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局部储存式钙内流抑制利妥昔单抗在非霍奇金B淋巴瘤中依赖CD95的凋亡效应。

Localized Store-Operated Calcium Influx Represses CD95-Dependent Apoptotic Effects of Rituximab in Non-Hodgkin B Lymphomas.

作者信息

Vacher Pierre, Vacher Anne-Marie, Pineau Raphael, Latour Simon, Soubeyran Isabelle, Pangault Celine, Tarte Karin, Soubeyran Pierre, Ducret Thomas, Bresson-Bepoldin Laurence

机构信息

Institut Bergonié, Centre de Lutte contre le Cancer, F-33076 Bordeaux Cedex, France; Université de Bordeaux, F-33076 Bordeaux Cedex, France; INSERM U916 Validation et Identification de Nouvelles Cibles en Oncologie, F-33076 Bordeaux Cedex, France;

Animalerie Mutualisée, Université de Bordeaux, F33400 Talence, France;

出版信息

J Immunol. 2015 Sep 1;195(5):2207-15. doi: 10.4049/jimmunol.1402942. Epub 2015 Jul 22.

Abstract

The anti-CD20 mAb, rituximab, is routinely used to treat B cell malignancies. However, a majority of patients relapse. An improvement in the complete response was obtained by combining rituximab with chemotherapy, at the cost of increased toxicity. We reported that rituximab induced the colocalization of both the Orai1 Ca(2+) release-activated Ca(2+) channel (CRAC) and the endoplasmic reticulum Ca(2+) sensor stromal interaction molecule 1 with CD20 and CD95 into a cluster, eliciting a polarized store-operated Ca(2+) entry (SOCE). We observed that blocking this Ca(2+) entry with downregulation of Orai1, pharmacological inhibitors, or reducing calcemia with hypocalcemic drugs sensitized human B lymphoma cell lines and primary human lymphoma cells to rituximab-induced apoptosis in vitro, and improved the antitumoral effect of rituximab in xenografted mice. This revealed that Ca(2+) entry exerted a negative feedback loop on rituximab-induced apoptosis, suggesting that associating CRAC channel inhibitors or hypocalcemic agents with rituximab may improve the treatment of patients with B cell malignancies. The calcium-dependent proteins involved in this process appear to vary according to the B lymphoma cell type, suggesting that CRAC-channel targeting is likely to be more efficient than calcium-dependent protein targeting.

摘要

抗CD20单克隆抗体利妥昔单抗常用于治疗B细胞恶性肿瘤。然而,大多数患者会复发。将利妥昔单抗与化疗联合使用可提高完全缓解率,但代价是毒性增加。我们报道,利妥昔单抗可诱导Orai1钙释放激活钙通道(CRAC)和内质网钙传感器基质相互作用分子1与CD20和CD95共定位形成簇,引发极化的储存式钙内流(SOCE)。我们观察到,通过下调Orai1、使用药理抑制剂阻断这种钙内流或用降钙药物降低血钙水平,可使人B淋巴瘤细胞系和原代人淋巴瘤细胞在体外对利妥昔单抗诱导的凋亡敏感,并提高利妥昔单抗在异种移植小鼠中的抗肿瘤效果。这表明钙内流对利妥昔单抗诱导的凋亡发挥了负反馈作用,提示将CRAC通道抑制剂或降钙药物与利妥昔单抗联合使用可能会改善B细胞恶性肿瘤患者的治疗效果。参与这一过程的钙依赖性蛋白似乎因B淋巴瘤细胞类型而异,这表明靶向CRAC通道可能比靶向钙依赖性蛋白更有效。

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