Abstract
Although approved for over a decade, the clinical utility of proteasome inhibitors (PIs) remains largely restricted to the treatment of patients with multiple myeloma (MM) and mantle cell lymphoma (MCL). This has fueled interest in understanding mechanisms of resistance to their antineoplastic actions, leading to the development of new and improved PIs (e.g., carfilzomib, ixazomib, marizomib) and rational combinations with other novel classes of targeted agents. With respect to the latter, histone deacetylase inhibitors (HDACIs) represent one of the most extensively studied classes of agents. PIs and HDACIs interact at multiple levels to trigger synergistic cell killing in a variety of tumor types through multiple mechanisms, including induction of oxidative stress and DNA damage, PI-mediated inhibition of the cytoprotective NF-κB pathway activated by HDACIs, and promotion of proteotoxic stress through simultaneous proteasome inhibition and disruption of aggresome formation and chaperone proteins, leading to the accumulation of misfolded proteins. Clinically, this combination may be closest to regulatory approval in MM, but represents a promising avenue of investigation in MCL, a relatively uncommon but challenging disease that has been the focus of much recent attention given Food and Drug Administration approvals in 2013 for the immunomodulatory drug lenalidomide and the first-in-class Bruton’s tyrosine kinase inhibitor, ibrutinib. In this chapter, we discuss the mechanisms of action of and interactions between PIs and HDACIs with an MCL focus and review the relevant preclinical and clinical data.
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Abbreviations
- ABC:
-
Activated B-cell
- AML:
-
Acute myeloid leukemia
- ATM:
-
Ataxia telangiectasia mutated
- ATR:
-
ATM and Rad3 related
- BCR:
-
B-cell receptor
- BTK:
-
Bruton’s tyrosine kinase
- CDK:
-
Cyclin-dependent kinases
- CDT1:
-
Chromatin licensing and DNA replication factor-1
- c-FLIP:
-
Cellular FLICE-like inhibitory protein
- CHOP:
-
CAAT-/enhancer-binding protein homologous protein
- CTCL:
-
Cutaneous T-cell lymphoma
- DDR:
-
DNA damage response
- DLBCL:
-
Diffuse large B-cell lymphoma
- DNMT1:
-
DNA methyltransferase 1
- DSB:
-
Double-strand breaks
- ER:
-
Endoplasmic reticulum
- ERK:
-
Extracellular signal-regulated kinase
- FL:
-
Follicular lymphoma
- FLICE:
-
FADD-like IL-1β-converting enzyme
- GC:
-
Germinal center
- GEP:
-
Gene expression profiling
- GSK3β:
-
Glycogen synthase kinase-3-beta
- HAT:
-
Histone acetyl transferases
- HDAC:
-
Histone deacetylase
- HDACI:
-
Histone deacetylase inhibitor
- HDM4:
-
Human homolog of MDM4
- Hsp90:
-
Heat shock protein 90
- IgVH:
-
Immunoglobulin heavy chain variable region
- IKK:
-
IκB kinase
- IκB:
-
I kappa B
- JAK:
-
Janus kinase
- JNK:
-
Jun N-terminal kinase
- MAPK:
-
Mitogen-activated protein kinase
- MCL:
-
Mantle cell lymphoma
- Mcl-1:
-
Myeloid cell leukemia 1
- MDM2:
-
Murine double minute homolog 2
- MIPI:
-
Mantle cell lymphoma international prognostic index
- MM:
-
Multiple myeloma
- mTOR:
-
Mammalian target of rapamycin
- NF-κB:
-
Nuclear factor kappa B
- NHEJ:
-
Nonhomologous end joining
- NHL:
-
Non-Hodgkin lymphomas
- ORR:
-
Overall response rate
- PERK:
-
Protein kinase RNA-like ER kinase
- PI:
-
Proteasome inhibitor
- PRDM1:
-
PR domain zinc finger protein 1, Blimp1
- Rb:
-
Retinoblastoma protein
- R-CHOP:
-
Rituximab, cyclophosphamide, doxorubicin, vincristine prednisone
- ROS:
-
Reactive oxygen species
- STAT:
-
Signal transducer and activator of transcription
- TTP:
-
Time to progression
- UPR:
-
Unfolded protein response
- UPS:
-
Ubiquitin proteasome system
- VEGF:
-
Vascular endothelial growth factor
- XIAP:
-
X-linked inhibitor of apoptosis
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Acknowledgements
This work was supported in part by the following awards to Dr. Grant: R01 CA167708-01A1 and R01 CA100866-09 from the National Institutes of Health, an award from the Leukemia and Lymphoma Society, and an award from Onyx Pharmaceuticals, Inc.
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Batalo, M., Bose, P., Holkova, B., Grant, S. (2014). Targeting Mantle Cell Lymphoma with a Strategy of Combined Proteasome and Histone Deacetylase Inhibition. In: Dou, Q. (eds) Resistance to Proteasome Inhibitors in Cancer. Resistance to Targeted Anti-Cancer Therapeutics. Springer, Cham. https://doi.org/10.1007/978-3-319-06752-0_6
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