Effect of CHK1 Inhibition on CPX-351 Cytotoxicity in vitro and ex vivo

Sci Rep. 2019 Mar 5;9(1):3617. doi: 10.1038/s41598-019-40218-0.

Abstract

CPX-351 is a liposomally encapsulated 5:1 molar ratio of cytarabine and daunorubicin that recently received regulatory approval for the treatment of therapy-related acute myeloid leukemia (AML) or AML with myelodysplasia-related changes based on improved overall survival compared to standard cytarabine/daunorubicin therapy. Checkpoint kinase 1 (CHK1), which is activated by DNA damage and replication stress, diminishes sensitivity to cytarabine and anthracyclines as single agents, suggesting that CHK1 inhibitors might increase the effectiveness of CPX-351. The present studies show that CPX-351 activates CHK1 as well as the S and G2/M cell cycle checkpoints. Conversely, CHK1 inhibition diminishes the cell cycle effects of CPX-351. Moreover, CHK1 knockdown or addition of a CHK1 inhibitor such as MK-8776, rabusertib or prexasertib enhances CPX-351-induced apoptosis in multiple TP53-null and TP53-wildtype AML cell lines. Likewise, CHK1 inhibition increases the antiproliferative effect of CPX-351 on primary AML specimens ex vivo, offering the possibility that CPX-351 may be well suited to combine with CHK1-targeted agents.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Apoptosis*
  • Cell Proliferation
  • Checkpoint Kinase 1 / antagonists & inhibitors*
  • Cytarabine / pharmacology*
  • Daunorubicin / pharmacology*
  • G2 Phase Cell Cycle Checkpoints / drug effects*
  • Humans
  • In Vitro Techniques
  • Leukemia, Myeloid, Acute / drug therapy
  • Leukemia, Myeloid, Acute / enzymology
  • Leukemia, Myeloid, Acute / pathology*
  • Leukocytes, Mononuclear / drug effects
  • Leukocytes, Mononuclear / enzymology
  • Leukocytes, Mononuclear / pathology*
  • Protein Kinase Inhibitors / pharmacology*
  • Tumor Cells, Cultured

Substances

  • CPX-351
  • Protein Kinase Inhibitors
  • Cytarabine
  • CHEK1 protein, human
  • Checkpoint Kinase 1
  • Daunorubicin