Evidence map›Paper›PMID 39334157›Full record

ArticleJournal of translational medicine2024

NL101 synergizes with the BCL-2 inhibitor venetoclax through PI3K-dependent suppression of c-Myc in acute myeloid leukaemia.

Ying Lu, Xia Jiang, Youhong Li, Fenglin Li, Mengting Zhao, Ye Lin, Lili Jin, Haihui Zhuang, Shuangyue Li, Peipei Ye and 3 more

Abstract read
In one paragraph

Article in Journal of translational medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Ying LuDepartment of Hematology, The Affiliated People's Hospital of Ningbo University, Ningbo, China.
Xia JiangDepartment of Hematology, The Affiliated People's Hospital of Ningbo University, Ningbo, China.
Youhong LiDepartment of Hematology, The Affiliated People's Hospital of Ningbo University, Ningbo, China.
Fenglin LiDepartment of Hematology, The Affiliated People's Hospital of Ningbo University, Ningbo, China.
Mengting ZhaoDepartment of Pathology, and Zhejiang Key Laboratory of Pathophysiology, School of Basic Medical Sciences, Health Science Center, Ningbo University, Ningbo, 315211, China.
Ye LinDepartment of Pathology, and Zhejiang Key Laboratory of Pathophysiology, School of Basic Medical Sciences, Health Science Center, Ningbo University, Ningbo, 315211, China.
Lili JinDepartment of Hematology, The Affiliated People's Hospital of Ningbo University, Ningbo, China.
Haihui ZhuangDepartment of Hematology, The Affiliated People's Hospital of Ningbo University, Ningbo, China.
Shuangyue LiDepartment of Hematology, The Affiliated People's Hospital of Ningbo University, Ningbo, China.
Peipei YeDepartment of Hematology, The Affiliated People's Hospital of Ningbo University, Ningbo, China.
Renzhi PeiDepartment of Hematology, The Affiliated People's Hospital of Ningbo University, Ningbo, China.
Jie JinDepartment of Hematology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Lei JiangDepartment of Hematology, The Affiliated People's Hospital of Ningbo University, Ningbo, China. jianglei@nbu.edu.cn.ORCID 0000-0002-8676-8859

Funding

Basic Public Welfare Research Program of Zhejiang Province LGF22H080007National Natural Science Foundation of China 81400098Natural Science Foundation of Ningbo Municipality 2019A610270Natural Science Foundation of Ningbo Municipality 202003N4292Ningbo Medical & Health Leading Academic Discipline Project 2022-S05
6 · The paper itself

Abstract

backgroundAcute myeloid leukaemia (AML) comprises a group of heterogeneous and aggressive haematological malignancies with unsatisfactory prognoses and limited treatment options. Treatments targeting B-cell lymphoma-2 (BCL-2) with venetoclax have been approved for patients with AML, and venetoclax-based drug combinations are becoming the standard of care for older patients unfit for intensive chemotherapy. However, the therapeutic duration of either single or combination strategies is limited, and the development of resistance seems inevitable. Therefore, more effective combination regimens are urgently needed.

methodsThe efficacy of combination therapy with NL101, a SAHA-bendamustine hybrid, and venetoclax was evaluated in preclinical models of AML including established cell lines, primary blasts from patients, and animal models. RNA-sequencing and immunoblotting were used to explore the underlying mechanism.

resultsNL101 significantly potentiated the activity of venetoclax in AML cell lines, as evidenced by the enhanced decrease in viability and induction of apoptosis. Mechanistically, the addition of NL101 to venetoclax decreased the stability of the antiapoptotic protein myeloid cell leukaemia-1 (MCL-1) by inhibiting ERK, thereby facilitating the release of BIM and triggering mitochondrial apoptosis. Moreover, the strong synergy between NL101 and venetoclax also relied on the downregulation of c-Myc via PI3K/Akt/GSK3β signalling. The combination of NL101 and venetoclax synergistically eliminated primary blasts from 10 AML patients and reduced the leukaemia burden in an MV4-11 cell-derived xenograft model.

conclusionsOur results encourage the pursuit of clinical trials of combined treatment with NL101 and venetoclax and provide a novel venetoclax-incorporating therapeutic strategy for AML.

Indexed as

ApoptosisBridged Bicyclo Compounds, HeterocyclicDrug SynergismLeukemia, Myeloid, AcutePhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-bcl-2Proto-Oncogene Proteins c-mycSulfonamidesAnimalsCell Line, TumorFemaleHumansMiceSignal TransductionXenograft Model Antitumor AssaysBridged Bicyclo Compounds, HeterocyclicPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-bcl-2Proto-Oncogene Proteins c-mycSulfonamidesvenetoclaxAMLApoptosisc-MycMCL-1NL101Venetoclax

Identifiers

PMID39334157
PMCPMC11429391

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.