Casein kinase 1 is a therapeutic target in chronic lymphocytic leukemia

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Authors

JANOVSKÁ Pavlína VERNER Jan KOHOUTEK Jiří BRYJOVÁ Lenka GREGOROVÁ Michaela DZIMKOVÁ Marta ŠKABRAHOVÁ Hana RADASZKIEWICZ Tomasz Witold OVESNÁ Petra VONDÁLOVÁ BLANÁŘOVÁ Olga NĚMCOVÁ Tereza HOFEROVA Zuzana VAŠÍČKOVÁ Kateřina NESVADBOVÁ Lucie EGLE Alexander PAVLOVÁ Šárka POPPOVÁ Lucie PLEVOVÁ Karla POSPÍŠILOVÁ Šárka BRYJA Vítězslav

Year of publication 2018
Type Article in Periodical
Magazine / Source Blood
MU Faculty or unit

Faculty of Science

Citation
Web http://dx.doi.org/10.1182/blood-2017-05-786947
Doi http://dx.doi.org/10.1182/blood-2017-05-786947
Keywords casein kinase 1; inhibitor; chronic lymphocytic leukemia; microenvironmental interactions
Description Casein kinase 1 delta/epsilon (CK1 delta/epsilon) is a key component of noncanonical Wnt signaling pathways, which were shown previously to drive pathogenesis of chronic lymphocytic leukemia (CLL). In this study, we investigated thoroughly the effects of CK1 delta/epsilon inhibition on the primary CLL cells and analyzed the therapeutic potential in vivo using 2 murine model systems based on the E mu-TCL1-induced leukemia (syngeneic adoptive transfer model and spontaneous disease development), which resembles closely human CLL. We can demonstrate that the CK1 delta/epsilon inhibitor PF-670462 significantly blocks microenvironmental interactions (chemotaxis, invasion and communication with stromal cells) in primary CLL cells in all major subtypes of CLL. In the mouse models, CK1 inhibition slows down accumulation of leukemic cells in the peripheral blood and spleen and prevents onset of anemia. As a consequence, PF-670462 treatment results in a significantly longer overall survival. Importantly, CK1 inhibition has synergistic effects to the B-cell receptor (BCR) inhibitors such as ibrutinib in vitro and significantly improves ibrutinib effects in vivo. Mice treated with a combination of PF-670462 and ibrutinib show the slowest progression of disease and survive significantly longer compared with ibrutinib-only treatment when the therapy is discontinued. In summary, this preclinical testing of CK1 delta/epsilon inhibitor PF-670462 demonstrates that CK1 may serve as a novel therapeutic target in CLL, acting in synergy with BCR inhibitors. Our work provides evidence that targeting CK1 can represent an alternative or addition to the therapeutic strategies based on BCR signaling and antiapoptotic signaling (BCL-2) inhibition.
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