Activity of the pan-class I phosphoinositide 3-kinase inhibitor NVP-BKM120 in T-cell acute lymphoblastic leukemia

A Lonetti, IL Antunes, F Chiarini, E Orsini, F Buontempo… - Leukemia, 2014 - nature.com
A Lonetti, IL Antunes, F Chiarini, E Orsini, F Buontempo, F Ricci, PL Tazzari, P Pagliaro…
Leukemia, 2014nature.com
Constitutively active phosphoinositide 3-kinase (PI3K) signaling is a common feature of T-
cell acute lymphoblastic leukemia (T-ALL), where it upregulates cell proliferation, survival
and drug resistance. These observations lend compelling weight to the application of PI3K
inhibitors in the therapy of T-ALL. Here, we have analyzed the therapeutic potential of the
pan-PI3K inhibitor NVP-BKM120 (BKM120), an orally bioavailable 2, 6-dimorpholino
pyrimidine derivative, which has entered clinical trials for solid tumors, on both T-ALL cell …
Abstract
Constitutively active phosphoinositide 3-kinase (PI3K) signaling is a common feature of T-cell acute lymphoblastic leukemia (T-ALL), where it upregulates cell proliferation, survival and drug resistance. These observations lend compelling weight to the application of PI3K inhibitors in the therapy of T-ALL. Here, we have analyzed the therapeutic potential of the pan-PI3K inhibitor NVP-BKM120 (BKM120), an orally bioavailable 2, 6-dimorpholino pyrimidine derivative, which has entered clinical trials for solid tumors, on both T-ALL cell lines and patient samples. BKM120 treatment resulted in G 2/M phase cell cycle arrest and apoptosis, being cytotoxic to a panel of T-ALL cell lines and patient T lymphoblasts, and promoting a dose-and time-dependent dephosphorylation of Akt and S6RP. BKM120 maintained its pro-apoptotic activity against Jurkat cells even when cocultured with MS-5 stromal cells, which mimic the bone marrow microenvironment. Remarkably, BKM120 synergized with chemotherapeutic agents currently used for treating T-ALL patients. Moreover, in vivo administration of BKM120 to a subcutaneous xenotransplant model of human T-ALL significantly delayed tumor growth, thus prolonging survival time. Taken together, our findings indicate that BKM120, either alone or in combination with chemotherapeutic drugs, may be an efficient treatment for T-ALLs that have aberrant upregulation of the PI3K signaling pathway.
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