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. 2020 Sep 28;14:3983–3993. doi: 10.2147/DDDT.S264077

Identification of a Novel c-Myc Inhibitor 7594-0037 by Structure-Based Virtual Screening and Investigation of Its Anti-Cancer Effect on Multiple Myeloma

Ruosi Yao 1,2, Yu Xie 1, Xiaoyang Sun 1, Menghui Zhang 1, Jian Zhou 1, Linlin Liu 3, Jian Gao 4,, Kailin Xu 1,2,
PMCID: PMC7532311  PMID: 33061303

Abstract

Introduction

Multiple myeloma (MM) is an extremely malignant and incurable hematological cancer. Increased expression of the c-Myc oncoprotein is closely associated with shorter overall survival of MM patients, implying that c-Myc is a potential therapeutic target.

Main Methods

We identified a potential c-Myc inhibitor 7594–0037 by structure-based virtual screening from the ChemDiv database. CCK8 assay and flow cytometry were used to detect MM cell viability, cell cycle and apoptosis. Q-PCR and Western blot were used to measure corresponding mRNA and protein expression levels. Protein stability assay measured the stability of c-Myc.

Results

Compound 7594–0037 exhibited stronger anti-proliferative activity against MM cells, and induced MM cell cycle G2 phase arrest and apoptosis. More importantly, compound 7594–0037 overcame myeloma resistance to bortezomib and exhibited a synergistic effect with bortezomib, resulting in increased MM cell death. The mechanism consists of compound 7594–0037 facilitating c-Myc protein degradation via decreasing the c-Myc S62 phosphorylation levels mediated by PIM1 kinase. Molecular dynamics simulation with the c-Myc/7594-0037 complex showed that compound 7594–0037 bound tightly to the N-terminus of c-Myc, and blocked the binding interaction of the two termini of c-Myc, which resulted in c-Myc entering into an unstable state.

Conclusion

Overall, our study provides preliminary data for compound 7594–0037, which can be used as a novel c-Myc inhibitor and is a potential candidate therapeutic drug for multiple myeloma.

Keywords: multiple myeloma, c-Myc inhibitor, virtual screening, drug resistance, apoptosis

Introduction

The c-Myc protein is an important basic-helix-loop-helix leucine zipper (bHLH–LZ) transcriptional factor that plays a key role in proliferation, differentiation, metabolism, and angiogenesis.13 Although c-Myc is crucial for normal cell function, its abnormal expression is also closely associated with various tumors, including breast, prostate, and colon cancers, and lymphoma and leukemia.47 Recently, gene expression analysis from 101 multiple myeloma (MM) patients confirmed that c-Myc was activated in 67% of myeloma cases.8 Additionally, a retrospective study of 117 MM patients indicated that overexpression of c-Myc was found in 40% of MM samples, and ectopic expression of c-Myc was also correlated with shorter overall survival of MM patients.9 Thus, the c-Myc oncoprotein could be a potential therapeutic target for multiple myeloma.

Depletion of c-Myc could lead to cancer cell cycle arrest, cell apoptosis, and tumor suppression. It has been reported that many small molecular c-Myc inhibitors impede c-Myc protein function, such as 10058-F4 and 10074-G5, which exhibited low micromolar IC50 values in vitro by targeting the interaction between c-Myc and MAX.10 JQ1, which is another c-Myc inhibitor, also decreased the amount of c-Myc protein by inhibiting BRD4, which is one of its coactivators.11 Thus, the existing c-Myc inhibitors exhibit a certain amount of effectiveness, but they do not directly disturb the c-Myc protein. Therefore, the pursuit of novel direct targeting of c-Myc with small molecular inhibitors is urgently required.

c-Myc is a highly unstable nuclear oncoprotein that can be regulated through multiple signaling pathways via transcriptional regulation and post-translational modification.7,12,13 PIM1, as a member of the PIM serine/threonine kinase family, phosphorylates c-Myc at serine 62 (S62), which increases c-Myc stability, thereby enhancing its transcriptional activity.14 However, c-Myc is also phosphorylated at threonine 58 (T58) by GSK3β, which decreases c-Myc protein stability.15 Additionally, the ubiquitin-proteasome pathway is one of the most prominent mechanisms for c-Myc degradation.16 Hence, c-Myc can be easily and rapidly degraded once it is dephosphorylated at S62.

