A Drug Repositioning Approach Identifies a Combination of Compounds as a Potential Regimen for Chronic Lymphocytic Leukemia Treatment
Identifieur interne : 000824 ( Main/Exploration ); précédent : 000823; suivant : 000825A Drug Repositioning Approach Identifies a Combination of Compounds as a Potential Regimen for Chronic Lymphocytic Leukemia Treatment
Auteurs : Atef Nehdi [Arabie saoudite, Tunisie] ; Nosaibah Samman [Arabie saoudite] ; Abdullah Mashhour [Arabie saoudite] ; Alshaimaa Alhallaj [Arabie saoudite] ; Thadeo Trivilegio [Arabie saoudite] ; Sheraz Gul [Allemagne] ; Jeanette Reinshagen [Allemagne] ; Ahmed Alaskar [Arabie saoudite] ; Gamal Gmati [Arabie saoudite] ; Khadega A. Abuelgasim [Arabie saoudite] ; Fatmah Mansour [Arabie saoudite] ; Mohamed Boudjelal [Arabie saoudite]Source :
- Frontiers in Oncology [ 2234-943X ] ; 2021.
Abstract
Drug repositioning is a promising and powerful innovative strategy in the field of drug discovery. In this study, we screened a compound-library containing 800 Food and Drug Administration approved drugs for their anti-leukemic effect. All screening activities made use of human peripheral blood mononuclear cells (PBMCs), isolated from healthy or leukemic donors. Compounds with confirmed cytotoxicity were selected and classified in three groups: i) anti-neoplastic compounds which are drugs used in leukemia treatment, ii) compounds known to have an anti-cancer effect and iii) compounds demonstrating an anti-leukemic potential for the first time. The latter group was the most interesting from a drug repositioning perspective and yielded a single compound, namely Isoprenaline which is a non-selective β-adrenergic agonist. Analysis of the cytotoxic effect of this drug indicated that it induces sustainable intracellular ATP depletion leading, over time, to necrotic cell death. We exploited the Isoprenaline-induced intracellular ATP depletion to sensitize primary leukemic cells to fludarabine (purine analogue) and Ibrutinib (Bruton’s tyrosine kinase inhibitor) treatment.
Url:
DOI: 10.3389/fonc.2021.579488
PubMed: 34123769
PubMed Central: 8195271
Affiliations:
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A Drug Repositioning Approach Identifies a Combination of Compounds as a Potential Regimen for Chronic Lymphocytic Leukemia Treatment</title>
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<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="aff5"><institution>Division of Hematology & HCT, Department of Oncology, King Abdulaziz Medical City</institution>
,<addr-line>Riyadh</addr-line>
,<country>Saudi Arabia</country>
</nlm:aff>
<country xml:lang="fr">Arabie saoudite</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Mansour, Fatmah" sort="Mansour, Fatmah" uniqKey="Mansour F" first="Fatmah" last="Mansour">Fatmah Mansour</name>
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,<addr-line>Riyadh</addr-line>
,<country>Saudi Arabia</country>
</nlm:aff>
<country xml:lang="fr">Arabie saoudite</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="aff3"><institution>King Saud bin Abdulaziz University for Health Sciences</institution>
,<addr-line>Riyadh</addr-line>
,<country>Saudi Arabia</country>
</nlm:aff>
<country xml:lang="fr">Arabie saoudite</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Boudjelal, Mohamed" sort="Boudjelal, Mohamed" uniqKey="Boudjelal M" first="Mohamed" last="Boudjelal">Mohamed Boudjelal</name>
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,<addr-line>Riyadh</addr-line>
,<country>Saudi Arabia</country>
</nlm:aff>
<country xml:lang="fr">Arabie saoudite</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="aff3"><institution>King Saud bin Abdulaziz University for Health Sciences</institution>
,<addr-line>Riyadh</addr-line>
,<country>Saudi Arabia</country>
</nlm:aff>
<country xml:lang="fr">Arabie saoudite</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
</analytic>
<series><title level="j">Frontiers in Oncology</title>
<idno type="eISSN">2234-943X</idno>
<imprint><date when="2021">2021</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
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<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p>Drug repositioning is a promising and powerful innovative strategy in the field of drug discovery. In this study, we screened a compound-library containing 800 Food and Drug Administration approved drugs for their anti-leukemic effect. All screening activities made use of human peripheral blood mononuclear cells (PBMCs), isolated from healthy or leukemic donors. Compounds with confirmed cytotoxicity were selected and classified in three groups: i) anti-neoplastic compounds which are drugs used in leukemia treatment, ii) compounds known to have an anti-cancer effect and iii) compounds demonstrating an anti-leukemic potential for the first time. The latter group was the most interesting from a drug repositioning perspective and yielded a single compound, namely Isoprenaline which is a non-selective β-adrenergic agonist. Analysis of the cytotoxic effect of this drug indicated that it induces sustainable intracellular ATP depletion leading, over time, to necrotic cell death. We exploited the Isoprenaline-induced intracellular ATP depletion to sensitize primary leukemic cells to fludarabine (purine analogue) and Ibrutinib (Bruton’s tyrosine kinase inhibitor) treatment. <italic>In-vitro</italic>
