, Yong Mi Kim
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Cell and Developmental Biology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcell.2023.1134121/full
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author Heather A. Ogana
Samantha Hurwitz
Chih-Lin Hsieh
Huimin Geng
Markus Müschen
Deepa Bhojwani
Mark A. Wolf
James Larocque
Michael R. Lieber
Yong Mi Kim
author_facet Heather A. Ogana
Samantha Hurwitz
Chih-Lin Hsieh
Huimin Geng
Markus Müschen
Deepa Bhojwani
Mark A. Wolf
James Larocque
Michael R. Lieber
Yong Mi Kim
author_sort Heather A. Ogana
collection DOAJ
description As effective therapies for relapse and refractory B-cell acute lymphoblastic leukemia (B-ALL) remain problematic, novel therapeutic strategies are needed. Artemis is a key endonuclease in V(D)J recombination and nonhomologous end joining (NHEJ) of DNA double-strand break (DSB) repair. Inhibition of Artemis would cause chromosome breaks during maturation of RAG-expressing T- and B-cells. Though this would block generation of new B- and T-cells temporarily, it could be oncologically beneficial for reducing the proliferation of B-ALL and T-ALL cells by causing chromosome breaks in these RAG-expressing tumor cells. Currently, pharmacological inhibition is not available for Artemis. According to gene expression analyses from 207 children with high-risk pre-B acute lymphoblastic leukemias high Artemis expression is correlated with poor outcome. Therefore, we evaluated four compounds (827171, 827032, 826941, and 825226), previously generated from a large Artemis targeted drug screen. A biochemical assay using a purified Artemis:DNA-PKcs complex shows that the Artemis inhibitors 827171, 827032, 826941, 825226 have nanomolar IC50 values for Artemis inhibition. We compared these 4 compounds to a DNA-PK inhibitor (AZD7648) in three patient-derived B-ALL cell lines (LAX56, BLQ5 and LAX7R) and in two mature B-cell lines (3301015 and 5680001) as controls. We found that pharmacological Artemis inhibition substantially decreases proliferation of B-ALL cell lines while normal mature B-cell lines are not markedly affected. Inhibition of DNA-PKcs (which regulates Artemis) using the DNA-PK inhibitor AZD7648 had minor effects on these same primary patient-derived ALL lines, indicating that inhibition of V(D)J hairpin opening requires direct inhibition of Artemis, rather than indirect suppression of the kinase that regulates Artemis. Our data provides a basis for further evaluation of pharmacological Artemis inhibition of proliferation of B- and T-ALL.
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spelling doaj.art-16124452d48a4bd1a4732545972846eb2023-04-04T08:23:46ZengFrontiers Media S.A.Frontiers in Cell and Developmental Biology2296-634X2023-03-011110.3389/fcell.2023.11341211134121Artemis inhibition as a therapeutic strategy for acute lymphoblastic leukemiaHeather A. Ogana0Samantha Hurwitz1Chih-Lin Hsieh2Huimin Geng3Markus Müschen4Deepa Bhojwani5Mark A. Wolf6James Larocque7Michael R. Lieber8Yong Mi Kim9Department of Pediatrics, Children’s Hospital Los Angeles, Division of Hematology and Oncology, Keck School of Medicine, University of Southern California, Los Angeles, CA, United StatesDepartment of Pediatrics, Children’s Hospital Los Angeles, Division of Hematology and Oncology, Keck School of Medicine, University of Southern California, Los Angeles, CA, United StatesDepartment of Urology, USC Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, United StatesDepartment of Laboratory Medicine, UCSF, San Francisco, CA, United StatesDepartment of Immunobiology, Center of Molecular and Cellular Oncology, Yale University, New Haven, CT, United StatesDepartment of Pediatrics, Children’s Hospital Los Angeles, Division of Hematology and Oncology, Keck School of Medicine, University of Southern California, Los Angeles, CA, United StatesCuria Global