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Tinostamustine (EDO-S101), an Alkylating Deacetylase Inhibitor, Enhances the Efficacy of Daratumumab in Multiple Myeloma by Upregulation of CD38 and NKG2D Ligands
Díaz-Tejedor, A. (Instituto de Investigación Biomédica de Salamanca)
Rodríguez-Ubreva, Javier (Institut Germans Trias i Pujol. Institut de Recerca contra la Leucèmia Josep Carreras)
Ciudad, Laura (Institut Germans Trias i Pujol. Institut de Recerca contra la Leucèmia Josep Carreras)
Lorenzo-Mohamed, M. (Instituto de Investigación Biomédica de Salamanca)
González-Rodríguez, M. (Instituto de Investigación Biomédica de Salamanca)
Castellanos, B. (Instituto de Investigación Biomédica de Salamanca)
Sotolongo-Ravelo, J. (Instituto de Investigación Biomédica de Salamanca)
San-Segundo, L. (Instituto de Investigación Biomédica de Salamanca)
Corchete, L.A. (Centro de Investigación Biomédica en Red de Cáncer)
González-Méndez, L. (Instituto de Investigación Biomédica de Salamanca)
Martín-Sánchez, M. (Instituto de Investigación Biomédica de Salamanca)
Mateos, M. V. (Universidad de Salamanca. Departamento de Medicina)
Ocio, Enrique M. (Instituto de Investigación Sanitaria Valdecilla (Santander, Cantàbria))
Garayoa, M. (Instituto de Investigación Biomédica de Salamanca)
Paíno, T. (Universidad de Salamanca)
Universitat Autònoma de Barcelona

Date: 2024
Abstract: Multiple myeloma is a malignancy characterized by the accumulation of malignant plasma cells in bone marrow and the production of monoclonal immunoglobulin. A hallmark of cancer is the evasion of immune surveillance. Histone deacetylase inhibitors have been shown to promote the expression of silenced molecules and hold potential to increase the anti-MM efficacy of immunotherapy. The aim of the present work was to assess the potential effect of tinostamustine (EDO-S101), a first-in-class alkylating deacetylase inhibitor, in combination with daratumumab, an anti-CD38 monoclonal antibody (mAb), through different preclinical studies. Tinostamustine increases CD38 expression in myeloma cell lines, an effect that occurs in parallel with an increment in CD38 histone H3 acetylation levels. Also, the expression of MICA and MICB, ligands for the NK cell activating receptor NKG2D, augments after tinostamustine treatment in myeloma cell lines and primary myeloma cells. Pretreatment of myeloma cell lines with tinostamustine increased the sensitivity of these cells to daratumumab through its different cytotoxic mechanisms, and the combination of these two drugs showed a higher anti-myeloma effect than individual treatments in ex vivo cultures of myeloma patients' samples. In vivo data confirmed that tinostamustine pretreatment followed by daratumumab administration significantly delayed tumor growth and improved the survival of mice compared to individual treatments. In summary, our results suggest that tinostamustine could be a potential candidate to improve the efficacy of anti-CD38 mAbs.
Grants: Instituto de Salud Carlos III PI18/01600
Instituto de Salud Carlos III PI19/01384
Instituto de Salud Carlos III PI21/01508
Instituto de Salud Carlos III PI22/00877
Agència de Gestió d'Ajuts Universitaris i de Recerca 2021/SGR-00447
Rights: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. Creative Commons
Language: Anglès
Document: Article ; recerca ; Versió publicada
Subject: Daratumumab ; Immunotherapy ; Multiple myeloma ; Tinostamustine
Published in: International journal of molecular sciences, Vol. 25 Núm. 9 (may 2024) , p. 4718, ISSN 1422-0067

DOI: 10.3390/ijms25094718
PMID: 38731936


15 p, 3.9 MB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP) > Josep Carreras Leukaemia Research Institute
Articles > Research articles
Articles > Published articles

 Record created 2025-07-16, last modified 2025-12-01



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