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Rationale for a Combination Therapy Consisting of MCL1- and MEK-Inhibitors in Acute Myeloid Leukemia

Amplification and overexpression of the myeloid cell leukemia differentiation protein MCL1 and the murine double minute protein MDM2 have been reported in various human tumors as well as hematological malignancies including acute myeloid leukemia (AML). While MCL1 is an anti-apoptotic member of the BCL-2 family proteins, MDM2 is an important cellular inhibitor of the p53 tumor suppressor. The key oncogene in AML is the FLT3 growth factor receptor gene. FLT3 signaling pathways including the MAPK cascade (RAS-RAF-MEK-ERK) are highly active in AML cells, leading to induced protein translation and cell proliferation as well as reduced apoptosis. Consequently, combined administration of MCL1-, MDM2-, and MEK-inhibitors may present a promising anti-leukemic treatment strategy. Here, we assessed the MCL1-antagonist S63845, the MDM2-inhibitor HDM201, and the MEK1/2-inhibitor trametinib as single agents and in combination in a variety of AML cell lines and mononuclear cells isolated from patients with hematological malignancies centered on myeloid leukemia, some lymphatic leukemia, as well as some lymphomas, for their ability to induce apoptosis and cell death. We observed a considerably varying anti-leukemic efficacy of the MCL1-inhibitor S63845 and the MEK1/2-inhibitor trametinib. Hematological cells with susceptibility to the single compounds as well as to the combined treatment were defined by elevated MCL1- and MEK-protein levels, independent of the mutational status of FLT3 and TP53. Our data indicate that hematological cells with elevated MCL1- and MEK-protein levels are most sensitive to the combined treatment with S63845 and trametinib. MCL1- and MEK1/2-protein expression may be valid biomarkers for treatment response to S63845 and trametinib, respectively.


Introduction
Tumor cells have evolved mechanisms to prevent induction of apoptosis. In hematological malignancies including acute myeloid leukemia (AML) tumor cells prevent apoptosis by elevated expression of anti-apoptotic proteins of the BCL2 family. The induced myeloid leukemia cell differentiation protein 1 (MCL1), an anti-apoptotic member of the BCL2 family proteins, is often upregulated in AML cells, particularly at relapse [1]. MCL1 exerts its anti-apoptotic function by sequestering pro-apoptotic proteins BAK and BAX [2]. S63845 is a new selective MCL1-inhibitor with potential use across a number of hematological malignancies including myeloma, AML, and lymphoma [3]. Kotschy et al. performed combinational studies with a variety of kinase inhibitors and found that in all cases these kinase inhibitors enhanced S63845 efficacy. Moreover, combining BH3-mimetics to target both BCL-2 and MCL1 had potent activity in pre-clinical models of acute myeloid leukemia [4] and in T-cell acute lymphoblastic leukemia cells [5].
The key oncogene in AML is the FMS-kinase 3 (FLT3) gene. This growth factor receptor is often overexpressed in AML cells with a normal FLT3 gene [6] or constitutively active in AML cells with FLT3 mutation [7]. FLT3 receptor signaling promotes cell survival and prevents apoptosis via activation of the PI3K-PDK1-AKT kinase cascade and the MAP kinase cascade (MEK-ERK-mTOR) [8]. A number of chemical compounds with varying specificity against MEK kinases have been developed and are currently evaluated in preclinical and clinical cancer trials [9]. Trametinib (mekinist) and cobimetinib are MEK-specific inhibitors effective against metastatic melanoma carrying the BRAF V600E mutation [10], which may also be effective in the treatment of acute myeloid leukemia [11].
The key tumor suppressor in AML is the TP53 gene. The p53 protein levels are very low in AML cells due to overexpression of the cellular p53 inhibitor MDM2 [12]. Pharmacological activation of wildtype p53 levels is a promising approach in the therapy of leukemia [13]. A number of chemical MDM2-inhibitors have been developed and are currently evaluated in clinical trials [14,15].
Here we investigated the MCL1 inhibitor S63845, the MEK-inhibitor trametinib, and the MDM2inhibitor HDM201 in AML cell lines and patient cells in order to identify a potentially effective treatment for AML patients unfit for intensive chemotherapy. The study might provide the rationale for initiating a clinical study evaluating this treatment combination.

