Activity of the Type II JAK2 Inhibitor CHZ868 in B Cell Acute Lymphoblastic Leukemia
- Cancer Cell. 2015 Jul 13;28(1):29-41. doi: 10.1016/j.ccell.2015.06.005.
- 1. Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA.
- 2. Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA; Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA.
- 3. Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA.
- 4. Novartis Institutes for Biomedical Research, 4002 Basel, Switzerland.
- 5. Department of Pathology, Brigham and Women's Hospital, Boston, MA 02115, USA.
- 6. Department of Cancer Biology, Dana-Farber Cancer Institute, Boston, MA 02215, USA.
- 7. Novartis Institutes for Biomedical Research, 4002 Basel, Switzerland. Electronic address: [email protected].
- 8. Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA; Broad Institute, Cambridge, MA 02142, USA. Electronic address: [email protected].
A variety of cancers depend on JAK2 signaling, including the high-risk subset of B cell acute lymphoblastic leukemias (B-ALLs) with CRLF2 rearrangements. Type I JAK2 inhibitors induce paradoxical JAK2 hyperphosphorylation in these leukemias and have limited activity. To improve the efficacy of JAK2 inhibition in B-ALL, we developed the type II inhibitor CHZ868, which stabilizes JAK2 in an inactive conformation. CHZ868 potently suppressed the growth of CRLF2-rearranged human B-ALL cells, abrogated JAK2 signaling, and improved survival in mice with human or murine B-ALL. CHZ868 and dexamethasone synergistically induced Apoptosis in JAK2-dependent B-ALLs and further improved in vivo survival compared to CHZ868 alone. These data support the testing of type II JAK2 inhibition in patients with JAK2-dependent leukemias and Other disorders.