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靶向鞘氨醇激酶同工型可有效抑制携带 D816V-KIT 的肿瘤性肥大细胞的生长和存活。

Targeting Sphingosine Kinase Isoforms Effectively Reduces Growth and Survival of Neoplastic Mast Cells With D816V-KIT.

机构信息

Mast Cell Biology Section, Laboratory of Allergic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, United States.

Allergy Section, Pneumology Department, Hospital Clinic, ARADyAL, Instituto de Salud Carlos III, Barcelona, Spain.

出版信息

Front Immunol. 2018 Mar 28;9:631. doi: 10.3389/fimmu.2018.00631. eCollection 2018.

Abstract

Mastocytosis is a disorder resulting from an abnormal mast cell (MC) accumulation in tissues that is often associated with the D816V mutation in KIT, the tyrosine kinase receptor for stem cell factor. Therapies available to treat aggressive presentations of mastocytosis are limited, thus exploration of novel pharmacological targets that reduce MC burden is desirable. Since increased generation of the lipid mediator sphingosine-1-phosphate (S1P) by sphingosine kinase (SPHK) has been linked to oncogenesis, we studied the involvement of the two SPHK isoforms (SPHK1 and SPHK2) in the regulation of neoplastic human MC growth. While SPHK2 inhibition prevented entry into the cell cycle in normal and neoplastic human MCs with minimal effect on cell survival, SPHK1 inhibition caused cell cycle arrest in G2/M and apoptosis, particularly in D816V-KIT MCs. This was mediated activation of the DNA damage response (DDR) cascade, including phosphorylation of the checkpoint kinase 2 (CHK2), CHK2-mediated M-phase inducer phosphatase 3 depletion, and p53 activation. Combination treatment of SPHK inhibitors with KIT inhibitors showed greater growth inhibition of D816V-KIT MCs than either inhibitor alone. Furthermore, inhibition of SPHK isoforms reduced the number of malignant bone marrow MCs from patients with mastocytosis and the growth of D816V-KIT MCs in a xenograft mouse model. Our results reveal a role for SPHK isoforms in the regulation of growth and survival in normal and neoplastic MCs and suggest a regulatory function for SPHK1 in the DDR in MCs with KIT mutations. The findings also suggest that targeting the SPHK/S1P axis may provide an alternative to tyrosine kinase inhibitors, alone or in combination, for the treatment of aggressive mastocytosis and other hematological malignancies associated with the D816V-KIT mutation.

摘要

肥大细胞增多症是一种由于组织中异常肥大细胞(MC)积累引起的疾病,通常与干细胞因子的酪氨酸激酶受体 KIT 的 D816V 突变有关。可用于治疗肥大细胞增多症侵袭性表现的疗法有限,因此探索减少 MC 负担的新型药理学靶点是可取的。由于鞘氨醇激酶(SPHK)增加的脂质介质 1-磷酸鞘氨醇(S1P)的产生与致癌作用有关,我们研究了两种 SPHK 同工型(SPHK1 和 SPHK2)在调节肿瘤性人类 MC 生长中的作用。虽然 SPHK2 抑制作用可防止正常和肿瘤性人类 MC 进入细胞周期,对细胞存活的影响最小,但 SPHK1 抑制作用可导致 G2/M 期细胞周期阻滞和细胞凋亡,特别是在 D816V-KIT MC 中。这是通过 DNA 损伤反应(DDR)级联的激活介导的,包括检查点激酶 2(CHK2)的磷酸化、CHK2 介导的 M 期诱导磷酸酶 3 耗竭和 p53 激活。SPHK 抑制剂与 KIT 抑制剂联合治疗显示对 D816V-KIT MC 的生长抑制作用大于单独使用任何一种抑制剂。此外,抑制 SPHK 同工型可减少肥大细胞增多症患者骨髓中恶性 MC 的数量,并抑制异种移植小鼠模型中 D816V-KIT MC 的生长。我们的研究结果揭示了 SPHK 同工型在正常和肿瘤性 MC 生长和存活中的调节作用,并表明 SPHK1 在 KIT 突变的 MC 中 DDR 中具有调节功能。研究结果还表明,靶向 SPHK/S1P 轴可能为单独或联合使用酪氨酸激酶抑制剂治疗侵袭性肥大细胞增多症和其他与 D816V-KIT 突变相关的血液恶性肿瘤提供替代方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac3c/5883065/a246710f14d5/fimmu-09-00631-g001.jpg

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