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Publication : Targeting p38 or MK2 Enhances the Anti-Leukemic Activity of Smac-Mimetics.

First Author  Lalaoui N Year  2016
Journal  Cancer Cell Volume  29
Issue  2 Pages  145-58
PubMed ID  26859455 Mgi Jnum  J:231452
Mgi Id  MGI:5771593 Doi  10.1016/j.ccell.2016.01.006
Citation  Lalaoui N, et al. (2016) Targeting p38 or MK2 Enhances the Anti-Leukemic Activity of Smac-Mimetics. Cancer Cell 29(2):145-58
abstractText  Birinapant is a smac-mimetic (SM) in clinical trials for treating cancer. SM antagonize inhibitor of apoptosis (IAP) proteins and simultaneously induce tumor necrosis factor (TNF) secretion to render cancers sensitive to TNF-induced killing. To enhance SM efficacy, we screened kinase inhibitors for their ability to increase TNF production of SM-treated cells. We showed that p38 inhibitors increased TNF induced by SM. Unexpectedly, even though p38 is required for Toll-like receptors to induce TNF, loss of p38 or its downstream kinase MK2 increased induction of TNF by SM. Hence, we show that the p38/MK2 axis can inhibit or promote TNF production, depending on the stimulus. Importantly, clinical p38 inhibitors overcame resistance of primary acute myeloid leukemia to birinapant.
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