Identification of benzodiazepine Ro5-3335 as an inhibitor of CBF leukemia through quantitative high throughput screen against RUNX1-CBFβ interaction

Proc Natl Acad Sci U S A. 2012 Sep 4;109(36):14592-7. doi: 10.1073/pnas.1200037109. Epub 2012 Aug 21.

Abstract

Core binding factor (CBF) leukemias, those with translocations or inversions that affect transcription factor genes RUNX1 or CBFB, account for ~24% of adult acute myeloid leukemia (AML) and 25% of pediatric acute lymphocytic leukemia (ALL). Current treatments for CBF leukemias are associated with significant morbidity and mortality, with a 5-y survival rate of ~50%. We hypothesize that the interaction between RUNX1 and CBFβ is critical for CBF leukemia and can be targeted for drug development. We developed high-throughput AlphaScreen and time-resolved fluorescence resonance energy transfer (TR-FRET) methods to quantify the RUNX1-CBFβ interaction and screen a library collection of 243,398 compounds. Ro5-3335, a benzodiazepine identified from the screen, was able to interact with RUNX1 and CBFβ directly, repress RUNX1/CBFB-dependent transactivation in reporter assays, and repress runx1-dependent hematopoiesis in zebrafish embryos. Ro5-3335 preferentially killed human CBF leukemia cell lines, rescued preleukemic phenotype in a RUNX1-ETO transgenic zebrafish, and reduced leukemia burden in a mouse CBFB-MYH11 leukemia model. Our data thus confirmed that RUNX1-CBFβ interaction can be targeted for leukemia treatment and we have identified a promising lead compound for this purpose.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, N.I.H., Intramural

MeSH terms

  • Amino Acid Sequence
  • Animals
  • Benzodiazepines / pharmacology*
  • Blotting, Western
  • Core Binding Factor Alpha 2 Subunit / metabolism*
  • Core Binding Factor beta Subunit / genetics
  • Core Binding Factor beta Subunit / metabolism*
  • Electrophoretic Mobility Shift Assay
  • Flow Cytometry
  • Fluorescence Resonance Energy Transfer / methods
  • Genetic Vectors / genetics
  • Hematopoiesis / drug effects
  • High-Throughput Screening Assays / methods*
  • Histological Techniques
  • Humans
  • Immunoprecipitation
  • Jurkat Cells
  • Leukemia, Myeloid, Acute / genetics*
  • Mice
  • Molecular Sequence Data
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / genetics*
  • Protein Interaction Mapping / methods
  • Surface Plasmon Resonance
  • Transcriptional Activation / drug effects*
  • Zebrafish

Substances

  • Cbfb protein, mouse
  • Core Binding Factor Alpha 2 Subunit
  • Core Binding Factor beta Subunit
  • Runx1 protein, mouse
  • Benzodiazepines