Inhibition of NLRP3 enhances pro-apoptotic effects of FLT3 inhibition in AML

Abstract FLT3 mutations occur in approximately 25% of all acute myeloid leukemia (AML) patients. While several FLT3 inhibitors have received FDA approval, their use is currently limited to combination therapies with chemotherapy, as resistance occurs, and efficacy decreases when the inhibitors are u...

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Main Authors: Helene Sieberer, Michela Luciano, Diana Amend, Constantin Blöchl, Anna Eglseer, Alina Steinkellner, Sebastian Rieser, Ancuela Andosch, Philip Steiner, Laura Hummer, Peter W. Krenn, Hieu-Hoa Dang, Christian G. Huber, Fritz Aberger, Theresa Neuper, Jutta Horejs-Hoeck
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Cell Communication and Signaling
Online Access:https://doi.org/10.1186/s12964-025-02046-w
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author Helene Sieberer
Michela Luciano
Diana Amend
Constantin Blöchl
Anna Eglseer
Alina Steinkellner
Sebastian Rieser
Ancuela Andosch
Philip Steiner
Laura Hummer
Peter W. Krenn
Hieu-Hoa Dang
Christian G. Huber
Fritz Aberger
Theresa Neuper
Jutta Horejs-Hoeck
author_facet Helene Sieberer
Michela Luciano
Diana Amend
Constantin Blöchl
Anna Eglseer
Alina Steinkellner
Sebastian Rieser
Ancuela Andosch
Philip Steiner
Laura Hummer
Peter W. Krenn
Hieu-Hoa Dang
Christian G. Huber
Fritz Aberger
Theresa Neuper
Jutta Horejs-Hoeck
author_sort Helene Sieberer
collection DOAJ
description Abstract FLT3 mutations occur in approximately 25% of all acute myeloid leukemia (AML) patients. While several FLT3 inhibitors have received FDA approval, their use is currently limited to combination therapies with chemotherapy, as resistance occurs, and efficacy decreases when the inhibitors are used alone. Given the highly heterogeneous nature of AML, there is an urgent need for novel targeted therapies that address the disease from multiple angles. Recent research has identified the NLRP3 inflammasome as a potential new driver in AML. Here, we investigated the efficacy of different NLRP3 inhibitors in targeting AML cells in vitro. Our findings reveal that NLRP3 inhibition induces cell cycle arrest as well as signs of senescence in multiple AML cell lines. In contrast, NLRP3 inhibition selectively induced apoptosis in FLT3 mutant AML cell lines, but not in FLT3 wild-type AML cells. Moreover, we show that NLRP3 inhibition impairs FLT3 signaling by reducing both FLT3 expression as well as downstream signaling in FLT3 mutant cells. A database analysis revealed a strong positive correlation between FLT3 and NLRP3 in cancer, which was particularly evident in AML patients. Strikingly, the simultaneous inhibition of NLRP3 and FLT3 markedly enhanced apoptosis in FLT3-ITD mutant AML cells, but not in FLT3 wild-type cells. In summary, this study reveals a promising combined therapeutic strategy specifically targeting NLRP3/FLT3-ITD positive AML blasts in vitro, highlighting a potential new avenue for AML treatment.
