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10.1182/blood-2014-10-607648

http://scihub22266oqcxt.onion/10.1182/blood-2014-10-607648
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suck abstract from ncbi


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pmid25716206
      Blood 2015 ; 125 (17 ): 2689-92
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  • Decitabine priming enhances the antileukemic effects of exportin 1 (XPO1) selective inhibitor selinexor in acute myeloid leukemia #MMPMID25716206
  • Ranganathan P ; Yu X ; Santhanam R ; Hofstetter J ; Walker A ; Walsh K ; Bhatnagar B ; Klisovic R ; Vasu S ; Phelps MA ; Devine S ; Shacham S ; Kauffman M ; Marcucci G ; Blum W ; Garzon R
  • Blood 2015[Apr]; 125 (17 ): 2689-92 PMID25716206 show ga
  • The prognosis of acute myeloid leukemia (AML) is poor, highlighting the need for novel treatments. Hypomethylating agents, including decitabine are used to treat elderly AML patients with relative success. Targeting nuclear export receptor (exportin 1 [XPO1]) is a novel approach to restore tumor suppressor (TS) function in AML. Here, we show that sequential treatment of AML blasts with decitabine followed by selinexor (XPO1 inhibitor) enhances the antileukemic effects of selinexor. These effects could be mediated by the re-expression of a subset of TSs (CDKN1A and FOXO3A) that are epigenetically silenced via DNA methylation, and cytoplasmic-nuclear trafficking is regulated by XPO1. We observed a significant upregulation of CDKN1A and FOXO3A in decitabine- versus control-treated cells. Sequential treatment of decitabine followed by selinexor in an MV4-11 xenograft model significantly improved survival compared with selinexor alone. On the basis of these preclinical results, a phase 1 clinical trial of decitabine followed by selinexor in elderly patients with AML has been initiated.
  • |Active Transport, Cell Nucleus/drug effects [MESH]
  • |Animals [MESH]
  • |Antineoplastic Agents/*therapeutic use [MESH]
  • |Azacitidine/*analogs & derivatives/therapeutic use [MESH]
  • |Cell Line, Tumor [MESH]
  • |Cyclin-Dependent Kinase Inhibitor p21/genetics [MESH]
  • |DNA Methylation/drug effects [MESH]
  • |DNA Modification Methylases/antagonists & inhibitors [MESH]
  • |Decitabine [MESH]
  • |Exportin 1 Protein [MESH]
  • |Forkhead Box Protein O3 [MESH]
  • |Forkhead Transcription Factors/genetics [MESH]
  • |Humans [MESH]
  • |Hydrazines/*therapeutic use [MESH]
  • |Karyopherins/*antagonists & inhibitors/metabolism [MESH]
  • |Leukemia, Myeloid, Acute/*drug therapy/genetics/metabolism [MESH]
  • |Mice [MESH]
  • |Mice, Inbred NOD [MESH]
  • |Mice, SCID [MESH]
  • |Receptors, Cytoplasmic and Nuclear/*antagonists & inhibitors/metabolism [MESH]
  • |Triazoles/*therapeutic use [MESH]
  • |Tumor Cells, Cultured [MESH]


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