Albendazole induces the terminal differentiation of acute myeloid leukaemia cells to monocytes by stimulating the Krüppel-like factor 4-dihydropyrimidinase-like 2A (KLF4-DPYSL2A) axis

Br J Haematol. 2021 Aug;194(3):598-603. doi: 10.1111/bjh.17557. Epub 2021 Jul 5.

Abstract

Differentiation therapy is a less toxic but still a very effective treatment for a subset of acute myeloid leukaemia (AML) cases. With the goal to identify novel compounds that can effectively and safely induce the terminal differentiation of non-acute promyelocytic leukaemia (APL) AML cells, we performed a chemical screening and identified albendazole (ABZ), a widely used anti-helminthic drug, as a promising lead compound that can differentiate non-APL AML cells by stimulating the Krüppel-like factor 4-dihydropyrimidinase-like 2A (KLF4-DPYSL2A) differentiation axis to the monocytes. Our in vitro and in vivo findings demonstrate that ABZ is an attractive candidate drug as a novel differentiation chemotherapy for patients with non-APL AML.

Keywords: AML; differentiation; leukaemia.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Albendazole / pharmacology*
  • Albendazole / therapeutic use
  • Animals
  • Anthelmintics / pharmacology*
  • Anthelmintics / therapeutic use
  • Antineoplastic Agents / pharmacology*
  • Antineoplastic Agents / therapeutic use
  • Cell Differentiation / drug effects
  • Cell Line, Tumor
  • Humans
  • Intercellular Signaling Peptides and Proteins / metabolism*
  • Kruppel-Like Factor 4 / metabolism*
  • Leukemia, Myeloid, Acute / drug therapy*
  • Leukemia, Myeloid, Acute / metabolism
  • Leukemia, Myeloid, Acute / pathology
  • Mice
  • Monocytes / drug effects
  • Nerve Tissue Proteins / metabolism*
  • Signal Transduction / drug effects

Substances

  • Anthelmintics
  • Antineoplastic Agents
  • Intercellular Signaling Peptides and Proteins
  • Kruppel-Like Factor 4
  • Nerve Tissue Proteins
  • collapsin response mediator protein-2
  • Albendazole