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spelling doaj-art-9cf02930887d4e289f8c2a95280ccf102025-02-02T12:34:27ZengBMCCell Communication and Signaling1478-811X2025-01-0123111110.1186/s12964-025-02046-wInhibition of NLRP3 enhances pro-apoptotic effects of FLT3 inhibition in AMLHelene Sieberer0Michela Luciano1Diana Amend2Constantin Blöchl3Anna Eglseer4Alina Steinkellner5Sebastian Rieser6Ancuela Andosch7Philip Steiner8Laura Hummer9Peter W. Krenn10Hieu-Hoa Dang11Christian G. Huber12Fritz Aberger13Theresa Neuper14Jutta Horejs-Hoeck15Department of Biosciences and Medical Biology, Paris-Lodron University SalzburgDepartment of Biosciences and Medical Biology, Paris-Lodron University SalzburgDepartment of Biosciences and Medical Biology, Paris-Lodron University SalzburgDepartment of Biosciences and Medical Biology, Paris-Lodron University SalzburgDepartment of Biosciences and Medical Biology, Paris-Lodron University SalzburgDepartment of Biosciences and Medical Biology, Paris-Lodron University SalzburgDepartment of Biosciences and Medical Biology, Paris-Lodron University SalzburgDepartment of Biosciences and Medical Biology, Paris-Lodron University SalzburgInstitute of Pharmacology, Medical Faculty, Johannes Kepler University LinzDepartment of Biosciences and Medical Biology, Paris-Lodron University SalzburgDepartment of Biosciences and Medical Biology, Paris-Lodron University SalzburgDepartment of Biosciences and Medical Biology, Paris-Lodron University SalzburgDepartment of Biosciences and Medical Biology, Paris-Lodron University SalzburgDepartment of Biosciences and Medical Biology, Paris-Lodron University SalzburgDepartment of Biosciences and Medical Biology, Paris-Lodron University SalzburgDepartment of Biosciences and Medical Biology, Paris-Lodron University SalzburgAbstract FLT3 mutations occur in approximately 25% of all acute myeloid leukemia (AML) patients. While several FLT3 inhibitors have received FDA approval, their use is currently limited to combination therapies with chemotherapy, as resistance occurs, and efficacy decreases when the inhibitors are used alone. Given the highly heterogeneous nature of AML, there is an urgent need for novel targeted therapies that address the disease from multiple angles. Recent research has identified the NLRP3 inflammasome as a potential new driver in AML. Here, we investigated the efficacy of different NLRP3 inhibitors in targeting AML cells in vitro. Our findings reveal that NLRP3 inhibition induces cell cycle arrest as well as signs of senescence in multiple AML cell lines. In contrast, NLRP3 inhibition selectively induced apoptosis in FLT3 mutant AML cell lines, but not in FLT3 wild-type AML cells. Moreover, we show that NLRP3 inhibition impairs FLT3 signaling by reducing both FLT3 expression as well as downstream signaling in FLT3 mutant cells. A database analysis revealed a strong positive correlation between FLT3 and NLRP3 in cancer, which was particularly evident in AML patients. Strikingly, the simultaneous inhibition of NLRP3 and FLT3 markedly enhanced apoptosis in FLT3-ITD mutant AML cells, but not in FLT3 wild-type cells. In summary, this study reveals a promising combined therapeutic strategy specifically targeting NLRP3/FLT3-ITD positive AML blasts in vitro, highlighting a potential new avenue for AML treatment.https://doi.org/10.1186/s12964-025-02046-w
spellingShingle Helene Sieberer
Michela Luciano
Diana Amend
Constantin Blöchl
Anna Eglseer
Alina Steinkellner
Sebastian Rieser
Ancuela Andosch
Philip Steiner
Laura Hummer
Peter W. Krenn
Hieu-Hoa Dang
Christian G. Huber
Fritz Aberger
Theresa Neuper
Jutta Horejs-Hoeck
Inhibition of NLRP3 enhances pro-apoptotic effects of FLT3 inhibition in AML
Cell Communication and Signaling
title Inhibition of NLRP3 enhances pro-apoptotic effects of FLT3 inhibition in AML
title_full Inhibition of NLRP3 enhances pro-apoptotic effects of FLT3 inhibition in AML
title_fullStr Inhibition of NLRP3 enhances pro-apoptotic effects of FLT3 inhibition in AML
title_full_unstemmed Inhibition of NLRP3 enhances pro-apoptotic effects of FLT3 inhibition in AML
title_short Inhibition of NLRP3 enhances pro-apoptotic effects of FLT3 inhibition in AML
title_sort inhibition of nlrp3 enhances pro apoptotic effects of flt3 inhibition in aml
url https://doi.org/10.1186/s12964-025-02046-w
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