In this study, we carried out a structure-based virtual screening approach to develop potential c-Myc inhibitor from the ChemDiv database. Compound 7594–0037 directly disturbs the stability of the c-Myc protein by decreasing the c-Myc S62 phosphorylation level. We present evidence that compound 7594–0037 decreases MM cell viabilities in a dose- and time-dependent manner. More importantly, further enhancement of the killing effect on MM cells was achieved when compound 7594–0037 was combined with bortezomib. Herein, we characterized compound 7594–0037 to examine whether it indeed affected c-Myc protein stability and tested the idea that this novel c-Myc inhibitor can be used against MM and other hematological malignant cells.

Materials and Methods

Structure-Based Virtual Screening

To identify more potent c-Myc inhibitors, molecular docking based virtual screening was performed on the targeted protein c-Myc via the Surflex docking module in Sybyl-X2.1 (Tripos Associates, St. Louis, MO, USA). The crystal structure of c-Myc-Max recognizing DNA (Protein Data Bank (PDB) ID: 1NKP17) for virtual screening was obtained from the RCSB PDB and the ChemDiv database from TopScience Co., Ltd. (Shanghai, China) was set as the ligand source. In light of only 2D-structural information was available, all compounds in the ChemDiv database were preprocessed by using the db translate module in Sybyl-X2.1. During the preparation of the receptor, the region Arg363-Ile381 was set as the active site and all water molecules were removed. To accelerate the virtual screening, a high-speed screening was firstly carried out by decreasing the maximum quantity of conformations and rotatable bonds from 20 to 10, and from 100 to 50, respectively. Then, the molecules with a docking score within the top 1% were screened once more using the default docking parameters. Finally, several commercially available compounds were selected by ranking the docking scores and clustering analysis and purchased for the following in vitro biological activity assay.

Cell Culture

Human multiple myeloma cell lines Roswell Park Memorial Institute (RPMI)-8226 and U266 were purchased from the American Type Culture Collection (Manassas, VA, USA) and were cultured in RPMI-1640 medium supplemented with 10% fetal bovine serum (FBS). The RPMI-8226/BTZ100 cell line was kindly provided by Dr. Jacqueline Cloos (VU University Medical Center, The Netherlands).18

Cell Viability Assay

The indicated MM cells were seeded at 10,000/well in 100 μL RPMI-1640 medium in a 96-well plate. Then, cells were treated with different doses of compound 7594–0037 for different times at a given concentration of the c-Myc inhibitor. Eventually, cell survival rates were measured using a Cell Counting Kit (CCK)-8 kit according to the manufacturer’s protocol.19,20

Flow Cytometry

The experiment was performed basically as previously described.21 Briefly, the indicated MM cells were treated with different doses of c-Myc inhibitor 7594–0037 for 48 h and harvested. For the cell cycle assay, the cells were washed with phosphate-buffered saline (PBS) and fixed overnight in 70% cold ethanol. The fixed cells were re-suspended and incubated with RNase A, and then stained in PBS containing propidium iodide (PI) at room temperature. Finally, the cellular DNA was examined using a FACScan cell sorter and FACSCalibur flow cytometry (BD Biosciences). Early apoptotic cell death was examined with the Annexin V- fluorescein isothiocyanate (FITC)/PI Apoptosis Detection Kit following protocols from previous reports.2224

Western Blot

Proteins were separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and transferred to polyvinylidene difluoride (PVDF) membranes, which were blocked with 5% nonfat milk and incubated with anti-β-actin, anti-PARP1, anti-c-Myc, anti-pS62-c-Myc, anti-pT58-c-Myc, and anti-PIM1 (Proteintech); and anti-caspase-3 and anti-caspase-9 (Cell Signaling Technology). Finally, the membranes were visualized with an enhanced chemiluminescence (ECL) system.

Q-PCR Assay

Total RNA was extracted with TRIzol reagent, and 1.5 μg RNA was reverse transcribed into cDNA as previously described.25 Real-time quantitative PCR was performed using SYBR Green mix, and the results were normalized to the amplification of β-actin and to determination of the fold change based on 2-ΔΔCt.

