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Selective HDAC6 inhibition perturbs autophagy and enhances integrated stress response-mediated immunogenic apoptosis in chronic myeloid leukemia - PubMed

5 hours ago
  • #CML therapy
  • #autophagy disruption
  • #HDAC6 inhibition
  • Selective HDAC6 inhibitor 7b reduces CML cell viability, sparing healthy cells, and is effective in vivo.
  • Combining 7b with asciminib synergistically suppresses CML cell growth and triggers immunogenic apoptosis.
  • 7b blocks autophagosome maturation, disrupting autophagy and activating the integrated stress response (ISR) with eIF2α phosphorylation and CHOP induction.
  • ISR activation leads to mitochondrial apoptosis via MCL-1 suppression and PUMA/NOXA upregulation, dependent on BCL-xL and caspase cascades.
  • The combination induces immunogenic cell death markers such as calreticulin exposure, ATP and HMGB1 release, and altered cytokine levels.