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溴结构域和额外末端结构域(BET)抑制剂与BRAF抑制剂联合使用对BRAF突变型黑色素瘤具有协同作用。

BET and BRAF inhibitors act synergistically against BRAF-mutant melanoma.

作者信息

Paoluzzi Luca, Hanniford Douglas, Sokolova Elena, Osman Iman, Darvishian Farbod, Wang Jinhua, Bradner James E, Hernando Eva

机构信息

New York University Cancer Institute, New York University Langone Medical Center, New York, New York.

Department of Pathology, New York University School of Medicine, New York, New York.

出版信息

Cancer Med. 2016 Jun;5(6):1183-93. doi: 10.1002/cam4.667. Epub 2016 May 11.

Abstract

Despite major advances in the treatment of metastatic melanoma, treatment failure is still inevitable in most cases. Manipulation of key epigenetic regulators, including inhibition of Bromodomain and extra-terminal domain (BET) family members impairs cell proliferation in vitro and tumor growth in vivo in different cancers, including melanoma. Here, we investigated the effect of combining the BET inhibitor JQ1 with the BRAF inhibitor Vemurafenib in in vitro and in vivo models of BRAF-mutant melanoma. We performed cytotoxicity and apoptosis assays, and a xenograft mouse model to determine the in vitro and in vivo efficacy of JQ1 in combination with Vemurafenib against BRAF-mutant melanoma cell lines. Further, to investigate the molecular mechanisms underlying the effects of combined treatment, we conducted antibody arrays of in vitro drug-treated cell lines and RNA sequencing of drug-treated xenograft tumors. The combination of JQ1 and Vemurafenib acted synergistically in BRAF-mutant cell lines, resulting in marked apoptosis in vitro, with upregulation of proapoptotic proteins. In vivo, combination treatment suppressed tumor growth and significantly improved survival compared to either drug alone. RNA sequencing of tumor tissues revealed almost four thousand genes that were uniquely modulated by the combination, with several anti-apoptotic genes significantly down-regulated. Collectively, our data provide a rationale for combined BET and BRAF inhibition as a novel strategy for the treatment of melanoma.

摘要

尽管转移性黑色素瘤的治疗取得了重大进展,但在大多数情况下治疗失败仍不可避免。对关键表观遗传调节因子的调控,包括抑制溴结构域和额外末端结构域(BET)家族成员,会损害不同癌症(包括黑色素瘤)的体外细胞增殖和体内肿瘤生长。在此,我们研究了在BRAF突变型黑色素瘤的体外和体内模型中,BET抑制剂JQ1与BRAF抑制剂维莫非尼联合使用的效果。我们进行了细胞毒性和凋亡检测,并建立了异种移植小鼠模型,以确定JQ1与维莫非尼联合使用对BRAF突变型黑色素瘤细胞系的体外和体内疗效。此外,为了研究联合治疗效果背后的分子机制,我们对体外药物处理的细胞系进行了抗体阵列分析,并对药物处理的异种移植肿瘤进行了RNA测序。JQ1和维莫非尼的联合在BRAF突变细胞系中具有协同作用,导致体外显著凋亡,促凋亡蛋白上调。在体内,联合治疗抑制了肿瘤生长,与单独使用任何一种药物相比,显著提高了生存率。肿瘤组织的RNA测序揭示了近4000个由联合治疗独特调控的基因,其中几个抗凋亡基因显著下调。总体而言,我们的数据为联合抑制BET和BRAF作为治疗黑色素瘤的新策略提供了理论依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b4a/4924377/bee1cdf4c458/CAM4-5-1183-g001.jpg

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