Patient Samples
Mononuclear cells of 22 patients with hematological malignancies diagnosed and treated at the University Hospital, Bern, Switzerland between 2015 and 2018 were included in this study. Informed consent from all patients was obtained according to the Declaration of Helsinki, and the studies were approved by the local ethics committee of Bern, Switzerland, decision number #221/15. Mutational screening for FLT3, NPM1, and TP53 genes were performed for all AML samples. Conventional karyotype analysis of at least 20 metaphases were performed for all hematological samples. Peripheral blood mononuclear cells (PBMCs) and bone marrow mononuclear cells (BMMCs) were collected at the time of diagnosis before initiation of treatment.

Cytotoxicity Assays
AML cells were treated with compound diluent only (controls) or with the MCL1-inhibitor S63845 (HY-100741, MedChemExpress, Monmouth Junction, NJ, USA), the MDM2-inhibitor NVP-HDM201 (Novartis, Switzerland), and the MEK1/2-inhibitor trametinib (HY-10999A, MedChem Express, Monmouth Junction, NJ, USA). Cell viability was determined using the MTT-based in vitro toxicology assay (SIGMA-ALDRICH, St. Louis, MO, USA). For AML cell lines, four independent assays (biological replicates) with four measurements (technical replicates) per dosage were performed. For hematological patient samples two independent assays with three technical replicates per dosage were performed. Data were analyzed on GraphPad Prism software using Mann-Whitney tests and are depicted as average values with standard deviation on column graphs.

Calculation of Combination Index
Combination indexes were calculated on CompuSyn software (version 1.0; ComboSyn, Inc. Paramus, NJ, USA), according to the method of Chou and Talalay [16,17]. For combination index values of cytotoxicity effects, the average fraction of life cells (0.11-0.99) in the cytotoxicity assays were used.

Imaging Cytometry
Imaging cytometry was done on the NC-3000 cell analyzer (ChemoMetec, Allerod, Denmark) with reagents supplied by ChemoMetec. To determine induction of cell death, apoptotic cells were stained with AnnexinV-CF488A conjugate (Biotium, Fremont, CA, USA) in AnnexinV buffer and Hoechst 33342 (10 µg /mL) for 15 min at 37 • C, followed by several washes. Three independent assays with two technical replicates per dosage were performed. Data were analyzed on Graphpad Prism software using Mann-Whitney tests and are depicted as column graphs with average values and standard deviation.

Measurement of Protein Levels by Western Blot
Total protein extracts were prepared by cell lysis in radioimmunoprecipitation assay buffer (RIPA lysis). A total of 100 µg total protein extracts were separated on polyacrylamid gel by electrophoresis (PAGE), transferred to a nitrocellulose membrane and incubated with mouse anti-phospho-S6 (Ser235/236) cupk43k (#14-9007-82, Invitrogen, Thermo Fisher Scientific), mouse anti-actin IgG (MAB 1501, Millipore, CA), followed by IRDye ® 680LT goat anti-mouse IgG (LI-COR Biotechnology, BadHomburg, Germany). Membranes were scanned on a LI-COR Odyssey Infrared Scanner (LI-COR Biotechnology, Germany). Bands were quantified on Image Studio software. Three independent assays were performed. One representative blot is depicted.

Enzyme-Linked Immunosorbent Assay (ELISA)
Protein extraction was done according to standard protocol. In short, cell pellets were lysed in RIPA buffer. GAPDH, FLT3, MCL1, MEK1, and MEK2 protein levels were determined with double-antibody Sandwich ELISA (SEB932Hu, SEA039Hu, SEC615Hu, SED559H1, Cloud-Clone Corp., Houston, TX, USA; E10344h, EIAab science Inc, Wuhan, China). FLT3, MCL1, and MEK1/2 values were normalized with GAPDH values. Two independent assays with three technical replicates were performed per sample. Statistical analysis was performed using averaged normalized values and the Mann-Whitney test or linear regression on GraphPad Prism software. Data are depicted as scatter plots with median values, or as XY graphs with linear regression.