treatment of primary leukemic cells with a combination of Isoprenaline/fludarabine or Isoprenaline/Ibrutinib showed a very high synergistic effect. These combinations could constitute a new efficient regimen for CLL treatment following successful evaluation in animal models and clinical trials.</p>
</div>
</front>
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<author><name sortKey="Lu, Z H" uniqKey="Lu Z">Z-H Lu</name>
</author>
<author><name sortKey="Wang, T" uniqKey="Wang T">T Wang</name>
</author>
<author><name sortKey="Meier, Ti" uniqKey="Meier T">TI Meier</name>
</author>
<author><name sortKey="Shepard, Rl" uniqKey="Shepard R">RL Shepard</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Singh, Rk" uniqKey="Singh R">RK Singh</name>
</author>
<author><name sortKey="Van Haandel, L" uniqKey="Van Haandel L">L van Haandel</name>
</author>
<author><name sortKey="Heruth, Dp" uniqKey="Heruth D">DP Heruth</name>
</author>
<author><name sortKey="Shui, Qy" uniqKey="Shui Q">QY Shui</name>
</author>
<author><name sortKey="Leeder, Js" uniqKey="Leeder J">JS Leeder</name>
</author>
<author><name sortKey="Becker, Ml" uniqKey="Becker M">ML Becker</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<affiliations><list><country><li>Allemagne</li>
<li>Arabie saoudite</li>
<li>Tunisie</li>
</country>
</list>
<tree><country name="Arabie saoudite"><noRegion><name sortKey="Nehdi, Atef" sort="Nehdi, Atef" uniqKey="Nehdi A" first="Atef" last="Nehdi">Atef Nehdi</name>
</noRegion>
<name sortKey="Abuelgasim, Khadega A" sort="Abuelgasim, Khadega A" uniqKey="Abuelgasim K" first="Khadega A." last="Abuelgasim">Khadega A. Abuelgasim</name>
<name sortKey="Abuelgasim, Khadega A" sort="Abuelgasim, Khadega A" uniqKey="Abuelgasim K" first="Khadega A." last="Abuelgasim">Khadega A. Abuelgasim</name>
<name sortKey="Alaskar, Ahmed" sort="Alaskar, Ahmed" uniqKey="Alaskar A" first="Ahmed" last="Alaskar">Ahmed Alaskar</name>
<name sortKey="Alaskar, Ahmed" sort="Alaskar, Ahmed" uniqKey="Alaskar A" first="Ahmed" last="Alaskar">Ahmed Alaskar</name>
<name sortKey="Alaskar, Ahmed" sort="Alaskar, Ahmed" uniqKey="Alaskar A" first="Ahmed" last="Alaskar">Ahmed Alaskar</name>
<name sortKey="Alhallaj, Alshaimaa" sort="Alhallaj, Alshaimaa" uniqKey="Alhallaj A" first="Alshaimaa" last="Alhallaj">Alshaimaa Alhallaj</name>
<name sortKey="Alhallaj, Alshaimaa" sort="Alhallaj, Alshaimaa" uniqKey="Alhallaj A" first="Alshaimaa" last="Alhallaj">Alshaimaa Alhallaj</name>
<name sortKey="Boudjelal, Mohamed" sort="Boudjelal, Mohamed" uniqKey="Boudjelal M" first="Mohamed" last="Boudjelal">Mohamed Boudjelal</name>
<name sortKey="Boudjelal, Mohamed" sort="Boudjelal, Mohamed" uniqKey="Boudjelal M" first="Mohamed" last="Boudjelal">Mohamed Boudjelal</name>
<name sortKey="Gmati, Gamal" sort="Gmati, Gamal" uniqKey="Gmati G" first="Gamal" last="Gmati">Gamal Gmati</name>
<name sortKey="Gmati, Gamal" sort="Gmati, Gamal" uniqKey="Gmati G" first="Gamal" last="Gmati">Gamal Gmati</name>
<name sortKey="Mansour, Fatmah" sort="Mansour, Fatmah" uniqKey="Mansour F" first="Fatmah" last="Mansour">Fatmah Mansour</name>
<name sortKey="Mansour, Fatmah" sort="Mansour, Fatmah" uniqKey="Mansour F" first="Fatmah" last="Mansour">Fatmah Mansour</name>
<name sortKey="Mashhour, Abdullah" sort="Mashhour, Abdullah" uniqKey="Mashhour A" first="Abdullah" last="Mashhour">Abdullah Mashhour</name>
<name sortKey="Mashhour, Abdullah" sort="Mashhour, Abdullah" uniqKey="Mashhour A" first="Abdullah" last="Mashhour">Abdullah Mashhour</name>
<name sortKey="Nehdi, Atef" sort="Nehdi, Atef" uniqKey="Nehdi A" first="Atef" last="Nehdi">Atef Nehdi</name>
<name sortKey="Samman, Nosaibah" sort="Samman, Nosaibah" uniqKey="Samman N" first="Nosaibah" last="Samman">Nosaibah Samman</name>
<name sortKey="Samman, Nosaibah" sort="Samman, Nosaibah" uniqKey="Samman N" first="Nosaibah" last="Samman">Nosaibah Samman</name>
<name sortKey="Trivilegio, Thadeo" sort="Trivilegio, Thadeo" uniqKey="Trivilegio T" first="Thadeo" last="Trivilegio">Thadeo Trivilegio</name>
<name sortKey="Trivilegio, Thadeo" sort="Trivilegio, Thadeo" uniqKey="Trivilegio T" first="Thadeo" last="Trivilegio">Thadeo Trivilegio</name>
</country>
<country name="Tunisie"><noRegion><name sortKey="Nehdi, Atef" sort="Nehdi, Atef" uniqKey="Nehdi A" first="Atef" last="Nehdi">Atef Nehdi</name>
</noRegion>
</country>
<country name="Allemagne"><noRegion><name sortKey="Gul, Sheraz" sort="Gul, Sheraz" uniqKey="Gul S" first="Sheraz" last="Gul">Sheraz Gul</name>
</noRegion>
<name sortKey="Reinshagen, Jeanette" sort="Reinshagen, Jeanette" uniqKey="Reinshagen J" first="Jeanette" last="Reinshagen">Jeanette Reinshagen</name>
</country>
</tree>
</affiliations>
</record>
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