Midkine inhibitor (iMDK) induces apoptosis of primary effusion lymphoma via G2/M cell cycle arrest

Leuk Res. 2022 May:116:106826. doi: 10.1016/j.leukres.2022.106826. Epub 2022 Mar 12.

Abstract

Primary effusion lymphoma (PEL) is an aggressive B-cell non-Hodgkin lymphoma in immunocompromised individuals such as AIDS patients. PEL shows a poor prognosis (median survival time < 6 months) compared with other AIDS-related lymphomas, and is generally resistant to conventional treatments. Novel drugs for PEL treatment are required. Midkine inhibitor (iMDK) was previously found to suppress midkine protein expression. Interestingly, iMDK suppressed cell proliferation in PEL cell lines in a time- and dose-dependent manner, regardless of midkine gene expression. We examined the mechanism of iMDK on PEL. Importantly, iMDK strongly induced cell cycle arrest at the G2/M phase within 12 h of incubation and suppressed the p-CDK1 protein level, which is associated with the cell cycle checkpoint at G2/M, resulting in mitotic catastrophe with observation of multipolar division. After mitotic catastrophe, iMDK-treated PEL showed apoptosis with caspase-3, - 8, and - 9 activation at 24 h incubation. However, iMDK showed no effects on viral protein-activated signaling pathways such as JAK-STAT, PI3K-Akt and NF-κB, and HHV-8/KSHV gene expression in PEL. These results indicate that iMDK is a novel CDK1 inhibitor and a promising lead compound for PEL chemotherapy treatment.

Keywords: AIDS; Apoptosis; Cell cycle; Midkine inhibitor (iMDK); Primary effusion lymphoma (PEL).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Apoptosis
  • G2 Phase Cell Cycle Checkpoints
  • Herpesvirus 8, Human*
  • Humans
  • Lymphoma, Primary Effusion* / drug therapy
  • Lymphoma, Primary Effusion* / metabolism
  • Lymphoma, Primary Effusion* / pathology
  • Midkine / pharmacology
  • Phosphatidylinositol 3-Kinases / pharmacology
  • Phosphatidylinositol 3-Kinases / therapeutic use

Substances

  • Midkine