Synergistic Effects on Cell Viability in AML Cell Lines Treated with the MCL1 Inhibitor S63845 and the MEK Inhibitor Trametinib or the MDM2 Inhibitor HDM201
To determine the sensitivity of AML cells to S63845, HDM201, and trametinib, AML cell lines were studied in in vitro cytotoxicity assays. The cell lines covered the major molecular AML subtypes characterized by FLT3-ITD and FLT3 wildtype, NPM1 mutant and wildtype, as well as TP53 mutant and wildtype genes.
AML cells lines varied considerably with respect to S63845, HDM201, and trametinib sensitivity ( Figure 1). MOLM-13 and OCI-AML3 cells were susceptible to 100nM S63845 with 60-70% viable cells after 20 h, while MOLM-16 and OCI-AML2 cells were not susceptible to 100nM S63845 with 95% cell viability. OCI-AML2 were most susceptible to trametinib, with 50% viable cells after 20 h, MOLM-13 and OCI-AML3 cells were susceptible with 70-80% viable cells, and MOLM-16 cells had no reduction in cell viability. OCI-AML2 and MOLM-13 cells were susceptible to 100nM HDM201 with 80% viable cells after 20 h, while OCI-AML3 and MOLM-16 showed no reduction in cell viability. Synergistic effects on cell viability were detected in the combination treatments with S63845 and trametinib in OCI-AML3 and MOLM-13 cells and in the combination treatments with S63845 and HDM201 in OCI-AML2, OCI-AML3, and MOLM-13 cells with combination indexes of 0.2 to 0.5. Synergism was calculated to be strong in OCI-AML3 cells for the combination of 100nM S63845 and 10nM trametinib or 100nM HDM201 with combination index values of 0.2 to 0.3. In direct comparison trametinib had hundredfold greater potency compared to HDM201, as 1nM trametinib and 100nM HDM201 had the same effect on MOLM-13 cells. Hence, the later studies in malignant cells of hematological patients were focused on the combination treatment with trametinib and S63845.

Induction of Apoptosis in AML Cell Lines Treated with the MCL1 Inhibitor S63845 and the MEK Inhibitor Trametinib or the MDM2 Inhibitor HDM201
To determine whether the loss of cell viability was due to induction of apoptosis, AML cell lines were studied in cytometric assays. The number of apoptotic cells was determined by annexin V staining. Apoptosis was induced in MOLM-13 and OCI-AML3 cells treated with S63845 and trametinib (Figure 2A,B). S63845 concentration had to be reduced to 50 nM as MOLM-13 cells induced massive apoptosis at 100 nM. Numbers of apoptotic cells were maximal after combined treatment, indicating an enhanced induction of apoptosis in cells treated with S63845 and trametinib. MEK inhibition may also lead to reduced phosphorylation of ribosomal protein S6 (RPS6) [18]. In addition to apoptosis induction, we detected reduced phosphorylation of RPS6 protein in OCI-AML3 cells treated with the MEK-inhibitor trametinib ( Figure 2C). Minimal amounts of pSer-RPS6 were present after combined treatment, indicating an enhanced reduction of pSer-RPS6 in cells treated with S63845 and trametinib. In summary, these data suggest that treating AML cells with the MCL1-inhibitor S63845 and the MEK-inhibitor trametinib leads to reduced levels of phospho-Ser-RPS6 protein, to inhibition of translation, and induction of apoptosis, as summarized in Figure 3.  [19], and via STAT5 [20], leading to cell growth and proliferation via p53 inhibition and MCL1 induction.

