Epigenetic targeting of Waldenström macroglobulinemia cells with BET inhibitors synergizes with BCL2 or histone deacetylase inhibition

Author:

Matissek Stephan J1ORCID,Han Weiguo1ORCID,Karbalivand Mona1ORCID,Sayed Mohamed1ORCID,Reilly Brendan M1ORCID,Mallat Shayna1,Ghazal Shimaa M1ORCID,Munshi Manit23,Yang Guang23ORCID,Treon Steven P23ORCID,Walker Sarah R1ORCID,Elsawa Sherine F1ORCID

Affiliation:

1. Department of Molecular, Cellular and Biomedical Sciences, University of New Hampshire, Durham, NH, 03824, USA

2. Bing Center for Waldenström Macroglobulinemia, Dana-Farber Cancer Institute, Boston, MA, 02215, USA

3. Department of Medicine, Harvard Medical School, Boston, MA, 02115, USA

Abstract

Aim: Waldenström macroglobulinemia (WM) is a low-grade B-cell lymphoma characterized by overproduction of monoclonal IgM. To date, there are no therapies that provide a cure for WM patients, and therefore, it is important to explore new therapies. Little is known about the efficiency of epigenetic targeting in WM. Materials & methods: WM cells were treated with BET inhibitors (JQ1 and I-BET-762) and venetoclax, panobinostat or ibrutinib. Results: BET inhibition reduces growth of WM cells, with little effect on survival. This finding was enhanced by combination therapy, with panobinostat (LBH589) showing the highest synergy. Conclusion: Our studies identify BET inhibitors as effective therapy for WM, and these inhibitors can be enhanced in combination with BCL2 or histone deacetylase inhibition.

Funder

International Waldenstrom Macrglobulinemia Foundation and Leukemia & Lymphoma Society

Publisher

Future Medicine Ltd

Subject

Cancer Research,Genetics

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