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Blood, 1 March 2001, Vol. 97, No. 5, pp. 1404-1412
NEOPLASIA
Activity of the farnesyl protein transferase inhibitor SCH66336
against BCR/ABL-induced murine leukemia and primary cells
from patients with chronic myeloid leukemia
David G. Peters,
Russell R. Hoover,
Melissa J. Gerlach,
Eugene Y. Koh,
Haiyan Zhang,
Kevin Choe,
Paul Kirschmeier,
W. Robert Bishop, and
George Q. Daley
From the Whitehead Institute, Cambridge, MA; Division
of Hematology/ Oncology, Massachusetts General Hospital, Boston, MA;
and the Department of Tumor Biology, the
Schering-Plough Research Institute, Kenilworth, NJ.
BCR/ABL, the oncoprotein responsible for chronic myeloid leukemia
(CML), transforms hematopoietic cells through both Ras-dependent and
-independent mechanisms. Farnesyl protein transferase inhibitors (FTIs)
were designed to block mutant Ras signaling, but they also inhibit the
growth of transformed cells with wild-type Ras, implying that other
farnesylated targets contribute to FTI action. In the current study,
the clinical candidate FTI SCH66336 was characterized for its ability
to inhibit BCR/ABL transformation. When tested against BCR/ABL-BaF3
cells, a murine cell line that is leukemogenic in mice, SCH66336
potently inhibited soft agar colony formation, slowed proliferation,
and sensitized cells to apoptotic stimuli. Quantification of activated
guanosine triphosphate (GTP)-bound Ras protein and electrophoretic
mobility shift assays for AP-1 DNA binding showed that Ras effector
pathways are inhibited by SCH66336. However, SCH66336 was more
inhibitory than dominant-negative Ras in assays of soft agar colony
formation and cell proliferation, suggesting activity against targets
other than Ras. Cell cycle analysis of BCR/ABL-BaF3 cells treated with
SCH66336 revealed G2/M blockade, consistent with recent reports that
centromeric proteins that regulate the G2/M checkpoint are critical
farnesylated targets of FTI action. Mice injected intravenously with
BCR/ABL-BaF3 cells developed acute leukemia and died within 4 weeks
with massive splenomegaly, elevated white blood cell counts, and
anemia. In contrast, nearly all mice treated with SCH66336 survived and
have remained disease-free for more than a year. Furthermore, SCH66336 selectively inhibited the hematopoietic colony formation of primary human CML cells. As an oral, nontoxic compound with a mechanism of
action distinct from that of ABL tyrosine kinase inhibition, FTI
SCH66336 shows promise for the treatment of BCR/ABL-induced leukemia.

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