A New Indole Derivative, LWX-473, Overcomes Glucocorticoid Resistance in Jurkat Cells by Activating Mediators of Apoptosis

Front Biosci (Landmark Ed). 2024 Apr 23;29(4):163. doi: 10.31083/j.fbl2904163.

Abstract

Background: Glucocorticoids (GCs) are commonly used as the primary chemotherapy for lymphoid malignancies, including acute lymphoblastic leukemia (ALL). However, the development of GC resistance limits their prolonged use.

Methods: In this study, we investigated the potential of a newly synthesized indole derivative called LWX-473, in combination with the classic GC Dexamethasone (DEX), to enhance the responsiveness of Jurkat cells to GC treatment.

Results: Our findings demonstrate that LWX-473 alone or in combination with DEX significantly improves GC-induced cell apoptosis and arrests the cell cycle in the G1 phase. Notably, the combination of LWX-473 and DEX exhibits superior efficacy in killing Jurkat cells compared to LWX-473 alone. Importantly, this compound demonstrates reduced toxicity towards normal cells.

Conclusions: Our study reveals that LWX-473 has the ability to restore the sensitivity of Jurkat cells to DEX by modulating the mitochondrial membrane potential, activating the expression of DEX-liganded glucocorticoid receptor (GR), and inhibiting key molecules in the JAK/STAT signaling pathway. These findings suggest that LWX-473 could be a potential therapeutic agent for overcoming GC resistance in lymphoid malignancies.

Keywords: Jurkat cells; apoptosis; glucocorticoid resistance; indole derivative; leukemia.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Apoptosis* / drug effects
  • Dexamethasone* / pharmacology
  • Drug Resistance, Neoplasm* / drug effects
  • Glucocorticoids* / pharmacology
  • Humans
  • Indoles* / pharmacology
  • Jurkat Cells
  • Membrane Potential, Mitochondrial* / drug effects
  • Receptors, Glucocorticoid* / metabolism
  • Signal Transduction / drug effects

Substances

  • Dexamethasone
  • Glucocorticoids
  • Indoles
  • Receptors, Glucocorticoid