Institute of Pathology, University of Würzburg and Comprehensive Cancer Center (CCC) Mainfranken, 97080 Würzburg, Germany.
Helmholtz Institute for RNA-Based Infection Research (HIRI), Helmholtz-Center for Infection Research (HZI), 97080 Würzburg, Germany.
Int J Mol Sci. 2021 Feb 25;22(5):2276. doi: 10.3390/ijms22052276.
Since the approval of ibrutinib for relapsed/refractory mantle cell lymphoma (MCL), the treatment of this rare mature B-cell neoplasm has taken a great leap forward. Despite promising efficacy of the Bruton tyrosine kinase inhibitor, resistance arises inevitably and the underlying mechanisms remain to be elucidated. Here, we aimed to decipher the response of a sensitive MCL cell line treated with ibrutinib using time-resolved single-cell RNA sequencing. The analysis uncovered five subpopulations and their individual responses to the treatment. The effects on the B cell receptor pathway, cell cycle, surface antigen expression, and metabolism were revealed by the computational analysis and were validated by molecular biological methods. The observed upregulation of B cell receptor signaling, crosstalk with the microenvironment, upregulation of , and metabolic reprogramming towards dependence on oxidative phosphorylation favor resistance to ibrutinib treatment. Targeting these cellular responses provide new therapy options in MCL.
自从伊布替尼获批用于复发/难治性套细胞淋巴瘤(MCL)以来,这种罕见的成熟 B 细胞肿瘤的治疗取得了重大进展。尽管 Bruton 酪氨酸激酶抑制剂具有良好的疗效,但耐药性不可避免地出现,其潜在机制仍有待阐明。在这里,我们旨在使用时间分辨单细胞 RNA 测序来破译对伊布替尼敏感的 MCL 细胞系的反应。分析揭示了五个亚群及其对治疗的个体反应。通过计算分析揭示了对 B 细胞受体途径、细胞周期、表面抗原表达和代谢的影响,并通过分子生物学方法进行了验证。观察到 B 细胞受体信号的上调、与微环境的串扰、上调和向氧化磷酸化的代谢重编程有利于对伊布替尼治疗的耐药性。针对这些细胞反应为 MCL 提供了新的治疗选择。
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