使用 TORC1/2 激酶抑制剂有效且有选择性地靶向白血病细胞。

Effective and selective targeting of leukemia cells using a TORC1/2 kinase inhibitor.

机构信息

Department of Molecular Biology & Biochemistry, Institute for Immunology, University of California-Irvine, Irvine, California, USA.

出版信息

Nat Med. 2010 Feb;16(2):205-13. doi: 10.1038/nm.2091. Epub 2010 Jan 13.

Abstract

Targeting the mammalian target of rapamycin (mTOR) protein is a promising strategy for cancer therapy. The mTOR kinase functions in two complexes, TORC1 (target of rapamycin complex-1) and TORC2 (target of rapamycin complex-2); however, neither of these complexes is fully inhibited by the allosteric inhibitor rapamycin or its analogs. We compared rapamycin with PP242, an inhibitor of the active site of mTOR in both TORC1 and TORC2 (hereafter referred to as TORC1/2), in models of acute leukemia harboring the Philadelphia chromosome (Ph) translocation. We demonstrate that PP242, but not rapamycin, causes death of mouse and human leukemia cells. In vivo, PP242 delays leukemia onset and augments the effects of the current front-line tyrosine kinase inhibitors more effectively than does rapamycin. Unexpectedly, PP242 has much weaker effects than rapamycin on the proliferation and function of normal lymphocytes. PI-103, a less selective TORC1/2 inhibitor that also targets phosphoinositide 3-kinase (PI3K), is more immunosuppressive than PP242. These findings establish that Ph(+) transformed cells are more sensitive than normal lymphocytes to selective TORC1/2 inhibitors and support the development of such inhibitors for leukemia therapy.

摘要

靶向哺乳动物雷帕霉素靶蛋白(mTOR)是癌症治疗的一种有前途的策略。mTOR 激酶在两个复合物中发挥作用,即 TORC1(雷帕霉素靶蛋白复合物 1)和 TORC2(雷帕霉素靶蛋白复合物 2);然而,这些复合物都没有被雷帕霉素或其类似物的变构抑制剂完全抑制。我们比较了雷帕霉素和 PP242,这是一种在 TORC1 和 TORC2 中 mTOR 活性位点的抑制剂(以下简称 TORC1/2),在费城染色体(Ph)易位的急性白血病模型中。我们证明 PP242 而非雷帕霉素会导致小鼠和人类白血病细胞死亡。在体内,PP242 延迟白血病的发生,并比雷帕霉素更有效地增强当前一线酪氨酸激酶抑制剂的作用。出乎意料的是,PP242 对正常淋巴细胞的增殖和功能的影响比雷帕霉素弱得多。PI-103 是一种不太选择性的 TORC1/2 抑制剂,也靶向磷酸肌醇 3-激酶(PI3K),比 PP242 更具免疫抑制作用。这些发现表明,Ph(+)转化细胞比正常淋巴细胞对选择性 TORC1/2 抑制剂更敏感,并支持开发此类抑制剂用于白血病治疗。

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