Varying Sensitivity of Hematological Patient Cells to Treatment with the MCL1 Inhibitor S63845 and the MEK Inhibitor Trametinib
Considering the wide range of response observed in AML cell lines to the combination treatment with S63845 and trametinib, we expected a varied susceptibility to this treatment among AML patient cells, and hypothesized that susceptibility may extend to a wider range of hematological malignant cells. We performed in vitro cytotoxicity assays using mononuclear cells isolated from peripheral blood or bone marrow of patients with hematological malignancies centered on twelve acute myeloid leukemias (AML1-12) ( Figure 4A). Cytotoxicity assays were also performed on other leukemic cells, including one chronic myeloid leukemia (CML), three acute and one chronic lymphocytic leukemias (ALL, CLL), and five lymphomas including three B-cell lymphomas (BCL) and two mantle cell lymphomas (MCL) ( Figure 4B). The AML blast cells covered the major molecular subtypes, including FLT3 wildtype and FLT3-ITD, TP53 wildtype and mutated, de novo, and secondary AML ( Figure 4C). The threshold of susceptibility was deliberately set at median levels of cell viability. The responses to S63845 and trametinib varied among the tested hematological samples. Half of the AML samples (AML 2, 3, 5, 6, 8,9) were susceptible to the combination treatment with less than 70% viability after 20 h. Compared to FLT3 wildtype NK-AML (AML 1-4), the FLT3-ITD positive NK-AML (AML 5-8) appeared to be more susceptible to trametinib ( Figure 4D), and less susceptible to S63845 ( Figure 4E). The susceptibility to the combination treatment was greater in the NK-AML cells than in the CK-AML or TP53 mutated AML ( Figure 4F). The AML cells least susceptible to S63845 included one CK-AML and two secondary AML (AML 9, 10, 11), which, however, were susceptible to trametinib. Of the other hematological samples, two ALL samples (ALL1, ALL3) were susceptible to the combination treatment. One MCL sample (MCL2) was susceptible to S63845. None of the BCL samples were susceptible to the combination treatment. Normal peripheral blood monocytes were only minimally affected.

MCL1 and MEK Protein Levels as Biomarkers for Treatment Response to S63845 and Trametinib
Susceptibility to targeted therapies should, by definition, correlate to the abundance of the target proteins in the hematological cells. We therefore determined the MCL1, MEK1, and MEK2 protein levels in hematological cells and AML cell lines before treatment. MCL1 protein levels ranged from 0.2 to 2.8 MCL1/ GAPDH, with elevated MCL1 levels in cells more susceptible to 50nM S63845 with median values of 1.4 versus 0.6 MCL1/GAPDH (p = 0.0005) ( Figure 5A; Figure 6A-C). AML cell lines MOLM-13 and OCI-AML3, which were susceptible to 50nM S63845, had elevated MCL1 levels of 2.8 and 2.5 MCL1/GAPDH. AML cell lines OCI-AML2 and MOLM-16, which were resistant to S63845, had reduced MCL1 levels of 0.5 and 0.3 MCL1/GAPDH. MCL1 protein levels were also elevated in cells susceptible to the combination treatment with median values of 1.2 versus 0.5 (p = 0.0004). MEK1 protein levels ranged from 0.002 to 0.16 MEK1/GAPDH, while MEK2 protein levels ranged from 0.001 to 0.02 MEK2/GAPDH. Elevated MEK levels were present in cells susceptible to 50nM trametinib, with median values of 0.09 versus 0.006 MEK/GAPDH (p = 0.0006) ( Figure 5B; Figure 6D-F). AML cell lines MOLM-13 and OCI-AML3, which were susceptible to trametinib, had elevated MEK levels of 0.1 and 0.16 MEK/GAPDH, while OCI-AML2 and MOLM-16, both unsusceptible to trametinib, had low MEK levels of less than 0.01 MEK/GAPDH. As FLT3 signaling activity may correlate to MEK activity, we also determined the FLT3 protein levels in all hematological samples in the present study. FLT3 protein levels ranged from 0.004 to 0.14 FLT3/GAPDH ( Figure 5C; Figure 6G-I). There was, however, no correlation of FLT3 protein levels with susceptibility to S63845 or trametinib. This is in contrast to results of a study on AML treatment with another MEK inhibitor, cobimetinib, where the abundance of FLT3 protein in AML cells correlated to cobimetinib susceptibility [21]. The biomarkers for the response to the treatment with the MEK-inhibitor trametinib may therefore be different from the biomarkers for response to cobimetinib.

