title: The histone deacetylase inhibitor ITF2357 has anti-leukemic activity in vitro and in vivo and inhibits IL-6 and VEGF production by stromal cells.
abstract: We have investigated the activity of ITF2357, a novel hydroxamate histone deacetylase inhibitor, on multiple myeloma (MM) and acute myelogenous leukemia (AML) cells in vitro and in vivo. ITF2357 induced apoptosis in 8/9 MM and 6/7 AML cell lines, as well as 4/4 MM and 18/20 AML freshly isolated cases, with a mean IC(50) of 0.2 microM. ITF2357 activated the intrinsic apoptotic pathway, upregulated p21 and downmodulated Bcl-2 and Mcl-1. The drug induced hyperacetylation of histone H3, H4 and tubulin. When studied in more physiological conditions, ITF2357 was still strongly cytotoxic for the interleukin-6 (IL-6)-dependent MM cell line CMA-03, or for AML samples maximally stimulated by co-culture on mesenchymal stromal cells (MSCs), but not for the MSCs themselves. Interestingly, ITF2357 inhibited the production of IL-6, vascular endothelial growth factor (VEGF) and interferon-gamma by MSCs by 80-95%. Finally, the drug significantly prolonged survival of severe combined immunodeficient mice inoculated with the AML-PS in vivo passaged cell line already at the 10 mg/kg oral dose. These data demonstrate that ITF2357 has potent anti-neoplastic activity in vitro and in vivo through direct induction of leukemic cell apoptosis. Furthermore, the drug inhibits production of growth and angiogenic factors by bone marrow stromal cells, in particular IL-6 and VEGF.
authors.affiliation: Division of Haematology, Ospedali Riuniti, Bergamo, Italy.
authors.forename: J
authors.initials: J
authors.lastname: Golay
authors.forename: L
authors.initials: L
authors.lastname: Cuppini
authors.forename: F
authors.initials: F
authors.lastname: Leoni
authors.forename: C
authors.initials: C
authors.lastname: Micò
authors.forename: V
authors.initials: V
authors.lastname: Barbui
authors.forename: M
authors.initials: M
authors.lastname: Domenghini
authors.forename: L
authors.initials: L
authors.lastname: Lombardi
authors.forename: A
authors.initials: A
authors.lastname: Neri
authors.forename: A M
authors.initials: AM
authors.lastname: Barbui
authors.forename: A
authors.initials: A
authors.lastname: Salvi
authors.forename: P
authors.initials: P
authors.lastname: Pozzi
authors.forename: G
authors.initials: G
authors.lastname: Porro
authors.forename: P
authors.initials: P
authors.lastname: Pagani
authors.forename: G
authors.initials: G
authors.lastname: Fossati
authors.forename: P
authors.initials: P
authors.lastname: Mascagni
authors.forename: M
authors.initials: M
authors.lastname: Introna
authors.forename: A
authors.initials: A
authors.lastname: Rambaldi
mesh_terms: D000107:Acetylation / Q000187:drug effects; D000818:Animals; D000970:Antineoplastic Agents / Q000494:pharmacology*; D017209:Apoptosis / Q000187:drug effects; D045744:Cell Line, Tumor; D056572:Histone Deacetylase Inhibitors; D006657:Histones / Q000378:metabolism; D006801:Humans; D006877:Hydroxamic Acids / Q000494:pharmacology*; D066298:In Vitro Techniques; D015850:Interleukin-6 / Q000378:metabolism*; D015470:Leukemia, Myeloid, Acute / Q000188:drug therapy* / Q000201:enzymology / Q000473:pathology; D051379:Mice; D016513:Mice, SCID; D009101:Multiple Myeloma / Q000188:drug therapy* / Q000201:enzymology / Q000473:pathology; D017154:Stromal Cells / Q000166:cytology / Q000187:drug effects / Q000378:metabolism; D015996:Survival Rate; D014404:Tubulin / Q000378:metabolism; D042461:Vascular Endothelial Growth Factor A / Q000378:metabolism*; D023041:Xenograft Model Antitumor Assays
chemical_list: D000970:Antineoplastic Agents; D056572:Histone Deacetylase Inhibitors; D006657:Histones; D006877:Hydroxamic Acids; D015850:Interleukin-6; D014404:Tubulin; D042461:Vascular Endothelial Growth Factor A; C502418:givinostat hydrochloride