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Optimization of treatment for multiple myeloma with HDAC inhibitors

Research Project

Project/Area Number 17K09916
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Hematology
Research InstitutionThe University of Tokyo

Principal Investigator

IMAI YOICHI  東京大学, 医科学研究所, 准教授 (10345209)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2019: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2018: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2017: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords多発性骨髄腫 / HDAC阻害 / AKT阻害 / ADCC / NKG2D / GSK-3 / IKZF1 / 抗体療法 / HDAC阻害剤 / MICA / AKT / 内科 / 癌
Outline of Final Research Achievements

We focused on the effect of histone deacetylase (HDAC) inhibitors in MM resistant to lenalidomide. We found that the HDAC inhibitors could activate NK cell activity by enhancing the expression of natural killer group 2D ligands (NKG2DLs) initiating an immune response against the target cells. Thus, HDAC inhibitors strengthen antibody-dependent cellular cytotoxicity (ADCC) of monoclonal antibodies (mAbs) irrespective of cereblon (CRBN), a primary target for lenalidomide. Resistance to lenalidomide is also caused by enhanced phosphorylation of glycogen synthase kinase-3 (p-GSK-3). GSK-3 is known to degrade c-Myc and inactivated through phosphorylation by PI3K/Akt. Thus, enhanced p-GSK-3 by Akt leads to stabilization of c-Myc and elongated survival of MM cells. Akt inhibitor, blocked p-GSK-3 and this inhibition was enhanced by addition of HDAC inhibitors. Combination of HDAC and Akt inhibitors had a synergistic effect in terms of cell cytotoxicity and c-Myc suppression.

Academic Significance and Societal Importance of the Research Achievements

多発性骨髄腫は、プロテアソーム阻害薬・IMiDs (immunomodulatory drugs)などの新規薬剤の導入により、生存率の改善がみられている。一方で、プロテアソーム阻害薬・IMiDsの両方に抵抗性を示すdouble refractory症例に対する治療は困難なことが多く有効な治療法の開発が急務となっている。悪性腫瘍の再発・難治化には腫瘍免疫からの回避(escape)が深く関与する。本研究によって得られた知見は、HDAC阻害薬を含む低分子化合物により細胞内シグナル修飾などによる抗腫瘍効果と免疫賦活化の両面から造血器腫瘍の難治性を克服する新規治療法の開発の基盤を形成すると考えられる。

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (25 results)

All 2020 2019 2018 2017

All Journal Article (12 results) (of which Peer Reviewed: 12 results,  Open Access: 3 results) Presentation (12 results) (of which Int'l Joint Research: 5 results,  Invited: 2 results) Book (1 results)

  • [Journal Article] SLAMF3-mediated signaling via ERK pathway activation promotes aggressive myeloma behaviors in multiple myeloma.2020

    • Author(s)
      Ishibashi M, Takahashi R, Tsubota A, Sasaki M, Handa H, Imai Y, Tanaka N, Tsukune Y, Tanosaki S, Ito S, Asayama T, Sunakawa M, Kaito Y, Kuribayashi-Hamada Y, Kondo-Onodera A, Moriya K, Komatsu N, Tanaka J, Odajima T, Sugimori H, Inokuchi K, and Tamura H.
    • Journal Title

      Molecular Cancer Research

      Volume: 18 Issue: 4 Pages: 632-643

    • DOI

      10.1158/1541-7786.mcr-19-0391

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Notch1&JAG1 signaling induces aggressive myeloma cell behaviors.2020

    • Author(s)
      Ishibashi M, Ueda K, Imai Y, Inokuchi K, Morita R, Tamura H.
    • Journal Title

      International Journal of Myeloma

      Volume: 9 Pages: 1-6

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Safety of lenalidomide, dexamethasone, and cyclophosphamide in elderly Japanese patients with relapsed and refractory multiple myeloma: results of phase 1 study.2019

    • Author(s)
      Tsukune Y, Sasaki M, Isoda A, Ando J, Koike M, Matsumoto M, Sawamura M, Tamura H, Handa H, Imai Y, Yahata Y, and Komatsu N.
    • Journal Title

      International Journal of Myeloma

      Volume: 9 Pages: 1-6

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] HDAC inhibitors exert anti-myeloma effects through multiple modes of action.2019

