Effects of rigosertib on the osteo-hematopoietic niche in myelodysplastic syndromes

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

Abstract

Rigosertib is a novel multi-kinase inhibitor, which has clinical activity towards leukemic progenitor cells of patients with high-risk myelodysplastic syndromes (MDS) after failure or progression on hypomethylating agents. Since the bone marrow microenvironment plays an important role in MDS pathogenesis, we investigated the impact of rigosertib on cellular compartments within the osteo-hematopoietic niche. Healthy C57BL/6J mice treated with rigosertib for 3 weeks showed a mild suppression of hematopoiesis (hemoglobin and red blood cells, both − 16%, p < 0.01; white blood cells, − 34%, p < 0.05; platelets, − 38%, p < 0.05), whereas there was no difference in the number of hematopoietic stem cells in the bone marrow. Trabecular bone mass of the spine was reduced by rigosertib (− 16%, p = 0.05). This was accompanied by a lower trabecular number and thickness (− 6% and − 10%, respectively, p < 0.05), partly explained by the increase in osteoclast number and surface (p < 0.01). Milder effects of rigosertib on bone mass were detected in an MDS mouse model system (NHD13). However, rigosertib did not further aggravate MDS-associated cytopenia in NHD13 mice. Finally, we tested the effects of rigosertib on human mesenchymal stromal cells (MSC) in vitro and demonstrated reduced cell viability at nanomolar concentrations. Deterioration of the hematopoietic supportive capacity of MDS-MSC after rigosertib pretreatment demonstrated by decreased number of colony-forming units, especially in the monocytic lineage, further supports the idea of disturbed crosstalk within the osteo-hematopoietic niche mediated by rigosertib. Thus, rigosertib exerts inhibitory effects on the stromal components of the osteo-hematopoietic niche which may explain the dissociation between anti-leukemic activity and the absence of hematological improvement.

Details

Original languageEnglish
Pages (from-to)2063-2072
Number of pages10
JournalAnnals of hematology
Volume98
Issue number9
Publication statusPublished - 1 Sept 2019
Peer-reviewedYes

External IDs

PubMed 31312928
ORCID /0000-0002-8691-8423/work/142236059
ORCID /0009-0001-6045-3349/work/150330115

Keywords

Sustainable Development Goals

ASJC Scopus subject areas

Keywords

  • Mesenchymal stromal cells, Myelodysplastic syndromes, Osteo-hematopoietic niche, Osteoblasts, Rigosertib