Blocking STAT3/5 through direct or upstream kinase targeting in leukemic cutaneous T-cell lymphoma
University of Veterinary Medicine, Vienna / Medical University Vienna / University of Vienna
Medical University of Graz
University of Veterinary Medicine Vienna
University of Toronto
Ellen Heitzer Medical University of Graz
Marco Herling Cologne University / University of Leipzig
Olaf Merkel Medical University of Vienna
Roman Fleck
University of Veterinary Medicine Vienna
Medical University of Innsbruck
Fiona André Medical University of Innsbruck
Jan P. Nicolay University Hospital Mannheim
Marion Wobser University Hospital Wuerzburg
Walter Berger Medical University of Vienna
University of Veterinary Medicine Vienna
Martin L. Metzelder Medical University of Vienna
Olasunkanmi O. Olaoye University of Toronto
Pimyupa Manaswiyoungkul University of Toronto
Ayah Abdeldayem University of Toronto
Gary Tin University of Toronto
Jana D Albrecht University Hospital Mannheim
Moritz Otte Cologne University
Jennifer Ober Medical University of Graz
Lorenzo Cerroni Medical University of Graz
Regina Fink-Puches Medical University of Graz
Medical University of Graz
Isabella Perchthaler Medical University of Graz
Thomas Graier Medical University of Graz
Michael Machtinger University of Veterinary Medicine Vienna
Marta Surbek University of Veterinary Medicine Vienna
Christine Pirker Medical University of Vienna
University of Veterinary Medicine Vienna
Gerald Timelthaler Medical University of Vienna
Michaela Schlederer Medical University of Vienna
Ines Garces de Los Fayos Alonso University of Veterinary Medicine Vienna / Medical University Vienna
Till Braun Cologne University
Isaac Lazzeri Medical University of Graz
Medical University of Graz
Ricarda Graf Medical University of Graz
Abootaleb Sedighi University of Toronto
University of Toronto
Medical University of Graz
Daniel Pölöske University of Veterinary Medicine Vienna
Medical University of Graz
Medical University of Graz
Wiley
Leukemic cutaneous T-cell lymphomas (L-CTCL) are lymphoproliferative disorders of skin-homing mature T-cells causing severe symptoms and high mortality through chronic inflammation, tissue destruction, and serious infections. Despite numerous genomic sequencing efforts, recurrent driver mutations have not been identified, but chromosomal losses and gains are frequent and dominant. We integrated genomic landscape analyses with innovative pharmacologic interference studies to identify key vulnerable nodes in L-CTCL. We detected copy number gains of loci containing the STAT3/5 oncogenes in 74% (n = 17/23) of L-CTCL, which correlated with the increased clonal T-cell count in the blood. Dual inhibition of STAT3/5 using small-molecule degraders and multi-kinase blockers abolished L-CTCL cell growth in vitro and ex vivo, whereby PAK kinase inhibition was specifically selective for L-CTCL patient cells carrying STAT3/5 gains. Importantly, the PAK inhibitor FRAx597 demonstrated encouraging anti-leukemic activity in vivo by inhibiting tumor growth and disease dissemination in intradermally xenografted mice. We conclude that STAT3/5 and PAK kinase interaction represents a new therapeutic node to be further explored in L-CTCL.
Englisch
2022
Dieses Werk bzw. dieser Inhalt steht unter einer
CC BY 4.0 - Creative Commons Namensnennung 4.0 International Lizenz.
CC BY 4.0 International
http://creativecommons.org/licenses/by/4.0/
Mycosis-Fungoides; Prognostic-Factors; Sezary-Syndrome; Expression; Apoptosis; Phosphorylation; Resistance; Mutations; Landscape; Growth