[PDF][PDF] Activity of the type II JAK2 inhibitor CHZ868 in B cell acute lymphoblastic leukemia

SC Wu, LS Li, N Kopp, J Montero, B Chapuy, A Yoda… - Cancer cell, 2015 - cell.com
SC Wu, LS Li, N Kopp, J Montero, B Chapuy, A Yoda, AL Christie, H Liu, A Christodoulou…
Cancer cell, 2015cell.com
A variety of cancers depend on JAK2 signaling, including the high-risk subset of B cell acute
lymphoblastic leukemias (B-ALLs) with CRLF2 rearrangements. Type I JAK2 inhibitors
induce paradoxical JAK2 hyperphosphorylation in these leukemias and have limited activity.
To improve the efficacy of JAK2 inhibition in B-ALL, we developed the type II inhibitor
CHZ868, which stabilizes JAK2 in an inactive conformation. CHZ868 potently suppressed
the growth of CRLF2-rearranged human B-ALL cells, abrogated JAK2 signaling, and …
Summary
A variety of cancers depend on JAK2 signaling, including the high-risk subset of B cell acute lymphoblastic leukemias (B-ALLs) with CRLF2 rearrangements. Type I JAK2 inhibitors induce paradoxical JAK2 hyperphosphorylation in these leukemias and have limited activity. To improve the efficacy of JAK2 inhibition in B-ALL, we developed the type II inhibitor CHZ868, which stabilizes JAK2 in an inactive conformation. CHZ868 potently suppressed the growth of CRLF2-rearranged human B-ALL cells, abrogated JAK2 signaling, and improved survival in mice with human or murine B-ALL. CHZ868 and dexamethasone synergistically induced apoptosis in JAK2-dependent B-ALLs and further improved in vivo survival compared to CHZ868 alone. These data support the testing of type II JAK2 inhibition in patients with JAK2-dependent leukemias and other disorders.
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