Department of Oral and Maxillofacial Surgery, The Affiliated Stomatology Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P.R. China.
Department of Hematology, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P.R. China.
Int J Oncol. 2021 Jun;58(6). doi: 10.3892/ijo.2021.5211. Epub 2021 Apr 23.
Diffuse large B‑cell lymphoma (DLBCL) is the most common and aggressive form of non‑Hodgkin's lymphoma. Extracellular vesicles (EVs) derived from cancer cells are known to modify the tumor microenvironment. The aim of the present study was to investigate the role of miR‑125b‑3p carried by EVs in DLBCL and . TNFAIP3 expression in patient lesions was measured and the upstream miR that regulates TNFAIP3 was predicted using the starBase database. EVs were isolated from DLBCL cells and identified. DLBCL cells were transfected with pcDNA to overexpress TNFAIP3 or inhibit miR‑125b‑5p expression, incubated with EVs, and treated with rituximab to compare cell growth and TNFAIP3/CD20 expression. DLBCL model mice were administered EVs, conditioned medium, and rituximab to observe changes in tumor size, volume, and weight. TNFAIP3 was downregulated in patients with DLBCL and its levels further decreased in patients with drug‑resistant DLBCL. Overexpression of TNFAIP3 in DLBCL cells enhanced the inhibitory effect of rituximab and increased CD20 expression. miR‑125b‑5p targeted TNFAIP3. Inhibition of miR‑125b‑5p enhanced the inhibitory effect of rituximab in DLBCL cells. The EV‑carried miR‑125b‑5p reduced the sensitivity of DLBCL cells to rituximab, which was averted by overexpression of TNFAIP3. EVs reduced the sensitivity of DLBCL model mice to rituximab via the miR‑125b‑5p/TNFAIP3 axis. The study findings indicate that the tumor‑derived EVs carrying miR‑125b‑5p can enter DLBCL cells and target TNFAIP3, thus reducing the sensitivity of DLBCL to rituximab, which may provide a novel therapeutic approach for DLBCL.
弥漫性大 B 细胞淋巴瘤 (DLBCL) 是最常见和侵袭性最强的非霍奇金淋巴瘤。已知癌细胞来源的细胞外囊泡 (EVs) 可改变肿瘤微环境。本研究旨在探讨 EVs 携带的 miR-125b-3p 在 DLBCL 中的作用。测量患者病变中 TNFAIP3 的表达,并使用 starBase 数据库预测调节 TNFAIP3 的上游 miR。从 DLBCL 细胞中分离 EVs 并进行鉴定。用 pcDNA 转染 DLBCL 细胞以过表达 TNFAIP3 或抑制 miR-125b-5p 表达,与 EVs 孵育,并接受利妥昔单抗治疗,以比较细胞生长和 TNFAIP3/CD20 的表达。给予 DLBCL 模型小鼠 EVs、条件培养基和利妥昔单抗,观察肿瘤大小、体积和重量的变化。
DLBCL 患者的 TNFAIP3 表达下调,耐药性 DLBCL 患者的水平进一步降低。DLBCL 细胞中 TNFAIP3 的过表达增强了利妥昔单抗的抑制作用并增加了 CD20 的表达。miR-125b-5p 靶向 TNFAIP3。抑制 miR-125b-5p 增强了利妥昔单抗在 DLBCL 细胞中的抑制作用。EV 携带的 miR-125b-5p 降低了 DLBCL 细胞对利妥昔单抗的敏感性,而过表达 TNFAIP3 则避免了这种情况。EVs 通过 miR-125b-5p/TNFAIP3 轴降低了 DLBCL 模型小鼠对利妥昔单抗的敏感性。
研究结果表明,携带 miR-125b-5p 的肿瘤衍生 EVs 可以进入 DLBCL 细胞并靶向 TNFAIP3,从而降低 DLBCL 对利妥昔单抗的敏感性,这可能为 DLBCL 提供一种新的治疗方法。
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