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In recent years, human dihydroorotate dehydrogenase inhibitors have been associated with acute myelogenous leukemia as well as studied as potent host targeting antivirals. Starting from MEDS433 (IC 1.2 nM), we kept improving the structure-activity relationship of this class of compounds characterized by 2-hydroxypyrazolo[1,5-]pyridine scaffold. Using an in silico/crystallography supported design, we identified compound (IC 7.2 nM), characterized by the presence of a decorated aryloxyaryl moiety that replaced the biphenyl scaffold, with potent inhibition and pro-differentiating abilities on AML THP1 cells (EC 74 nM), superior to those of brequinar (EC 249 nM) and boosted when in combination with dipyridamole. Finally, compound has an extremely low cytotoxicity on non-AML cells as well as MEDS433; it has shown a significant antileukemic activity in vivo in a xenograft mouse model of AML.
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http://dx.doi.org/10.1021/acs.jmedchem.2c00496 | DOI Listing |
Allogeneic stem cell transplantation (allo-SCT) is a curative option for acute myelogenous leukemia (AML), but relapse is a challenge. Monitoring minimal residual disease post-transplant through detection of tumor-associated circulating cell-free DNA (TA-cfDNA) in peripheral blood (PB) and bone marrow is an emerging strategy to predict relapse. Persistent mutations in TA-cfDNA may be prognostic indicators of relapse and mortality.
View Article and Find Full Text PDFLeukemia
August 2025
Laboratory of Cell and Developmental Biology, Institute of Molecular Genetics of the Czech Academy of Sciences, Prague, Czech Republic.
The acquired JAK2-V617F mutation plays a causal role in myeloproliferative neoplasms (MPN). Weakly activating JAK2 germline variants have been associated with MPN risk, but the underlying mechanisms remain unclear. We previously identified the JAK2-R1063H germline variant, which contributes to hereditary MPN and increased disease severity in essential thrombocythemia.
View Article and Find Full Text PDFEur J Haematol
August 2025
Section for Hematology, Department of Medicine, Haukeland University Hospital, Bergen, Norway.
Objective: Graft-versus-host disease (GVHD) is the most prevalent long-term complication following allogeneic hematopoietic stem cell transplant (allo-HSCT). This study aimed to investigate specific posttransplant metabolic alterations in allo-HSCT recipients with acute myelogenous leukemia (AML) or myelodysplastic neoplasms (MDS).
Methods: We analyzed the global metabolic profile in serum samples from 37 patients at 3 months posttransplantation.
Background: Ponatinib is a third-generation tyrosine kinase inhibitor (TKI) for treatment of chronic myeloid leukemia (CML) and Philadelphia chromosome-positive (Ph+) acute lymphoblastic leukemia (ALL) in patients who fail or are intolerant to a second generation TKI or who carry the mutation.
Method: This is the final analysis of the Belgian ponatinib registry evaluating use of ponatinib in clinical practice, with data available for up to 6 years after reimbursement.
Result: Forty-eight percent of 54 CML and 28% of 29 Ph+ ALL patients had received ≥3 previous TKIs.
Am J Case Rep
August 2025
Department of Academic Affairs and Research, Orlando Regional Healthcare System, Orlando, FL, USA.
BACKGROUND Acute myelogenous leukemia (AML) is a rare, aggressive, disease that requires prolonged treatment. It accounts for a third of all leukemias diagnosed in the United States. A bone marrow biopsy accompanied by histological, cytogenetic, and molecular analysis is essential for the classification of malignancy.
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