Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\29472557
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Cell+Death+Dis
2018 ; 9
(3
): 311
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Metformin exerts multitarget antileukemia activity in JAK2(V617F)-positive
myeloproliferative neoplasms
#MMPMID29472557
Machado-Neto JA
; Fenerich BA
; Scopim-Ribeiro R
; Eide CA
; Coelho-Silva JL
; Dechandt CRP
; Fernandes JC
; Rodrigues Alves APN
; Scheucher PS
; Simões BP
; Alberici LC
; de Figueiredo Pontes LL
; Tognon CE
; Druker BJ
; Rego EM
; Traina F
Cell Death Dis
2018[Feb]; 9
(3
): 311
PMID29472557
show ga
The recurrent gain-of-function JAK2(V617F) mutation confers growth
factor-independent proliferation for hematopoietic cells and is a major
contributor to the pathogenesis of myeloproliferative neoplasms (MPN). The lack
of complete response in most patients treated with the JAK1/2 inhibitor
ruxolitinib indicates the need for identifying novel therapeutic strategies.
Metformin is a biguanide that exerts selective antineoplastic activity in
hematological malignancies. In the present study, we investigate and compare
effects of metformin and ruxolitinib alone and in combination on cell signaling
and cellular functions in JAK2(V617F)-positive cells. In JAK2(V617F)-expressing
cell lines, metformin treatment significantly reduced cell viability, cell
proliferation, clonogenicity, and cellular oxygen consumption and delayed cell
cycle progression. Metformin reduced cyclin D1 expression and RB, STAT3, STAT5,
ERK1/2 and p70S6K phosphorylation. Metformin plus ruxolitinib demonstrated more
intense reduction of cell viability and induction of apoptosis compared to
monotherapy. Notably, metformin reduced Ba/F3 JAK2(V617F) tumor burden and
splenomegaly in Jak2(V617F) knock-in-induced MPN mice and spontaneous erythroid
colony formation in primary cells from polycythemia vera patients. In conclusion,
metformin exerts multitarget antileukemia activity in MPN: downregulation of
JAK2/STAT signaling and mitochondrial activity. Our exploratory study establishes
novel molecular mechanisms of metformin and ruxolitinib action and provides
insights for development of alternative/complementary therapeutic strategies for
MPN.