BCR/ABL 抑制剂伊马替尼、尼洛替尼和达沙替尼对 NK 细胞反应性的影响存在差异。
The BCR/ABL-inhibitors imatinib, nilotinib and dasatinib differentially affect NK cell reactivity.
机构信息
Department of Hematology/Oncology, Eberhard-Karls-University, Tuebingen, Germany.
出版信息
Int J Cancer. 2010 Nov 1;127(9):2119-28. doi: 10.1002/ijc.25233.
In chronic myeloid leukemia (CML), BCR/ABL-mediated oncogenic signaling can be targeted with the BCR/ABL-inhibitors Imatinib, Nilotinib and Dasatinib. However, these agents may also affect anti-tumor immunity. Here, we analyzed the effects of the 3 BCR/ABL-inhibitors on natural killer (NK) cell reactivity. Exposure of CML cells (K562, Meg-01) to pharmacological concentrations of Imatinib, Nilotinib and Dasatinib diminished expression of ligands for the activating immunoreceptor NKG2D to a similar extent. This resulted in comparably reduced NK cell cytotoxicity and IFN-gamma production. When direct effects on NK cell responses to K562 and primary CML cells as well as activating cytokines were studied, Dasatinib was found to abrogate NK cytotoxicity and cytokine production. Nilotinib did not alter cytotoxicity but, at high levels, impaired NK cytokine production, while Imatinib had no direct influence on NK cell reactivity. Of note, Nilotinib, but not the other BCR/ABL-inhibitors increased cell death within the preferentially cytokine-secreting CD56(bright)CD16(-) NK cell subset, which may, at least in part, serve to explain the effect of Nilotinib on NK cytokine production. Analysis of NK cell signaling revealed that Dasatinib inhibited proximal signaling events leading to decreased phosphorylation of PI3K and ERK that are crucial for NK cell reactivity. Imatinib and Nilotinib, in contrast, showed no relevant effect on NK cell PI3K or ERK activity. In light of the potential role of NK cells in the immunesurveillance of residual leukemia and for future combinatory immunotherapeutic approaches, our data indicate that choice and dosing of the most suitable BCR/ABL-inhibitor for a given patient require careful consideration.
在慢性髓性白血病 (CML) 中,BCR/ABL 介导的致癌信号可以用 BCR/ABL 抑制剂伊马替尼、尼罗替尼和达沙替尼靶向。然而,这些药物也可能影响抗肿瘤免疫。在这里,我们分析了 3 种 BCR/ABL 抑制剂对自然杀伤 (NK) 细胞反应的影响。暴露于药理浓度的伊马替尼、尼罗替尼和达沙替尼的 CML 细胞 (K562、Meg-01) 表达与激活免疫受体 NKG2D 的配体的程度相似。这导致 NK 细胞的细胞毒性和 IFN-γ产生相应降低。当研究对 K562 和原代 CML 细胞以及激活细胞因子的 NK 细胞反应的直接影响时,发现达沙替尼阻断了 NK 细胞的细胞毒性和细胞因子产生。尼罗替尼不改变细胞毒性,但在高水平时,会损害 NK 细胞因子的产生,而伊马替尼对 NK 细胞反应没有直接影响。值得注意的是,尼罗替尼而不是其他 BCR/ABL 抑制剂增加了优先分泌细胞因子的 CD56(bright)CD16(-) NK 细胞亚群内的细胞死亡,这至少部分解释了尼罗替尼对 NK 细胞因子产生的影响。NK 细胞信号分析表明,达沙替尼抑制了导致 NK 细胞反应至关重要的 PI3K 和 ERK 磷酸化减少的早期信号事件。相比之下,伊马替尼和尼罗替尼对 NK 细胞 PI3K 或 ERK 活性没有相关影响。鉴于 NK 细胞在残留白血病免疫监视中的潜在作用以及未来联合免疫治疗方法,我们的数据表明,为特定患者选择和调整最合适的 BCR/ABL 抑制剂需要仔细考虑。