    • Author(s)
      Imai Y, Hirano M, Kobayashi M, Futami M, and Tojo A.
    • Journal Title

      Cancers

      Volume: 11 Issue: 4 Pages: 475-489

    • DOI

      10.3390/cancers11040475

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Nested polymerase chain reaction with specific primers for Mucorales in the serum of patients with hematological malignancies.2019

    • Author(s)
      Hirano M, Ota Y, Koibuchi T, Takei T, Takeda R, Kawamata T, Yokoyama K, Uchimaru K, Yotsuyanagi H, Imai Y, Tojo A.
    • Journal Title

      The Japanese Journal of Infectious Diseases

      Volume: 印刷中

    • NAID

      130007652445

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Clinical impact of serum soluble SLAMF7 in multiple myeloma.2018

    • Author(s)
      Ishibashi M, Soeda S, Sasaki M, Hand H, Imai Y, Tanaka N, Tanosaki S, Ito S, Odajima T, Sugimori H, Asayama T, Sunakawa M, Kaito Y, Kinoshita R, Kuribayashi Y, Onodera A, Moriya K, Tanaka J, Tsukune Y, Komatsu N, Inokuchi K and Tamura H.
    • Journal Title

      Oncotarget

      Volume: 9 Pages: 34784-34793

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Knockdown of the Wnt receptor Frizzled-1 (FZD1) reduces MDR1/P-glycoprotein expression in multidrug resistant leukemic cells and inhibits leukemic cell proliferation.2017

    • Author(s)
      Wang YH, Imai Y, Shiseki M, Tanaka J, Motoji T.
    • Journal Title

      Leuk Res

      Volume: -

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Secondary syphilis with tonsillar and cervical lymphadenopathy and a pulmonary lesion mimicking malignant lymphoma.2017

    • Author(s)
      Komeno Y, Ota Y, Koibuchi T, Imai Y, Iihara K, Ryu T.
    • Journal Title

      Am J Case Rep

      Volume: -

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Nonmyelomatous ascites resulting from the increased secretion of vascular endothelial growth factor in multiple myeloma.2017

    • Author(s)
      Maki H, Nannya Y, Imai Y, Yamaguchi S, Kamikubo Y, Ichikawa M, Nakamura F, Kurokawa M.
    • Journal Title

      Intern Med

      Volume: -

    • NAID

      130006407675

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Hypersensitivity reaction to beta-lactam antibiotics in patients with adult T-cell leukemia/lymphoma treated with mogamulizumab.2017

    • Author(s)
      Yasu T, Imai Y, Ohno N, Uchimaru K, Kurokawa Y, Tojo A.
    • Journal Title

      Int J Clin Pharmacol Ther

      Volume: -

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Different clonal evolution of chronic myeloid leukemia between bone marrow and the central nervous system.2017

    • Author(s)
      Ogawa M, Yokoyama K, Hirano M, Jimbo K, Ochi K, Kawamata T, Ohno N, Shimizu E, Yokoyama N, Yamaguchi R, Imoto S, Uchimaru K, Miyano S, Imai Y*, Tojo A.
    • Journal Title

      Br J Haematol

      Volume: -

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Chronic inflammatory demyelinating polyneuropathy in adult T-cell leukemia-lymphoma patients following allogeneic stem cell transplantation.2017

    • Author(s)
      Hirano M, Jimbo K, Ogawa M, Ochi K, Makiyama J, Kawamata T, Yokoyama K, Tanaka T, Inamoto Y, Yamano Y, Fukuda T, Uchimaru K, Imai Y, Tojo A.
    • Journal Title

      Bone Marrow Transplantation

      Volume: -

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Presentation] Combined Inhibition of HDAC and AKT As a Strategy to Overcome Multi-Drug Resistance in Patients with Multiple Myeloma.2019

    • Author(s)
      Hirano H, Imai Y, Murayama T, Sato K, Yamamoto J, Takumi Ito, Futami M, Ri M, Yasui H, Gotoh N, Iida S, Ishida T, Handa H, Tojo A.
    • Organizer
      61th American Society of Hematology Annual meeting
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 薬剤抵抗性多発性骨髄腫に対する新規戦略としてのHDAC阻害薬とAKT阻害薬2019

