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Synergistic apoptosis induction in myelodysplastic syndrome cells by azacitidine and PIM-2 inhibitors via nuclear factor-kappa B pathway inhibition
Synergistic apoptosis induction in myelodysplastic syndrome cells by azacitidine and PIM-2 inhibitors via nuclear factor-kappa B pathway inhibition
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Synergistic apoptosis induction in myelodysplastic syndrome cells by azacitidine and PIM-2 inhibitors via nuclear factor-kappa B pathway inhibition
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Synergistic apoptosis induction in myelodysplastic syndrome cells by azacitidine and PIM-2 inhibitors via nuclear factor-kappa B pathway inhibition
Synergistic apoptosis induction in myelodysplastic syndrome cells by azacitidine and PIM-2 inhibitors via nuclear factor-kappa B pathway inhibition

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Synergistic apoptosis induction in myelodysplastic syndrome cells by azacitidine and PIM-2 inhibitors via nuclear factor-kappa B pathway inhibition
Synergistic apoptosis induction in myelodysplastic syndrome cells by azacitidine and PIM-2 inhibitors via nuclear factor-kappa B pathway inhibition
Journal Article

Synergistic apoptosis induction in myelodysplastic syndrome cells by azacitidine and PIM-2 inhibitors via nuclear factor-kappa B pathway inhibition

2026
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Overview
Background We aimed to characterise the molecular effects of treating myelodysplastic syndrome (MDS) cells with the DNA methyltransferase inhibitor azacitidine and an PIM-2 inhibitor, focusing on their potential synergistic effects. Methods MDS cells were subjected to proliferation assays to assess the effects of each drug independently and in combination. The synergy of the drugs in promoting the apoptosis of MDS cells via NF-κB signalling pathway inhibition was evaluated. Results Our results suggested that azacitidine and the PIM-2 inhibitor have synergistic effects in inhibiting the proliferation and inducing the apoptosis of MDS cells. Furthermore, the combined application of azacitidine and PIM-2 inhibitor synergistically inhibited the NF-κB pathway, resulting in the induction of apoptosis in MDS cells. Conclusion Administration of a small molecule PIM-2 inhibitor in combination with the epigenetic drug azacitidine is one of the effective ways to treat MDS. Our study lays a foundation for future clinical trials in patients with MDS. Graphical abstract