Civallero Monica, Cosenza Maria, Pozzi Samantha, Bari Alessia, Ferri Paola, Sacchi Stefano
Program of Innovative Therapies in Oncology and Haematology, Department of Diagnostic and Clinical Medicine and Public Health, University of Modena and Reggio Emilia, Italy.
Department of Diagnostic, Clinical and Public Health Medicine, University of Modena and Reggio Emilia, Italy.
Biomed Res Int. 2015;2015:870918. doi: 10.1155/2015/870918. Epub 2015 Oct 18.
Non-Hodgkin lymphomas encompass a heterogeneous group of cancers, with 85-90% arising from B lymphocytes and the remainder deriving from T lymphocytes or NK lymphocytes. These tumors are molecularly and clinically heterogeneous, showing dramatically different responses and outcomes with standard therapies. Deregulated PI3K signaling is linked to oncogenesis and disease progression in hematologic malignancies and in a variety of solid tumors and apparently enhances resistance to antineoplastic therapy, resulting in a poor prognosis. Here, we have evaluated and compared the effects of the pan-PI3K inhibitor BKM120 and the dual PI3K/mTOR inhibitor BEZ235 on mantle, follicular, and T-cell lymphomas. Our results suggest that BKM120 and BEZ235 can effectively inhibit lymphoma cell proliferation by causing cell cycle arrest and can lead to cell death by inducing apoptosis and autophagy mediated by ROS accumulation. Despite great advances in lymphoma therapy after the introduction of monoclonal antibodies, many patients still die from disease progression. Therefore, novel treatment approaches are needed. BKM120 and BEZ235 alone and in combination are very effective against lymphoma cells in vitro. If further studies confirm their effectiveness in animal models, they may be promising candidates for development as new drugs.
非霍奇金淋巴瘤包括一组异质性癌症,其中85% - 90%起源于B淋巴细胞,其余起源于T淋巴细胞或NK淋巴细胞。这些肿瘤在分子和临床方面具有异质性,对标准疗法表现出截然不同的反应和结果。PI3K信号失调与血液系统恶性肿瘤以及多种实体瘤的肿瘤发生和疾病进展相关,并且明显增强了对抗肿瘤治疗的抗性,导致预后不良。在此,我们评估并比较了泛PI3K抑制剂BKM120和双PI3K/mTOR抑制剂BEZ235对套细胞淋巴瘤、滤泡性淋巴瘤和T细胞淋巴瘤的影响。我们的结果表明,BKM120和BEZ235可通过引起细胞周期停滞有效抑制淋巴瘤细胞增殖,并可通过诱导由ROS积累介导的凋亡和自噬导致细胞死亡。尽管引入单克隆抗体后淋巴瘤治疗取得了巨大进展,但许多患者仍死于疾病进展。因此,需要新的治疗方法。BKM120和BEZ235单独使用及联合使用在体外对淋巴瘤细胞都非常有效。如果进一步研究证实它们在动物模型中的有效性,它们可能成为有前景的新药开发候选药物。