Protein Stability Assay

The indicated MM cells were treated with c-Myc inhibitor 7594–0037 for different times (12 h, 24 h, and 48 h). The protein synthesis inhibitor cycloheximide (CHX) and proteasome inhibitor MG132 were used for analyzing protein stability as previously described.26

Molecular Dynamics (MD) Simulation with c-Myc Inhibitor 7594-0037

To study the molecular mechanism of compound 7594–0037 disrupting c-Myc protein stability, a 20-ns MD simulation was performed on c-Myc complexed with 7594–0037 using the Amber 12 molecular simulation package.27 The initial structure of the complex was obtained from the molecular docking based virtual screening. A single c-Myc protein was also studied as a control. The standard amber force field (ff03) and general amber force field (GAFF) were used as the parameters for protein and ligand, respectively. Compound 7594–0037 was firstly minimized using the HF/6–31* optimization in the Gaussian 09 program,28 and then the partial atomic charge was generated by fitting the electrostatic potential derived by the restrained electrostatic potential (RESP) fitting technique in Amber 12. Finally, the partial charge and GAFF force field parameter for compound 7594–0037 were obtained using the antechamber module in Amber 12.

Each system was placed into a cubic TIP3P water box, which extended 12 Å from any solute atoms. Appropriate amounts of Na+ were added to neutralize the systems. Energy minimizations of the systems were conducted by the Sander program in Amber 12 via three steps as described in our previous studies.2931 Afterwards, each system was gradually warmed from 0 to 310 K over 60 ps in the NVT ensemble. Under a constant temperature of 310 K, a 20-ns MD simulation with a time step of 2 fs was carried out. In the process of sampling, the coordinates were saved every 1 ps.

Statistical Analysis

The data from all the above experiments are presented as the mean ± SD from three independent experiments. Differences between different groups were analyzed using Student’s t-test. P < 0.05 was considered statistically significant. The statistical analyses were performed using GraphPad Prism 5 (GraphPad Software, La Jolla, CA, USA).

Results and Discussion

Structure-Based Virtual Screening and Binding Mode of Compound 7594-0037

10 commercially available compounds (Figure S1) were selected from the two rounds of high-throughput virtual screenings by ranking the docking scores and clustering analysis. In light of the fact that potent c-Myc inhibitors should possess appropriate ant-proliferative activity in cancer cells, the hits obtained from the virtual screening were firstly evaluated in vitro cancer cell growth inhibition. Only compound 7594–0037 (Figure 1A) exhibited potent cytotoxic effect on MM cells (described as follows).

Figure 1.

Figure 1

New c-Myc inhibitor 7594–0037. (A) Structure of compound 7594–0037. (B) The predicted the binding mode of compound 7594–0037 to its receptor c-Myc. The key residues of c-Myc that are used by compound 7594–0037 for binding are shown in stick model and colored in yellow.

To study the binding mode of compound 7594–0037, the docked conformation of the c-Myc/7594-0037 complex is shown in Figure 1B. Compound 7594–0037 formed three hydrogen bonds with the residues Arg911, Arg914, and Asn915, and at the same time, was well accommodated in a hydrophobic cleft composed of residues Leu917, Lys918, Phe921, and Phe922. It is noteworthy that the indole moiety of compound 7594–0037 had strong π-π interaction with Phe921. Thus, the binding of compound 7594–0037 to c-Myc protein was dominated by both hydrogen bond interactions and hydrophobic interactions.

Compound 7594-0037 Inhibited the Proliferation of MM Cells

To determine the effect of the hits obtained from virtual screening on MM cell proliferation, RPMI-8226 and U266 cells were treated with different concentrations of compounds. The results showed that only compound 7594–0037 decreased MM cell viabilities in a dose-dependent manner (Figure 2A and 2B). The IC50 value of compound 7594–0037 was determined in the 10–40 μM range and calculated as 17.8 μM for RPMI-8226 and 27.9 μM for U266 cells. It was reported that the small molecular inhibitor 10058-F4 specifically inhibits c-Myc-Max heterodimerization to further prevent transactivation of c-Myc target genes.32,33 Nevertheless, 10085-F4 was insensitive to several myeloma cell lines, which had IC50 > 50 μM and < 100 μM.34 Our c-Myc inhibitor compound 7594–0037 showed stronger antiproliferative activity than 10058-F4, implying that compound 7594–0037 could be an excellent addition to the treatment options for MM patients. Additionally, we further observed that compound 7594–0037 time-dependently decreased MM cell viabilities (Figure 2C and D). Subsequently, we detected the effect of compound 7594–0037 on cell subpopulation distribution by flow cytometry. The results showed that compound 7594–0037 induced G2 phase arrest of MM cells in a dose-dependent manner (Figure 2D and E), suggesting that cell cycle arrest induced by compound 7594–0037 might at least cause partial decreased MM cell survival rates.

Figure 2.