    • Author(s)
      平 野 光人、今井 陽一、村山 貴彦、佐藤 広太、山本 淳一、二見 宗孔、李 政樹、伊藤 拓水、安井 寛、後藤 典子、飯田 真介、半田 宏、東條 有伸
    • Organizer
      第81回日本血液学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Combined HDAC and AKT inhibition as a strategy to overcome multi-drug resistant multiple myeloma.2019

    • Author(s)
      Imai Y
    • Organizer
      4th SNU BIO symposium, 26th East Asia Joint Symposium on Biomedical Research
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Histone Deacetylase Inhibitors with or without AKT Inhibition Potentially Increase the Efficacy of Daratumumab in Multiple Myeloma By Enhancing the Antibody-Dependent Cell-Mediated and Complement-Dependent Cytotoxicity As Well As Apoptosis.2018

    • Author(s)
      Hirano M, Imai Y, Ung WC, Sato K, Futami M and Tojo A.
    • Organizer
      0th American Society of Hematology Annual Meeting
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 骨髄腫治療におけるHDAC阻害による細胞内シグナル阻害と腫瘍免疫賦活化2018

    • Author(s)
      今井 陽 一、平野光人、佐藤広太、二見宗孔、東條有伸
    • Organizer
      日本骨髄腫学会学術集会 シンポジウム
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] HDAC and AKT inhibitors enhance anti-myeloma effects of dartumumab.2018

    • Author(s)
      平野 光 人、今井 陽一、二見 宗孔、東條 有伸
    • Organizer
      第77回日本癌学会学術総会
    • Related Report
      2018 Research-status Report
  • [Presentation] HDAC and AKT inhibitors enhance anti-myeloma effects of daratumumab.2018

    • Author(s)
      Mitsuhito Hirano, Yoichi Imai, Wengchif Ung, Kota Sato, Muneyoshi Futami, Arinobu Tojo.
    • Organizer
      第80回日本血液学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] A Novel Mutant WASp in X-linked Neutropenia Partially Recapitulates Defective Neutrophil Production through its Expression in WASP-deficient NB4 Cells.2017

    • Author(s)
      Kobayashi M, Chanda B, Futami M, Yamashita M, Hirano M, Yokoyama K, Imai Y, Shimizu E, Yusa N, Yamaguchi R, Imoto S, Miyano S, Tojo A.
    • Organizer
      The 59th Annual Meeting of American Society of Hematology
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] The new immunoreceptor SLAMF3 promotes aggressive biological and clinical characteristics in multiple myeloma.2017

    • Author(s)
      Ishibashi M, Tamura H, Asayama T, Kuribayashi-hamada Y, Onodera A, Moriya K, Sasaki M, Handa H, Imai Y, Tanaka N, Tanaka J, Tanosaki S, Ito S, Komatsu N, Inokuchi K.
    • Organizer
      The 59th Annual Meeting of American Society of Hematology, 2017
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] ATL患者の同種造血幹細胞移植後に慢性炎症性脱髄性多発ニューロパチーを発症した3症例の解析2017

    • Author(s)
      平野 光人、今井 陽一、神保 光児、小川 弥穂、越智 清純、川俣 豊隆、横山 和明、大野 伸広、山野 嘉久、福田 隆浩、内丸 薫、東條 有伸
    • Organizer
      第4回日本HTLV-1学会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] Chronic inflammatory demyelinating polyneuropathy in ATL patients after allo-SCT.2017

    • Author(s)
      Hirano M, Imai Y, Jimbo K, Ogawa M, Ochi K, Kawamata T, Yokoyama K, Ohno N, Yamano Y, Fukuda T, Uchimaru K, Tojo A.
    • Organizer
      第79回日本血液学会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] Viral infections in acute myeloid leukemia accompanied with adult T-cell leukemia/lymphoma.2017

    • Author(s)
      Jimbo K, Imai Y, Ogawa M, Hirano M, Ochi K, Kawamata T, Yokoyama K, Yasui H, Ohno N, Uchimaru K, Tojo A.
    • Organizer
      第79回日本血液学会学術集会
    • Related Report
      2017 Research-status Report
  • [Book] Heat Shock Proteins in Signaling Pathways, Heat Shock Proteins 172019

    • Author(s)
      Imai Y, and Tojo A
    • Total Pages
      600
    • Publisher
      Springer
    • Related Report
      2019 Annual Research Report

URL: 

Published: 2017-04-28   Modified: 2021-02-19  

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