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Innovative Approach for Optimized Therapy Strategy in Acute Myeloid Leukemia

22. February 2022
in News, Pharmaceuticals, Processing Technologies

The activ­i­ty of our genes is con­trolled by the pro­teins “tran­scrip­tion fac­tors”. These pro­teins can there­fore lead to dis­eases, for exam­ple the devel­op­ment of can­cer, if they func­tion incor­rect­ly. One of these pro­teins called “MYB” plays a sig­nif­i­cant role in acute myeloid leukemia (AML) and pos­si­bly oth­er leukemias. AML is one of the most com­mon leukemias with a poor prog­no­sis, espe­cial­ly in old­er patients. A research team at West­fälis­che Wil­helms-Uni­ver­sität Mün­ster has now gained new insights into the MYB pro­tein and its inhi­bi­tion as a pos­si­ble ther­a­peu­tic tar­get as part of a research project fund­ed by the Wil­helm Sander Foundation.

The under­stand­ing of the caus­es of can­cer has grown dra­mat­i­cal­ly in recent years. New genes and pro­teins respon­si­ble for the devel­op­ment of tumors have been iden­ti­fied and bio­log­i­cal rela­tion­ships char­ac­ter­ized. How­ev­er, the trans­for­ma­tion of these find­ings into prac­ti­cal ther­a­pies for the treat­ment of these dis­eases is often a lengthy process.

The research group led by Prof. Dr. Karl-Heinz Klemp­nauer at the Insti­tute of Bio­chem­istry at the West­fälis­che Wil­helms-Uni­ver­sität Mün­ster (WWU) has been work­ing on the MYB pro­tein for many years. Klemp­nauer had already come across this pro­tein in 1984 as a post­doc­tor­al researcher in the lab­o­ra­to­ry of Nobel Prize win­ner Michael Bish­op at the Uni­ver­si­ty of Cal­i­for­nia in San Fran­cis­co (UCSF), USA, and has since inves­ti­gat­ed many aspects of its func­tion. Among oth­er things, he and his research team have dis­cov­ered a link between acute myeloid leukemia (AML) and over­ac­tiv­i­ty of the tran­scrip­tion fac­tor MYB and have there­fore tar­get­ed inhi­bi­tion of the MYB pro­tein as a poten­tial ther­a­peu­tic strat­e­gy for AML.

Some time ago, for exam­ple, sci­en­tists* led by Karl-Heinz Klemp­nauer suc­ceed­ed in show­ing for the first time that cer­tain small-mol­e­cule sub­stances are able to inhib­it the activ­i­ty of MYB by imped­ing its inter­ac­tion with a so-called co-acti­va­tor. Co-acti­va­tors are pro­teins that enhance the reg­u­la­to­ry effect of tran­scrip­tion fac­tors on their tar­get genes. Inhibit­ing the inter­ac­tion between MYB and its co-acti­va­tor leads to block­ing the pro­lif­er­a­tion of AML cells. The research group was thus able to demon­strate for the first time that inhi­bi­tion of MYB activ­i­ty by an inhibitor blocks the pro­lif­er­a­tion of AML cells. In a mouse mod­el of AML, this led to sig­nif­i­cant­ly longer sur­vival of the ani­mals after appli­ca­tion of such an inhibitor, com­pared to the ani­mals in the untreat­ed con­trol group.

The goal of the research team was now to iden­ti­fy fur­ther and more effec­tive MYB inhibitors as part of the project fund­ed by the Wil­helm Sander Foun­da­tion. First, Klemp­nauer and col­leagues were able to show that so-called his­tone deacety­lase (HDAC) inhibitors, chem­i­cal com­pounds already used for the ther­a­py of cer­tain types of can­cer, are also very effec­tive MYB inhibitors [1]. HDACs are enzymes that, among oth­er things, chem­i­cal­ly mod­i­fy his­tones — these are impor­tant pro­teins respon­si­ble for “pack­ag­ing” DNA in the cell nucle­us. They thus direct­ly reg­u­late gene expres­sion, i.e. the tran­scrip­tion of genet­ic infor­ma­tion, and are also involved in oth­er process­es, such as the con­trol of the cell cycle and the devel­op­ment of the organism.

On the oth­er hand, the research group, togeth­er with coop­er­a­tion part­ners, has found anoth­er pre­vi­ous­ly unknown com­pound that inhibits the activ­i­ty of the MYB pro­tein sim­i­lar­ly effec­tive­ly to the HDAC inhibitors. The spe­cial fea­ture of this com­pound, known as “Bcr-TMP”, is that it also inhibits the func­tion of the so-called micro­tubules. Micro­tubules form a net­work of dynam­i­cal­ly assem­bling and dis­as­sem­bling, thin, thread-like cell struc­tures (pro­tein fil­a­ments) with­in the cell, which is required, among oth­er things, for cell divi­sion. Inhibitors that destroy this net­work have been known for some time and have been used in can­cer ther­a­py for many years due to their abil­i­ty to inhib­it cell divi­sion and thus cell pro­lif­er­a­tion. The spe­cial fea­ture of this new inhibitor — accord­ing to Klemp­nauer and col­leagues — is that it simul­ta­ne­ous­ly attacks two dif­fer­ent process­es in AML cells that are impor­tant for cell pro­lif­er­a­tion: on the one hand, the reg­u­la­tion of genes by the tran­scrip­tion fac­tor MYB and, on the oth­er, the process of cell divi­sion [2].

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