Discussion
The aim of this study was to identify subsets of patients with hematological malignancies susceptible to the combined treatment with the MCL1 antagonist S63845 in combination with the MDM2-inhibitor HDM201 or the MEK-inhibitor trametinib. The three inhibitors were assessed as single agents and in combination in a variety of AML cell lines. In direct comparison trametinib had a hundredfold greater potency compared to HDM201, as 1nM trametinib and 100nM HDM201 had the same effect on MOLM-13 cells. Hence, the studies in malignant cells of hematological patients were focused on the combination treatment with trametinib and S63845. Hematological cells characterized by elevated MCL1-protein levels were susceptible to S63845 treatment, while cells with elevated MEK protein levels were susceptible to trametinib. Consequently, susceptibility to the combination treatment with S63845 and trametinib was greater in hematological cells with elevated MCL1 and MEK levels. Thus MCL1 and MEK protein expression levels in the leukemic cells may be response predictors in combination treatments with S63845 and trametinib. The significance of the in vitro susceptibilities would have to be corroborated in a clinical phase I study, as effective drug concentrations may be different in vivo.
The molecular mechanisms underlying the correlation of MCL1-and MEK1-protein levels and response to S63845 and trametinib may be related to the phenomenon of oncogene addiction, where the tumor relies on a dominant oncogene or mechanism for growth and survival, so that inhibition of this specific oncogene/pathway is sufficient to halt the neoplastic phenotype [22,23]. The MEKinhibitors cobimetinib and trametinib appear to target different subsets of hematological cells. While susceptibility to cobimetinib appears to correlate to FLT3-protein levels [21], susceptibility to trametinib does not correlate to FLT3, but to MEK1/2-protein levels. The reason for this cell-type specificity may be related to the target specificity of the two compounds. Cobimetinib and trametinib are highly selective, allosteric, and non-ATP competitive MEK1/2-inhibitors. Cobimetinib binds to phosphorylated MEK1, with a hundredfold greater potency for MEK1 over MEK2, while trametinib binds to non-phosphorylated MEK1 and MEK2 with similar potencies, though both inhibit downstream ERK signaling [10]. In contrast to trametinib, cobimetinib may also target AKT and PKC kinases [24]. As FLT3 signals via both MEK1/2 and AKT, this may explain the correlation of FLT3-protein levels to cobimetinib susceptibility.
Different combinations of targeted therapies emerge to be suitable for the treatment of specific subsets of AML patients. While NK-AML cells with mutated FLT3 appear to be susceptible to FLT3-and MDM2-inhibitors, in particular the FLT3 inhibitor midostaurin and the MDM2-inhibitor HDM201 [25], NK-AML cells with elevated FLT3 protein levels appear to be most susceptible to the MEK inhibitor cobimetinib and the MDM2-inhibitor idasanutlin [21]. Here we found that the MCL1-inhibitor S63845 and the MEK-inhibitor trametinib have target specificity for primary cells of hematological malignancies with elevated MCL1-and MEK-protein levels. For cells with low MEK-protein levels, other combination therapies may be more effective, as e.g., the combination of the MCL1-inhibitor S63849 and the MDM2-inhibitor HDM201, which had highly synergistic effects on OCI-AML2 cells in this study. It may also be of value to have several treatment options which may be applied in series. For patients with highly aggressive FLT3-ITD positive AML, a combination of FLT3and MDM2-inhibitor may be a justified first line therapy, which could be followed by a second line therapy with a combination of MCL1-and MEK-inhibitor.

Conclusions
The MCL1 inhibitor S63845 and the MEK inhibitor trametinib may be effective therapeutic compounds in acute myeloid leukemia. Here we found that the MCL1-inhibitor S63845 and the MEK-inhibitor trametinib specifically target primary cells of acute myeloid leukemia with elevated MCL1-and MEK-protein levels. MCL1-and MEK1/2-protein expression may be valid biomarkers for treatment response to S63845 and trametinib, respectively.
Author Contributions: K.S. (Katja Seipel) designed and conducted research, acquired, analyzed, and interpreted data, performed statistical analysis, supervised research, and wrote the paper; K.S. (Karin Schmitter) acquired and analyzed data, U.B. analyzed data; T.P. designed research, analyzed data, and wrote the paper. The final version was read and approved by all authors.