Inc, Albany, NY, United StatesCuria Global Inc, Albany, NY, United StatesDepartments of Pathology, The Molecular and Computational Biology Section of the Department of Biological Sciences, USC Norris Comprehensive Cancer Center, Biochemistry and Molecular Biology, Molecular Microbiology and Immunology, Keck School of Medicine, University of Southern California, Los Angeles, CA, United StatesDepartment of Pediatrics, Children’s Hospital Los Angeles, Division of Hematology and Oncology, Keck School of Medicine, University of Southern California, Los Angeles, CA, United StatesAs effective therapies for relapse and refractory B-cell acute lymphoblastic leukemia (B-ALL) remain problematic, novel therapeutic strategies are needed. Artemis is a key endonuclease in V(D)J recombination and nonhomologous end joining (NHEJ) of DNA double-strand break (DSB) repair. Inhibition of Artemis would cause chromosome breaks during maturation of RAG-expressing T- and B-cells. Though this would block generation of new B- and T-cells temporarily, it could be oncologically beneficial for reducing the proliferation of B-ALL and T-ALL cells by causing chromosome breaks in these RAG-expressing tumor cells. Currently, pharmacological inhibition is not available for Artemis. According to gene expression analyses from 207 children with high-risk pre-B acute lymphoblastic leukemias high Artemis expression is correlated with poor outcome. Therefore, we evaluated four compounds (827171, 827032, 826941, and 825226), previously generated from a large Artemis targeted drug screen. A biochemical assay using a purified Artemis:DNA-PKcs complex shows that the Artemis inhibitors 827171, 827032, 826941, 825226 have nanomolar IC50 values for Artemis inhibition. We compared these 4 compounds to a DNA-PK inhibitor (AZD7648) in three patient-derived B-ALL cell lines (LAX56, BLQ5 and LAX7R) and in two mature B-cell lines (3301015 and 5680001) as controls. We found that pharmacological Artemis inhibition substantially decreases proliferation of B-ALL cell lines while normal mature B-cell lines are not markedly affected. Inhibition of DNA-PKcs (which regulates Artemis) using the DNA-PK inhibitor AZD7648 had minor effects on these same primary patient-derived ALL lines, indicating that inhibition of V(D)J hairpin opening requires direct inhibition of Artemis, rather than indirect suppression of the kinase that regulates Artemis. Our data provides a basis for further evaluation of pharmacological Artemis inhibition of proliferation of B- and T-ALL.https://www.frontiersin.org/articles/10.3389/fcell.2023.1134121/fullacute lymphoblastic leukemiaARTEMISpharmacological inhibitionproliferationV(D)J recombinationDNA hairpin
spellingShingle Heather A. Ogana
Samantha Hurwitz
Chih-Lin Hsieh
Huimin Geng
Markus Müschen
Deepa Bhojwani
Mark A. Wolf
James Larocque
Michael R. Lieber
Yong Mi Kim
Artemis inhibition as a therapeutic strategy for acute lymphoblastic leukemia
Frontiers in Cell and Developmental Biology
acute lymphoblastic leukemia
ARTEMIS
pharmacological inhibition
proliferation
V(D)J recombination
DNA hairpin
title Artemis inhibition as a therapeutic strategy for acute lymphoblastic leukemia
title_full Artemis inhibition as a therapeutic strategy for acute lymphoblastic leukemia
title_fullStr Artemis inhibition as a therapeutic strategy for acute lymphoblastic leukemia
title_full_unstemmed Artemis inhibition as a therapeutic strategy for acute lymphoblastic leukemia
title_short Artemis inhibition as a therapeutic strategy for acute lymphoblastic leukemia
title_sort artemis inhibition as a therapeutic strategy for acute lymphoblastic leukemia
topic acute lymphoblastic leukemia
ARTEMIS
pharmacological inhibition
proliferation
V(D)J recombination
DNA hairpin
url https://www.frontiersin.org/articles/10.3389/fcell.2023.1134121/full
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