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Blood, 2 April 2009, Vol. 113, No. 14, pp. 3276-3286.
Prepublished online as a Blood First Edition Paper on February 5, 2009; DOI 10.1182/blood-2008-08-173369.
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Submitted August 11, 2008
Accepted January 21, 2009
The NAD biosynthesis inhibitor APO866 has potent antitumor activity against hematological malignancies
Aimable Nahimana, Antoine Attinger, Dominique Aubry, Peter Greaney, Christopher Ireson, Annemette V. Thougaard, Jette Tjornelund, Keith M. Dawson, Marc Dupuis, and Michel A. Duchosal*
Service of Hematology, University Hospital of Lausanne, Lausanne, Switzerland
TopoTarget Switzerland, S.A., Lausanne, Switzerland
TopoTarget Denmark, S.A., Copenhagen, Denmark
* Corresponding author; email: michel.duchosal{at}chuv.ch.
APO866 inhibits nicotinamide phosphoribosyltransferase (NMPRTase), a key enzyme involved in NAD biosynthesis from the natural precursor nicotinamide. Intracellular NAD is essential for cell survival, and NAD depletion resulting from APO866 treatment elicits tumor cell death. Here, we determine the in vitro and in vivo sensitivities of hematological cancer cells to APO866 using a panel of cell lines (n=45) and primary cells (n=32). Most cancer cells (AML, ALL, MCL, CLL and T-cell lymphoma) but not normal hematopoietic progenitor cells were sensitive to low concentrations of APO866 as measured in cytotoxicity and clonogenic assays. Treatment with APO866 decreased intracellular NAD and ATP at 24 h and 48-72 h respectively. The NAD depletion led to cell death. At 96 h, APO866-mediated cell death occurred in a caspase independent mode, and was associated with mitochondrial dysfunction and autophagy. Further, in vivo administration of APO866 as a single agent prevented and abrogated tumor growth in animal models of human acute myeloid leukemia, lymphoblastic lymphoma and leukemia without significant toxicity to the animals. The results support the potential of APO866 for treating hematological malignancies

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