Abstract
TYK2-rearrangements have recently been identified in high-risk acute lymphoblastic leukemia (HR-ALL) cases and are associated with poor outcome. Current understanding of the leukemogenic potential and therapeutic targetability of activating TYK2 alterations in the ALL setting is unclear, thus further investigations are warranted. Consequently, we developed in vitro, and for the first time, in vivo models of B-cell ALL from a patient harboring the MYB-TYK2 fusion gene. These models revealed JAK/STAT signaling activation and the oncogenic potential of the MYB-TYK2 fusion gene in isolation. High throughput screening identified the HDAC inhibitor, vorinostat and the HSP90 inhibitor, tanespimycin plus the JAK inhibitor, cerdulatinib as the most effective agents against cells expressing the MYB-TYK2 alteration. Evaluation of vorinostat and cerdulatinib in pre-clinical models of MYB-TYK2-rearranged ALL demonstrated that both drugs exhibited anti-leukemic effects and reduced the disease burden in treated mice. Importantly, these findings indicate that activating TYK2 alterations can function as driver oncogenes rather than passenger or secondary events in disease development. In addition, our data provide evidence for use of vorinostat and cerdulatinib in the treatment regimens of patients with this rare yet aggressive type of high-risk ALL that warrants further investigation in the clinical setting.
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Acknowledgements
Funding of this study was provided by National Health and Medical Research Council, Cancer Council Beat Cancer Project and the Leukaemia Foundation Australia. PT was supported by an AGR University of Adelaide scholarship and Betty Hartmann Leukaemia Research Supplementary Scholarship. Flow cytometry analysis and cell sorting were performed at the South Australian Health Medical Research Institute (SAHMRI) in the ACRF Cellular Imaging and Cytometry Core Facility. The Facility is generously supported by the Detmold Hoopman Group, Australian Cancer Research Foundation and Australian Government through the Zero Childhood Cancer Program. Animal models were performed in the Bioresources Core Facility at SAHMRI and we would like to acknowledge the technical support provided. HTS was performed at Cell Screen SA, Flinders Centre for Innovation in Cancer and we would like to thank Dr. Amanda Aloia and Dr. Bracho Granado for assisting with assay optimization. We would like to thank Prof. Charles Mullighan for provision of the MYB-TYK2 construct.
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PT conceived the study, performed the experiments, analyzed the data and wrote the manuscript. LE contributed to the study design. MF and EP helped in performing the experiments. LE, SH, and DW supervised the research. All authors critically read and revised the manuscript.
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Shirazi, P.T., Eadie, L.N., Heatley, S.L. et al. Exploring the oncogenic and therapeutic target potential of the MYB-TYK2 fusion gene in B-cell acute lymphoblastic leukemia. Cancer Gene Ther 29, 1140–1152 (2022). https://doi.org/10.1038/s41417-021-00421-6
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DOI: https://doi.org/10.1038/s41417-021-00421-6
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