MDM2 inhibitor APG-115 synergizes with ABT-199 to induce cell apoptosis in chronic lymphocytic leukemia

Although clinical outcomes in chronic lymphocytic leukemia (CLL) have greatly improved with several approved small molecular inhibitors, acquired resistance does occur, leading to disease progression and eventual death. Thus, the effort to explore novel inhibitors and combination therapeutic regimen...

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Main Authors: Ying Cui (Author), Xiaoya Shao (Author), Haiping Yang (Author), Jingyi Xin (Author), Yuanyuan Liu (Author), Mingxiao Zhang (Author), Chuanyue Sun (Author), Ge Chen (Author), Guomin Shen (Author), Xueqiong Meng (Author), Yixiang Chen (Author)
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Published: Frontiers Media S.A., 2024-07-01T00:00:00Z.
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100 1 0 |a Ying Cui  |e author 
700 1 0 |a Xiaoya Shao  |e author 
700 1 0 |a Haiping Yang  |e author 
700 1 0 |a Jingyi Xin  |e author 
700 1 0 |a Yuanyuan Liu  |e author 
700 1 0 |a Mingxiao Zhang  |e author 
700 1 0 |a Mingxiao Zhang  |e author 
700 1 0 |a Chuanyue Sun  |e author 
700 1 0 |a Ge Chen  |e author 
700 1 0 |a Ge Chen  |e author 
700 1 0 |a Guomin Shen  |e author 
700 1 0 |a Xueqiong Meng  |e author 
700 1 0 |a Xueqiong Meng  |e author 
700 1 0 |a Xueqiong Meng  |e author 
700 1 0 |a Yixiang Chen  |e author 
700 1 0 |a Yixiang Chen  |e author 
700 1 0 |a Yixiang Chen  |e author 
245 0 0 |a MDM2 inhibitor APG-115 synergizes with ABT-199 to induce cell apoptosis in chronic lymphocytic leukemia 
260 |b Frontiers Media S.A.,   |c 2024-07-01T00:00:00Z. 
500 |a 1663-9812 
500 |a 10.3389/fphar.2024.1441383 
520 |a Although clinical outcomes in chronic lymphocytic leukemia (CLL) have greatly improved with several approved small molecular inhibitors, acquired resistance does occur, leading to disease progression and eventual death. Thus, the effort to explore novel inhibitors and combination therapeutic regimens is needed. The inhibition of MDM2-p53 interaction to restore p53 function has been regarded as a potential strategy for treating different cancers. We investigated the effects of novel MDM2 inhibitor APG-115 in CLL. We found that APG-115 treatment upregulated the expression of p53, MDM2, and p21 at the mRNA and protein level. APG-115 inhibited cell proliferation, induced apoptosis, and arrested the cell cycle at G0/G1 stage. Moreover, APG-115 inhibited the expression of BCL-2, BCL-xL, and MCL-1, and suppressed the activation of AKT and ERK signaling pathways. APG-115 combined with the BCL2 inhibitor, ABT-199 (venetoclax), led to further inhibition of the expression of BCL-2 family anti-apoptotic proteins and consequently enhanced cell death. Collectively, this study demonstrates that APG-115 activates p53 and thus inhibits multiple pro-survival mechanisms, which provides a rational explanation for APG-115 efficiency in inducing cell apoptosis in CLL. The synergistic effect of APG-115 with ABT-199 suggested a potential combination application in CLL therapy. 
546 |a EN 
690 |a chronic lymphocytic leukemia 
690 |a APG-115 
690 |a apoptosis 
690 |a ABT-199 
690 |a combination 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Frontiers in Pharmacology, Vol 15 (2024) 
787 0 |n https://www.frontiersin.org/articles/10.3389/fphar.2024.1441383/full 
787 0 |n https://doaj.org/toc/1663-9812 
856 4 1 |u https://doaj.org/article/d8a23119e1db438fbc1f16b9e7bf1eaa  |z Connect to this object online.