The serine/threonine Pim kinases are upregulated in specific hematologic neoplasms, and play an important role in key signal transduction pathways, including those regulated by MYC, MYCN, FLT3-ITD, BCR-ABL, HOXA9, and EWS fusions. We demonstrate that SMI-4a, a novel benzylidene-thiazolidine-2, 4-dione small molecule inhibitor of the Pim kinases, kills a wide range of both myeloid and lymphoid cell lines with precursor T-cell lymphoblastic leukemia/lymphoma (pre-T-LBL/T-ALL) being highly sensitive. Incubation of pre-T-LBL cells with SMI-4a induced G1 phase cell-cycle arrest secondary to a dose-dependent induction of p27 Kip1 , apoptosis through the mitochondrial pathway, and inhibition of the mammalian target of rapamycin C1 (mTORC1) pathway based on decreases in phosphop70 S6K and phospho-4E-BP1, 2 substrates of this enzyme. In addition, treatment of these cells with SMI-4a was found to induce phosphorylation of extracellular signal-related kinase1/2 (ERK1/2), and the combination of SMI-4a and a mitogenactivated protein kinase kinase 1/2 (MEK1/2) inhibitor was highly synergistic in killing pre-T-LBL cells. In immunodeficient mice carrying subcutaneous pre-T-LBL tumors, treatment twice daily with SMI-4a caused a significant delay in the tumor growth without any change in the weight, blood counts, or chemistries. Our data suggest that inhibition of the Pim protein kinases may be developed as a therapeutic strategy for the treatment of pre-T-LBL. (Blood. 2010;115:824-833)
IntroductionThe serine/threonine Pim protein kinase is overexpressed in multiple hematopoietic tumors, with an approximately 3-fold increase in chronic lymphocytic leukemia, non-Hodgkin lymphoma, 1,2 and many primary human myeloid leukemic samples. 3 The level of Pim mRNA correlated with the doubling time of the chronic lymphocytic leukemia. Likewise, in mantle cell lymphoma the level of Pim protein kinase expression predicted poor patient outcome. 4 Pim protein kinase is targeted by aberrant hypermutation in 50% of the cases 5 of diffuse large B-cell lymphomas and mutations are detected in primary central nervous system lymphomas 6 and AIDS-associated non-Hodgkin lymphoma. 6 Murine models point to a role for Pim protein kinases in enhancing the transforming activity of several transcription factors known to be drivers of hematopoietic malignancies. For example, the Pim1 and Pim2 genes were originally cloned as a proviral insertion in murine lymphomas 7 that markedly enhanced both the incidence and speed of Myc-driven lymphomagenesis. 8 When the E-Pim1 transgene alone is overexpressed in mice, they exhibit a low-level (10%) occurrence of T-cell lymphoblastic lymphoma/ leukemia. 9 Conversely, E-N-myc or E-L-myc transgenic mice develop T-cell or B-cell lymphomas, respectively, and the rate of development of these tumors is greatly enhanced by breeding with E-Pim1 transgenic mice. 10 Using a retroviral tagging model in mice transgenic for the E2A-PBX1 fusion oncogenes, the Pim1 locus was targeted in 48% of the T-cell lymphomas and the occurrence of ...