Department of Pharmaceutical Sciences, College of Pharmacy and Health Sciences, St. John's University, Queens, NY, 11439, USA.
Department of Pharmaceutical Sciences, College of Pharmacy and Health Sciences, St. John's University, Queens, NY, 11439, USA; Department of Pathology and Obstetrics, Albert Einstein College of Medicine, Bronx, NY, 10461, USA; Department of Gynecology and Women's Health, Albert Einstein College of Medicine, Bronx, NY, 10461, USA.
Cancer Lett. 2019 Feb 1;442:91-103. doi: 10.1016/j.canlet.2018.10.020. Epub 2018 Nov 1.
Phosphoinositide 3-kinase gamma isoform (PI3Kγ) plays a critical role in myeloid-derived cells of the immunosuppressive tumor microenvironment. IPI-549, a recently discovered small molecule selective PI3Kγ inhibitor, is currently under immuno-oncology clinical trials in combination with nivolumab, an anti-PD-1 monoclonal antibody immune checkpoint blocker. The purpose of this study is to investigate whether IPI-549 could reverse P-glycoprotein (P-gp)-mediated MDR when combined with chemotherapeutic substrates of P-gp. Cytotoxicity assays showed that IPI-549 reverses P-gp-mediated MDR in SW620/Ad300 and LLC-PK-MDR1 cells. IPI-549 increases the amount of intracellular paclitaxel and inhibits the efflux of paclitaxel out of SW620/Ad300 cells. ABCB1-ATPase assay showed that IPI-549 stimulates the activity of ABCB1-ATPase. IPI-549 does not alter the expression and does not affect the subcellular localization of P-gp in SW620/Ad300 cells. The combination of IPI-549 with paclitaxel showed that IPI-549 potentiates the anti-tumor effects of paclitaxel in P-gp-overexpressing MDR SW620/Ad300 xenograft tumors. With clinical trials beginning to add newly approved immune checkpoint-based immunotherapy into standard-of-care immunogenic chemotherapy to improve patient outcomes, our findings support the rationale of adding IPI-549 to both the chemotherapeutic and immunotherapeutic aspects of cancer combination treatment strategies.
磷酸肌醇 3-激酶 γ 同工型 (PI3Kγ) 在免疫抑制性肿瘤微环境中的髓样来源细胞中发挥关键作用。IPI-549 是一种新发现的小分子选择性 PI3Kγ 抑制剂,目前正在与抗 PD-1 单克隆抗体免疫检查点抑制剂纳武利尤单抗联合进行免疫肿瘤学临床试验。本研究旨在探讨 IPI-549 与 P-糖蛋白 (P-gp) 的化疗底物联合使用时是否可以逆转 P-gp 介导的多药耐药性。细胞毒性测定表明,IPI-549 逆转了 SW620/Ad300 和 LLC-PK-MDR1 细胞中 P-gp 介导的多药耐药性。IPI-549 增加了紫杉醇的细胞内含量并抑制了紫杉醇从 SW620/Ad300 细胞中的外排。ABCB1-ATP 酶测定表明,IPI-549 刺激了 ABCB1-ATP 酶的活性。IPI-549 不改变 P-gp 在 SW620/Ad300 细胞中的表达,也不影响其亚细胞定位。IPI-549 与紫杉醇联合使用表明,IPI-549 增强了 P-gp 过表达的多药耐药性 SW620/Ad300 异种移植肿瘤中紫杉醇的抗肿瘤作用。随着临床试验开始将新批准的基于免疫检查点的免疫疗法加入标准的免疫化疗中,以改善患者的预后,我们的研究结果支持在癌症联合治疗策略的化疗和免疫治疗方面添加 IPI-549 的原理。
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