Figure 2

The effect of compound 7594–0037 on cell viability and cell cycle. (A–B) Cell viability analysis of RPMI-8226 and U266 cells treated with different concentrations of compound 7594–0037. (C–D) RPMI-8226 and U266 cells were treated with compound 7594–0037 at different time intervals, and the CCK-8 assay was performed to determine the cell survival rate. (E–F) The distribution of RPMI-8226 and U266 cell subpopulations treated with compound 7594–0037 was analyzed by flow cytometry. The experiments were conducted at least three times. Error bars: mean ± SD; *P<0.05; **P<0.01; ***P<0.001.

Compound 7594-0037 Triggered MM Cell Death

Next, we examined the effect of compound 7594–0037 on cell apoptosis of RPMI-8226 cells. By using flow cytometry based on Annexin V/PI staining, we found that c-Myc inhibitor 7594–0037 dose-dependently increased the ratio of apoptotic RPMI-8226 cells from 2.5% to 34.6%, as compared with the DMSO control (Figure 3A and B). Similarly, we found that compound 7594–0037 also triggered U266 cell death in a concentration-dependent manner (Figure 3C). To further investigate the c-Myc inhibitor-induced MM cell apoptosis, we determined the activation of caspase family proteins using Western blot assay. As shown in Figure 3D, we found that compound 7594–0037 obviously promoted the cleavage of PARP1, caspase-9, and caspase-8 pro-apoptotic associated proteins in RPMI-8226 and U266 cells. Owing to better antiproliferative activity than commercial c-Myc inhibitor 10058-F4, implying that compound 7594–0037 could be an excellent addition to the treatment options for MM patients. Subsequently, we further analyze the anti-tumor activity of compound 7594–0037 using xenograft model of myeloma. Unfortunately, our results demonstrated that compound 7594–0037 did not decrease primary MM tumor growth evidently (data not shown). Taken together, our data indicate that novel c-Myc inhibitor compound 7594–0037 triggers caspase-mediated myeloma cell apoptosis.

Figure 3.

Figure 3

The effect of compound 7594–0037 on MM cell apoptosis. (A–B) RPMI-8226 cells treated with different doses of compound 7594–0037 were stained with Annexin V-FITC/PI, and flow cytometry analysis showed the ratio of apoptotic cells. (C) Percentages of U266 cell apoptosis based on three independent experiments of flow cytometry assay. (D) Western blot detection of apoptosis-associated PARP1, caspase-9, and caspase-3 proteins in RPMI-8226 and U266 cells treated with compound 7594–0037. Error bars: mean ± SD; *P<0.05.

Compound 7594-0037 Exhibited a Synergistic Effect in Combination with Bortezomib

The introduction of bortezomib (BTZ) was an important breakthrough in the treatment of MM.35 However, BTZ resistance decreases the clinical effectiveness of MM treatments, and thus, it is critical to search for novel effective regimens to overcome BTZ resistance. In this study, the cytotoxic impact of compound 7594–0037 was examined using RPMI-8226 cells resistant to bortezomib. We conducted a cell viability and apoptosis assay using 100 nM bortezomib-resistant MM cells (RPMI-8226/BTZ100) that have previously been described.18 Besides, we also established another 100 nM bortezomib-resistant cell based on U266 MM cell line. Compound 7594–0037 decreased the RPMI-8226/BTZ100 and U266/BTZ100 cell viabilities in a concentration-dependent manner (Figure 4A). However, we found that the RPMI-8226/BTZ100 and U266/BTZ100 cells were inhibited in a time-independent manner (Figure 4B). We then wondered whether compound 7594–0037 had an effect on BTZ-resistant cell apoptosis. To confirm this, RPMI-8226/BTZ100 cells treated with compound 7594–0037 were subjected to apoptotic analysis by flow cytometry after staining with Annexin V/PI. As shown in Figure 4C and D, c-Myc inhibitor 7594–0037 increased the Annexin V+ cell fraction in RPMI-8226/BTZ100 cells. Further flow cytometry assays showed that compound 7594–0037 exhibited a synergistic effect in combination with bortezomib in RPMI-8226 cells (Figure 4E), implying that novel c-Myc inhibitor compound 7594–0037 could overcome bortezomib myeloma resistance.

Figure 4.

