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芦可替尼调节多发性骨髓瘤细胞中的自噬机制。

Ruxolitinib Regulates the Autophagy Machinery in Multiple Myeloma Cells.

机构信息

Department of Medical Biology, Ege University Medical School, Izmir, Turkey.

Department of Hematology, Ege University Medical School, Izmir, Turkey.

出版信息

Anticancer Agents Med Chem. 2020;20(18):2316-2323. doi: 10.2174/1871520620666200218105159.

DOI:10.2174/1871520620666200218105159
PMID:32067619
Abstract

BACKGROUND

Ruxolitinib is a selective JAK1/2 inhibitor approved by the FDA for myelofibrosis in 2014 and nowadays, comprehensive investigations on the potential of the agent as a targeted therapy for haematological malignancies are on the rise. In multiple myeloma which is a cancer of plasma cells, the Interleukin- 6/JAK/STAT pathway is emerging as a therapeutic target since the overactivation of the pathway is associated with poor prognosis.

OBJECTIVE

In this study, our purpose was to discover the potential anticancer effects of ruxolitinib in ARH-77 multiple myeloma cell line compared to NCI-BL 2171 human healthy B lymphocyte cell line.

METHODS

Cytotoxic effects of ruxolitinib in ARH-77 and NCI-BL 2171 cells were determined via WST-1 assay. The autophagy mechanism induced by ruxolitinib measured by detecting autophagosome formation was investigated. Apoptotic effects of ruxolitinib were analyzed with Annexin V-FITC Detection Kit and flow cytometry. We performed RT-qPCR to demonstrate the expression changes of the genes in the IL-6/JAK/STAT pathway in ARH-77 and NCI-BL 2171 cells treated with ruxolitinib.

RESULTS

We identified the IC50 values of ruxolitinib for ARH-77 and NCI-BL 2171 as 20.03 and 33.9μM at the 72nd hour, respectively. We showed that ruxolitinib induced autophagosome accumulation by 3.45 and 1.70 folds in ARH-77 and NCI-BL 2171 cells compared to the control group, respectively. Treatment with ruxolitinib decreased the expressions of IL-6, IL-18, JAK2, TYK2, and AKT genes, which play significant roles in MM pathogenesis.

CONCLUSION

All in all, ruxolitinib is a promising agent for the regulation of the IL-6/JAK/STAT pathway and interferes with the autophagy mechanism in MM.

摘要

背景

鲁索利替尼是一种选择性 JAK1/2 抑制剂,于 2014 年被美国食品药品监督管理局批准用于骨髓纤维化,如今,针对该药物作为血液恶性肿瘤靶向治疗的潜力的综合研究正在兴起。在多发性骨髓瘤中,白细胞介素-6/JAK/STAT 途径作为一种治疗靶点正在出现,因为该途径的过度激活与预后不良有关。

目的

在这项研究中,我们的目的是与 NCI-BL 2171 人健康 B 淋巴细胞系相比,发现鲁索利替尼在 ARH-77 多发性骨髓瘤细胞系中的潜在抗癌作用。

方法

通过 WST-1 测定法确定鲁索利替尼对 ARH-77 和 NCI-BL 2171 细胞的细胞毒性作用。通过检测自噬体形成来研究鲁索利替尼诱导的自噬机制。用 Annexin V-FITC 检测试剂盒和流式细胞术分析鲁索利替尼的凋亡作用。我们进行 RT-qPCR 以证明 ARH-77 和 NCI-BL 2171 细胞中 IL-6/JAK/STAT 通路基因的表达变化。

结果

我们确定了鲁索利替尼对 ARH-77 和 NCI-BL 2171 的 IC50 值分别为 72 小时时的 20.03 和 33.9μM。我们表明,与对照组相比,鲁索利替尼分别使 ARH-77 和 NCI-BL 2171 细胞中的自噬体积累增加了 3.45 和 1.70 倍。鲁索利替尼治疗降低了 IL-6、IL-18、JAK2、TYK2 和 AKT 基因的表达,这些基因在 MM 的发病机制中起着重要作用。

结论

总之,鲁索利替尼是一种有前途的调节 IL-6/JAK/STAT 通路的药物,并干扰 MM 中的自噬机制。

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