Szydlowski, Maciej, Garbicz, Filip, Jabłońska, Ewa, Górniak, Patryk, Pyrzynska, Beata, Bojarczuk, Kamil, Komar, Dorota, Prochorec-Sobieszek, Monika, Szumera-Ciećkiewicz, Anna, Rymkiewicz, Grzegorz, Cybulska, Magdalena, Statkiewicz, Małgorzata, Gajewska, Marta, Mikula, MIchał, Golas, Aniela, Domagała, Joanna, Winiarska, Magdalena, Graczyk-Jarzynka, Agnieszka, Bialopiotrowicz, Emilia, Polak, Anna, Barankiewicz, Joanna, Pula, Bartosz, Green, Michael R, Nowis, Dominika, Golab, Jakub, Tomirotti, Andrea Massimiliano, Brzózka, Krzysztof, Pacheco-Blanco, Mariana, Kupcova, Kristyna, Havranek, Ondrej, Chapuy, Bjoern, and Juszczynski, Przemyslaw
R-CHOP immunochemotherapy remains standard frontline therapy for newly diagnosed diffuse large B-cell lymphoma (DLBCL) patients. However, this therapy is ineffective in approximately 1/3 of patients, underscoring the need for better treatment modalities. Targeting DLBCL oncogenic drivers is a promising strategy to improve the treatment efficacy and outcome. Although MYC transcription factor is one of the key oncogenes in DLBCL development, direct MYC targeting strategies have been largely ineffective, highlighting the need for other, indirect approaches. For example, MYC expression is stabilized by PIM serine-threonine kinases, indicating that PIM inhibition might be a rational approach to indirectly target MYC. In this study, we assessed the PIM-MYC relationship and the consequences of PIM inhibition in DLBCL. We first evaluated the expression of PIM1-3 and MYC proteins in 57 DLBCL diagnostic sections by immunohistochemistry. In this series, 70.17% of specimens were positive for at least one PIM isoform and 84.22% cases were MYC-positive. 100% of cases with high MYC expression (MYC present in ≥30% of the cells, n=35) were PIM-positive, whereas 86,36% of cases with undetectable or low MYC expression (MYC detected in ≤20% of cells, n= 22) were PIM-negative (Fisher’s exact test, p<0.0001). Since the coexpression of MYC and PIMs highlights the functional link between these proteins in DLBCLs, we evaluated the expression of PIM kinases in cell lines following siRNA-mediated MYC knockdown or treatment with MYC-MAX dimerization inhibitor, 10058F4. The genetic or chemical MYC inhibition markedly decreased PIM1-3 expression in six GCB and ABC cell lines. Likewise, knockdown of all three PIM isoforms decreased MYC levels, attenuated proliferation and induced apoptosis. Similarly, PIM blockade with SEL24/MEN1703, a novel pan-PIM/FLT3 inhibitor tested currently in clinical trial in AML patients and exhibiting favorable safety profile, decreased the expression of multiple MYC-dependent genes. To assess the MYC role in PIM inhibitor-mediated toxicity, we generated DHL4 cells expressing degradation-resistant MYC_T58A mutant. MYC_T58A expression partially protected cells from PIM inhibitor-induced proliferation arrest and apoptosis, indicating that the inhibitor’s toxicity is at least partially mediated by MYC depletion.