RT Journal Article T1 Targeting sphingosine kinase isoforms effectively reduces growth and survival of neoplastic mast cells with D816V-KIT A1 Bandara, Geethani A1 Muñoz-Cano, Rosa A1 Tobío Ageitos, Araceli A1 Yin, Yuzhi A1 Komarow, Hirsh D. A1 Desai, Avanti A1 Metcalfe, Dean D. A1 Olivera, Ana K1 Sphingosine kinase K1 Sphingosine kinase inhibitor K1 Sphingosine-1-phosphate K1 Mastocytosis K1 D816V K1 KIT K1 Mast cells AB Mastocytosis is a disorder resulting from an abnormal mast cell (MC) accumulation in tissues that is often associated with the D816V mutation in KIT, the tyrosine kinase receptor for stem cell factor. Therapies available to treat aggressive presentations of mastocytosis are limited, thus exploration of novel pharmacological targets that reduce MC burden is desirable. Since increased generation of the lipid mediator sphingosine-1-phosphate (S1P) by sphingosine kinase (SPHK) has been linked to oncogenesis, we studied the involvement of the two SPHK isoforms (SPHK1 and SPHK2) in the regulation of neoplastic human MC growth. While SPHK2 inhibition prevented entry into the cell cycle in normal and neoplastic human MCs with minimal effect on cell survival, SPHK1 inhibition caused cell cycle arrest in G2/M and apoptosis, particularly in D816V-KIT MCs. This was mediated via activation of the DNA damage response (DDR) cascade, including phosphorylation of the checkpoint kinase 2 (CHK2), CHK2-mediated M-phase inducer phosphatase 3 depletion, and p53 activation. Combination treatment of SPHK inhibitors with KIT inhibitors showed greater growth inhibition of D816V-KIT MCs than either inhibitor alone. Furthermore, inhibition of SPHK isoforms reduced the number of malignant bone marrow MCs from patients with mastocytosis and the growth of D816V-KIT MCs in a xenograft mouse model. Our results reveal a role for SPHK isoforms in the regulation of growth and survival in normal and neoplastic MCs and suggest a regulatory function for SPHK1 in the DDR in MCs with KIT mutations. The findings also suggest that targeting the SPHK/S1P axis may provide an alternative to tyrosine kinase inhibitors, alone or in combination, for the treatment of aggressive mastocytosis and other hematological malignancies associated with the D816V-KIT mutation. PB Frontiers YR 2018 FD 2018-03-28 LK http://hdl.handle.net/10347/20453 UL http://hdl.handle.net/10347/20453 LA eng NO Bandara G, Muñoz-Cano R, Tobío A, Yin Y, Komarow HD, Desai A, Metcalfe DD and Olivera A (2018) Targeting Sphingosine Kinase Isoforms Effectively Reduces Growth and Survival of Neoplastic Mast Cells With D816V-KIT. Front. Immunol. 9:631. doi: 10.3389/fimmu.2018.00631 NO This work was supported by the Division of Intramural ResearchPrograms within NIAID, at the National Institutes of Health.RM-C belongs to the Spanish Research Network ARADyALRD16/0006/0007 of the Carlos III Health Institute and is arecipient of a Juan Rodes fellowship (Carlos II Health InstituteJR16/00016) DS Minerva RD 28 abr 2026