Figure 4

The effect of compound 7594–0037 on bortezomib resistance. (A) Proliferation analysis of RPMI-8226/BTZ100 and U266/BTZ100 cells treated with compound 7594–0037 at different concentrations. (B) RPMI-8226/BTZ100 and U266/BTZ100 cells were treated with compound 7594–0037 at different time intervals, and cell viability was measured by CCK-8. (C–D) The apoptosis of RPMI-8226/BTZ100 cells treated with different doses of compound 7594–0037 was detected by the Annexin V/PI kit based on flow cytometry. (E) RPMI-8226 cells were treated with compound 7594–0037 alone or in combination with BTZ, and flow cytometry analysis was performed to determine the cell apoptotic ratio. Error bars: mean ± SD; *, P<0.05; **, P<0.01.

Compound 7594-0037 Disturbed c-Myc Protein Stability

We used structure based virtual screening to identify the c-Myc inhibitor compound 7594–0037 characteristically targeting c-Myc. However, Q-PCR results showed that compound 7594–0037 could not reduce c-Myc mRNA levels in multiple MM cell lines (Figure 5A). To assess how compound 7594–0037 participates in c-Myc protein degradation, RPMI-8226 and U266 cells were treated using compound 7594–0037 at different times, and Western blot assay indicated that c-Myc protein expression decreased in a time-dependent manner following treatment with compound 7594–0037 (Figure 5B and C). Due to the inherent high instability of the c-Myc protein,36 we speculated that compound 7594–0037 may directly destroy c-Myc protein stability. Subsequently, we conducted protein stability assays using protein synthesis inhibitor cycloheximide (CHX) and found that compound 7594–0037 could rapidly facilitate c-Myc protein degradation after inhibition of protein synthesis (Figure 5D). Likewise, proteasome inhibitor MG132 reversed the c-Myc protein expression in RPMI-8226 and U266 cells after treatment with compound 7594–0037 (Figure 5E and F).

Figure 5.

Figure 5

The effect of compound 7594–0037 on c-Myc protein stability. (A) The expression of c-Myc mRNA in RPMI-8226 and U266 cells was assessed by real-time PCR. ns, not significant. (B–C) Western blot analysis of c-Myc protein expression in RPMI-8226 and U266 cells treated with compound 7594–0037 at different time intervals. (D) U266 cells were treated with compound 7594–0037, following incubation with CHX for different amounts of time. Western blot detection of the change in c-Myc protein levels. (E–F) Western blot analyses of c-Myc expression in RPMI-8226 and U266 cells treated with compound 7594–0037 along with MG132 treatment. (G) Western blot analysis of the expression levels of PIM1, c-Myc, pS62-c-Myc, and pT58-c-Myc in U266 cells via treatment with compound 7594–0037 for different amounts of time. (H) Pearson correlation analysis of PIM1 and c-Myc mRNA levels in 44 newly diagnosed MM patients.

PIM1 kinase phosphorylates c-Myc at S62, which increases its stability and thus enhances c-Myc activities.14 To further explore the mechanism of compound 7594–0037-mediated c-Myc degradation, U266 cells were treated with compound 7594–0037 at various intervals, and Western blot assay showed that compound 7594–0037 time-dependently decreased PIM1 kinase protein expression along with reducing the phosphorylation level of c-Myc S62 (Figure 5G). Surprisingly, the phosphorylation of c-Myc T58 did not obviously change. We further clarified the clinical relevance of PIM1 and c-Myc expression in 44 newly diagnosed multiple myeloma patients. The data implicated a significant positive correlation between PIM1 expression and c-Myc expression (Figure 5H). Therefore, we speculated that the novel c-Myc inhibitor compound 7594–0037 specifically disturbed c-Myc protein stability by decreasing the phosphorylation level of c-Myc S62 mediated by PIM1 kinase.

Molecular Modeling of the Effect of Compound 7594-0037 on c-Myc Protein Stability

To further evaluate the effect of compound 7594–0037 on c-Myc protein stability, two c-Myc protein systems, ie, c-Myc/7594-0037 and c-Myc, were constructed and subjected to 20 ns molecular dynamics simulation. To explore the conformational stability of each system, the root mean square deviation (RMSD) of the protein backbone atoms was calculated with respect to the starting structure (Figure 6A). Overall, ligand-bound c-Myc protein seemed to be more deviated from the reference structure than ligand-free c-Myc (Figure 6B). Moreover, compound 7594–0037 decreased the stability of the C-terminus of c-Myc rather than the N-terminus (Figure 6C and D). This may be attributed to the fact that compound 7594–0037 bound to the N-terminus (Figure 6C) and could enhance the conformational stability of the N-terminus. As may be expected, the ligand-bound N-terminus of c-Myc blocked the binding interactions between the N- and C-termini, which resulted in the unconstrained state of the C-terminus of c-Myc.

