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汉黄芩素通过骨髓微环境中的CXCL12-CXCR4/7轴逆转慢性粒细胞白血病细胞对伊马替尼的耐药性。

Wogonin reverses the drug resistance of chronic myelogenous leukemia cells to imatinib through CXCL12-CXCR4/7 axis in bone marrow microenvironment.

作者信息

Cao Hanbo, Gao Yuan, Wang Ruixuan, Guo Qinglong, Hui Hui

机构信息

State Key Laboratory of Natural Medicines, Jiangsu Key Laboratory of Carcinogenesis and Intervention, China Pharmaceutical University, Nanjing, China.

出版信息

Ann Transl Med. 2020 Sep;8(17):1046. doi: 10.21037/atm-20-1166.

Abstract

BACKGROUND

In the current study, chronic myeloid leukemia (CML) cells (K562 and KU812) co-cultured with human bone marrow stromal cells (BMSCs) were significantly less sensitive to imatinib (IM). The activation of the CXCL12-CXCR4/7 axis plays an important role in the protective effect of the bone marrow microenvironment (BME) on CML cells. The aim of this study was to investigate whether Wogonin could increase the sensitivity of CML cells to IM when they were co-cultured with BME and explore its underlying mechanism.

METHODS

A model of CML cells co-cultured with BMSCs was applied . Flow cytometric, western blotting, immunofluorescence, and RT-PCR assays were used to explore the protective effects of BME on CML cells.

RESULTS

The results showed that Wogonin could reverse the resistance of CML cells to IM under co-culture conditions by inhibiting Transforming growth factor-β (TGF-β) secretion in the BME, preventing the translocation of Smad4 into nucleus and subsequently reducing the expression of CXCR4 and CXCR7 in CML cells. Moreover, the reverse effect of Wogonin was demonstrated by inhibiting the activation of CXCL12-CXCR4/7 axis via restraining the TGF-β/Smad4/Id3 pathway . studies also showed that Wogonin decreased the expression of CXCR4 and CXCR7 in mice bone marrow with low systemic toxicity, and the mechanism was consistent with the study.

CONCLUSIONS

Wogonin increases the sensitivity of CML cells to IM in BME by controlling the TGF-β/Smad4/Id3 pathway and decreasing the expression of CXCR4 and CXCR7. These results co-supported the point that Wogonin could be a potential candidate of reversal agents on treatment of IM-resistant CML.

摘要

背景

在本研究中,与人类骨髓基质细胞(BMSC)共培养的慢性髓性白血病(CML)细胞(K562和KU812)对伊马替尼(IM)的敏感性显著降低。CXCL12 - CXCR4/7轴的激活在骨髓微环境(BME)对CML细胞的保护作用中起重要作用。本研究的目的是探讨汉黄芩素在CML细胞与BME共培养时是否能增加其对IM的敏感性,并探索其潜在机制。

方法

应用CML细胞与BMSC共培养的模型。采用流式细胞术、蛋白质印迹法、免疫荧光法和逆转录 - 聚合酶链反应(RT - PCR)检测法探讨BME对CML细胞的保护作用。

结果

结果表明,汉黄芩素可通过抑制BME中转化生长因子 - β(TGF - β)的分泌,阻止Smad4转运至细胞核,进而降低CML细胞中CXCR4和CXCR7的表达,逆转共培养条件下CML细胞对IM的耐药性。此外,汉黄芩素通过抑制TGF - β/Smad4/Id3途径,抑制CXCL12 - CXCR4/7轴的激活,发挥逆转作用。研究还表明,汉黄芩素可降低小鼠骨髓中CXCR4和CXCR7的表达,且全身毒性较低,其机制与体外研究一致。

结论

汉黄芩素通过调控TGF - β/Smad4/Id3途径,降低CXCR4和CXCR7的表达,增加BME中CML细胞对IM的敏感性。这些结果共同支持了汉黄芩素可能是治疗IM耐药CML逆转剂的潜在候选药物这一观点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab93/7575956/2c55e25f28dd/atm-08-17-1046-f1.jpg

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