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地瑞那新增强硼替佐米在体外和体内套细胞淋巴瘤细胞中的抗肿瘤作用:治疗意义。

Degrasyn potentiates the antitumor effects of bortezomib in mantle cell lymphoma cells in vitro and in vivo: therapeutic implications.

机构信息

Department of Hematopathology, Unit 54, The University of Texas of M. D. Anderson Cancer Center, Houston, Texas 77030, USA.

出版信息

Mol Cancer Ther. 2010 Jul;9(7):2026-36. doi: 10.1158/1535-7163.MCT-10-0238. Epub 2010 Jul 6.

Abstract

Mantle cell lymphoma (MCL) is an aggressive histotype of B-cell non-Hodgkin lymphoma that has increased in incidence over the past few decades and is incurable, usually poorly responsive to standard chemotherapy combinations, and associated with poor prognoses. Discovering new therapeutic agents with low toxicity that produce better outcomes in patients with MCL is an ongoing challenge. Recent studies showed that degrasyn, a novel small-molecule inhibitor of the Janus kinase/signal transducer and activation of transcription (JAK/STAT) pathway, exerts antitumor activity in lymphoid tumors by inhibiting key growth and survival signaling (JAK/STAT) pathways. In the present study, we found that treatment of both typical and blastoid-variant MCL cells with degrasyn in combination with bortezomib resulted in synergistic growth inhibition and apoptosis induction in vitro. The apoptosis in these cells was correlated with the downregulation of constitutive NF-kappaB and phosphorylated STAT3 activation, leading to the inhibition of c-Myc, cyclin D1, and bcl-2 protein expression and the upregulation of bax protein expression. In vivo, degrasyn and bortezomib interacted to synergistically prevent tumor development and prolong survival durations in a xenotransplant severe combined immunodeficient mouse model of MCL. These findings suggest that agents such as degrasyn that can pharmacologically target constitutively expressed NF-kappaB and STAT3 in MCL cells may be useful therapeutic agents for MCL when administered together with bortezomib.

摘要

套细胞淋巴瘤(MCL)是一种侵袭性 B 细胞非霍奇金淋巴瘤,在过去几十年中发病率有所增加,而且无法治愈,通常对标准化疗组合反应不佳,预后较差。发现具有低毒性的新治疗药物,为 MCL 患者带来更好的疗效,是一项持续的挑战。最近的研究表明,新型小分子 Janus 激酶/信号转导和转录激活因子(JAK/STAT)通路抑制剂 degrasyn 通过抑制关键的生长和存活信号通路(JAK/STAT),在淋巴肿瘤中发挥抗肿瘤活性。在本研究中,我们发现 degrasyn 与硼替佐米联合治疗典型和母细胞样变异型 MCL 细胞,可在体外协同抑制细胞生长并诱导细胞凋亡。这些细胞中的凋亡与组成型 NF-κB 和磷酸化 STAT3 激活的下调相关,导致 c-Myc、cyclin D1 和 bcl-2 蛋白表达的抑制以及 bax 蛋白表达的上调。在体内,degrasyn 和硼替佐米协同作用,可预防异种移植 MCL 严重联合免疫缺陷小鼠模型中的肿瘤发展并延长生存期。这些发现表明,degrasyn 等可通过药理学靶向 MCL 细胞中组成型表达的 NF-κB 和 STAT3 的药物,与硼替佐米联合使用时,可能对 MCL 具有治疗作用。

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