基于BET蛋白拮抗剂的联合用药在对依鲁替尼敏感或耐药的套细胞淋巴瘤细胞中的协同活性。

Synergistic activity of BET protein antagonist-based combinations in mantle cell lymphoma cells sensitive or resistant to ibrutinib.

作者信息

Sun Baohua, Shah Bhavin, Fiskus Warren, Qi Jun, Rajapakshe Kimal, Coarfa Cristian, Li Li, Devaraj Santhana G T, Sharma Sunil, Zhang Liang, Wang Michael L, Saenz Dyana T, Krieger Stephanie, Bradner James E, Bhalla Kapil N

机构信息

Departments of Leukemia and Lymphoma & Myeloma, The University of Texas MD Anderson Cancer Center, Houston, TX;

Cancer Research, Houston Methodist Research Institute, Houston, TX;

出版信息

Blood. 2015 Sep 24;126(13):1565-74. doi: 10.1182/blood-2015-04-639542. Epub 2015 Aug 7.

Abstract

Mantle cell lymphoma (MCL) cells exhibit increased B-cell receptor and nuclear factor (NF)-κB activities. The bromodomain and extra-terminal (BET) protein bromodomain 4 is essential for the transcriptional activity of NF-κB. Here, we demonstrate that treatment with the BET protein bromodomain antagonist (BA) JQ1 attenuates MYC and cyclin-dependent kinase (CDK)4/6, inhibits the nuclear RelA levels and the expression of NF-κB target genes, including Bruton tyrosine kinase (BTK) in MCL cells. Although lowering the levels of the antiapoptotic B-cell lymphoma (BCL)2 family proteins, BA treatment induces the proapoptotic protein BIM and exerts dose-dependent lethality against cultured and primary MCL cells. Cotreatment with BA and the BTK inhibitor ibrutinib synergistically induces apoptosis of MCL cells. Compared with each agent alone, cotreatment with BA and ibrutinib markedly improved the median survival of mice engrafted with the MCL cells. BA treatment also induced apoptosis of the in vitro isolated, ibrutinib-resistant MCL cells, which overexpress CDK6, BCL2, Bcl-xL, XIAP, and AKT, but lack ibrutinib resistance-conferring BTK mutation. Cotreatment with BA and panobinostat (pan-histone deacetylase inhibitor) or palbociclib (CDK4/6 inhibitor) or ABT-199 (BCL2 antagonist) synergistically induced apoptosis of the ibrutinib-resistant MCL cells. These findings highlight and support further in vivo evaluation of the efficacy of the BA-based combinations with these agents against MCL, including ibrutinib-resistant MCL.

摘要

套细胞淋巴瘤(MCL)细胞表现出增强的B细胞受体和核因子(NF)-κB活性。含溴结构域和额外末端(BET)蛋白溴结构域4对于NF-κB的转录活性至关重要。在此,我们证明用BET蛋白溴结构域拮抗剂(BA)JQ1处理可减弱MYC和细胞周期蛋白依赖性激酶(CDK)4/6,抑制核RelA水平以及NF-κB靶基因的表达,包括MCL细胞中的布鲁顿酪氨酸激酶(BTK)。尽管降低了抗凋亡B细胞淋巴瘤(BCL)2家族蛋白的水平,但BA处理可诱导促凋亡蛋白BIM,并对培养的和原代MCL细胞产生剂量依赖性杀伤作用。BA与BTK抑制剂依鲁替尼联合处理可协同诱导MCL细胞凋亡。与单独使用每种药物相比,BA和依鲁替尼联合处理显著提高了移植MCL细胞的小鼠的中位生存期。BA处理还可诱导体外分离的、对依鲁替尼耐药的MCL细胞凋亡,这些细胞过表达CDK6、BCL2、Bcl-xL、XIAP和AKT,但缺乏赋予依鲁替尼耐药性的BTK突变。BA与帕比司他(泛组蛋白去乙酰化酶抑制剂)或帕博西尼(CDK4/6抑制剂)或ABT-199(BCL2拮抗剂)联合处理可协同诱导对依鲁替尼耐药的MCL细胞凋亡。这些发现突出并支持进一步在体内评估基于BA的联合用药与这些药物对MCL(包括对依鲁替尼耐药的MCL)的疗效。

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