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淋巴瘤细胞中上调 MCL-1 和 BFL-1 导致对 ABT-737 产生获得性耐药。

Acquired resistance to ABT-737 in lymphoma cells that up-regulate MCL-1 and BFL-1.

机构信息

Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.

出版信息

Blood. 2010 Apr 22;115(16):3304-13. doi: 10.1182/blood-2009-07-233304. Epub 2010 Mar 2.

Abstract

ABT-737 is a small-molecule antagonist of BCL-2 currently under evaluation in clinical trials in the oral form of ABT-263. We anticipate that acquired resistance to this promising drug will inevitably arise. To study potential mechanisms of resistance to ABT-737, we derived resistant lines from initially sensitive OCI-Ly1 and SU-DHL-4 lymphoma cell lines via long-term exposure. Resistance was based in the mitochondria and not due to an inability of the drug to bind BCL-2. Resistant cells had increased levels of BFL-1 and/or MCL-1 proteins, which are not targeted by ABT-737. Proapoptotic BIM was displaced from BCL-2 by ABT-737 in both parental and resistant cells, but in resistant cells, BIM was sequestered by the additional BFL-1 and/or MCL-1. Decreasing MCL-1 levels with flavopiridol, PHA 767491, or shRNA restored sensitivity to ABT-737 resistant cells. MCL-1 was up-regulated not by protein stabilization but rather by increased transcript levels. Surprisingly, in addition to stable increases in MCL-1 transcript and protein in resistant cells, there was a dynamic increase within hours after ABT-737 treatment. BFL-1 protein and transcript levels in resistant cells were similarly dynamically up-regulated. This dynamic increase suggests a novel mechanism whereby modulation of antiapoptotic protein function communicates with nuclear transcriptional machinery.

摘要

ABT-737 是一种小分子 BCL-2 拮抗剂,目前正在以 ABT-263 的口服制剂形式进行临床试验。我们预计这种有前途的药物将不可避免地产生获得性耐药。为了研究对 ABT-737 产生耐药性的潜在机制,我们通过长期暴露,从最初敏感的 OCI-Ly1 和 SU-DHL-4 淋巴瘤细胞系中衍生出耐药系。耐药性基于线粒体,而不是由于药物无法与 BCL-2 结合。耐药细胞中 BFL-1 和/或 MCL-1 蛋白水平升高,而这些蛋白不受 ABT-737 的靶向作用。促凋亡 BIM 在亲本细胞和耐药细胞中均被 ABT-737 从 BCL-2 置换,但在耐药细胞中,BIM 被额外的 BFL-1 和/或 MCL-1 隔离。用 flavopiridol、PHA 767491 或 shRNA 降低 MCL-1 水平可恢复耐药细胞对 ABT-737 的敏感性。MCL-1 的上调不是通过蛋白质稳定化,而是通过增加转录本水平。令人惊讶的是,除了耐药细胞中 MCL-1 转录本和蛋白的稳定增加外,在 ABT-737 处理后数小时内还会出现动态增加。耐药细胞中 BFL-1 蛋白和转录本水平也同样动态上调。这种动态增加表明了一种新的机制,即抗凋亡蛋白功能的调节与核转录机制相沟通。

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