Figure 6.

Figure 6

Molecular dynamics simulation to determine the effect of compound 7594–0037 on c-Myc protein stability. (A) Compound 7594–0037 interacted with the N-terminus rather than the C-terminus of c-Myc protein. (B–D) RMSD of the backbone atoms of (B) c-Myc whole protein, (C) the N-terminus, and (D) the C-terminus with the reference structure at t = 0 ns in two systems: c-Myc/7594-0037 (black) and single c-Myc protein (red).

To better characterize the effect of the binding of compound 7594–0037 on the interaction between the N- and C-termini of c-Myc, the final configurations of the c-Myc protein in two systems after a 20-ns MD simulation are shown in Figure 7. In the ligand-free c-Myc system (Figure 7A), the residue Lys939 in the C-terminus formed one hydrogen bond with residue Leu917 in the N-terminus. Moreover, Lys939 exhibited strong hydrophobic interaction with Phe921. These interactions maintained the binding of the two termini of c-Myc. In the ligand-bound c-Myc system (Figure 7B), the hydrogen bond that formed in two termini was missing, which may have been caused by the insertion of compound 7594–0037. At the same time, residue Phe921 interacted with the indole moiety of compound 7594–0037 rather than residue Lys939 in the C-terminus of c-Myc. Without any structural constraints, the C-terminus became more flexible. In total, compound 7594–0037 may affect c-Myc protein stability by interrupting the binding interactions of the two termini.

Figure 7.

Figure 7

Compound 7594–0037 interrupted the binding interactions between the N- and C-termini of c-Myc protein. (A) The detailed binding interactions at the two termini of c-Myc. (B) Compound 7594–0037 inserted into the interface of the two termini, and cleaved the hydrogen bond formed by residues Leu917 and Lys939. The N- and C-termini of c-Myc are shown in cartoon models, and colored in blue and magenta, respectively.

Conclusion

Multiple myeloma is one of the most frequent hematological cancers in the world. Currently, novel proteasome inhibitors (bortezomib) and immunomodulatory drugs (lenalidomide) have greatly improved MM patient survival, but MM remains incurable. The main reason for refractory MM is drug resistance, and therefore, it is urgent to explore novel molecular-targeted therapeutic agents. In this study, we identified a novel c-Myc inhibitor, compound 7594–0037, by structure based virtual screening, and it exhibited a stronger cytotoxic effect. Importantly, compound 7594–0037 could act to overcome myeloma bortezomib resistance and displayed a synergistic effect in combination with bortezomib.

As for the mechanism, in contrast to c-Myc inhibitor 10058-F4, compound 7594–0037 directly interfered with c-Myc protein stability and promoted c-Myc protein degradation via downregulated c-Myc S62 phosphorylation levels. The effect of compound 7594–0037 on c-Myc protein stability was also studied by molecular dynamics simulation. Once compound 7594–0037 was plugged into the N-terminus of the c-Myc protein, the binding interactions (hydrogen bonds and hydrophobic interactions) between the N- and C-termini of c-Myc detached and the C-terminus would be more flexible. Taken together, our data demonstrate that novel c-Myc inhibitor compound 7594–0037 decreased MM cell survival and induced MM cell cycle G2 phase arrest. Additionally, compound 7594–0037 also visibly facilitated MM cell apoptosis. Therefore, our study highlights the clinical application potential of this novel c-Myc inhibitor.

Acknowledgments

This research was funded by he National Natural Science Foundation of China [grant number 81600173 and 21708033]; the Postdoctoral Science Foundation of China [grant numbers 2018T110554]; the Program for Distinguished Talents of Six Domains in Jiangsu Province (grant number YY-046) and the Qing Lan Project of Jiangsu Province; and Natural Science Foundation of the Jiangsu Higher Education Institutions of China (Grant No. 18KJB416008).

Abbreviations

MM, multiple myeloma; PIM1, Proviral Insertion site in Moloney Murine Leukemia Virus (MMLV))1; bHLH–LZ, basic-helix-loop-helix leucine zipper; BRD4, bromodomain and extraterminal domain 4; RPMI, Roswell Park Memorial Institute; FBS, fetal bovine serum; PBS, phosphate-buffered saline; MD, molecular dynamics; PI, propidium iodide; BTZ, bortezomib; CHX, cycloheximide; RMSD, root mean square deviation.

Disclosure

The authors report no conflicts of interest in this work.

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