“…We selected other drugs that have been studied in the context of leukaemia, such as MG-132 (a proteasome inhibitor (Guo and Peng 2013)), ibrutinib (a BTK inhibitor , Danilov 2013), vemurafenib (a V600E BRAF inhibitor (Samuel, et al 2014)), ver155008 (a HSP70 inhibitor (Reikvam, et al 2013)), BX-912 (a PDK1 inhibitor targeting PI3K/Akt pathway (Feldman, et al 2005)) and fedratinib (a Jak/STAT pathway inhibitor (Pardanani, et al 2007)). As shown in Figure 1A, dinaciclib demonstrated more than 100-fold greater inhibitory effects on the metabolic activity of MEC-1 than any of the other drugs tested, confirming its potential as a therapeutic approach for CLL and consistent with recent results that showed the strong cytotoxic effects of CDK inhibitors in CLL (Johnson, et al 2012, Paiva, et al 2015, Sylvan, et al 2016. We determined that the effects of dinaciclib on cell viability were the consequence of a dose-dependent increase in cell death but not cell cycle arrest, as tested by PI staining ( Figure 1B).…”