Targeting heme Oxygenase-1 with hybrid compounds to overcome Imatinib resistance in chronic myeloid leukemia cell lines

Eur J Med Chem. 2018 Oct 5:158:937-950. doi: 10.1016/j.ejmech.2018.09.048. Epub 2018 Sep 17.

Abstract

Heme oxygenase-1 (HO-1) is a cytoprotective enzyme and a survival-enhancing factor in a number of cancers. Chronic myeloid leukemia (CML) is a blood cancer caused by pathological kinase activity of the BCR-ABL protein, currently treated with tyrosine kinase inhibitors (TKIs) such as Imatinib (IM). However, resistance to TKIs persists in a number of patients and HO-1 overexpression has been linked with the induction of chemoresistance in CML. With this in mind, in this study, we designed and synthesized the first series of hybrid compounds obtained by combining the structures of IM, as BCR-ABL inhibitor, with imidazole-based HO-1 inhibitors. We found that many hybrids were able to inhibit the enzymatic activity of both targets and to reduce the viability of CML-IM resistant cells, showing that a single molecular entity may reduce the resistance phenomenon.

Keywords: BCR-ABL; Chronic myeloid leukemia; HO-1 inhibitors; Imatinib; Tyrosine kinase inhibitors.

MeSH terms

  • Antineoplastic Agents / chemical synthesis
  • Antineoplastic Agents / chemistry*
  • Antineoplastic Agents / pharmacology*
  • Cell Survival / drug effects
  • Drug Design
  • Drug Resistance, Neoplasm
  • Fusion Proteins, bcr-abl / antagonists & inhibitors
  • Fusion Proteins, bcr-abl / metabolism
  • Heme Oxygenase-1 / antagonists & inhibitors*
  • Heme Oxygenase-1 / metabolism
  • Humans
  • Imatinib Mesylate / analogs & derivatives*
  • Imatinib Mesylate / chemical synthesis
  • Imatinib Mesylate / pharmacology*
  • Imidazoles / chemical synthesis
  • Imidazoles / chemistry*
  • Imidazoles / pharmacology*
  • K562 Cells
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / drug therapy*
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / metabolism
  • Molecular Docking Simulation

Substances

  • Antineoplastic Agents
  • Imidazoles
  • Imatinib Mesylate
  • Heme Oxygenase-1
  • Fusion Proteins, bcr-abl