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抗坏血酸盐抑制突变型白血病中的细胞增殖并促进髓系分化。

Ascorbate Inhibits Proliferation and Promotes Myeloid Differentiation in -Mutant Leukemia.

作者信息

Smith-Díaz Carlos C, Magon Nicholas J, McKenzie Judith L, Hampton Mark B, Vissers Margreet C M, Das Andrew B

机构信息

Centre for Free Radical Research, Department of Pathology and Biomedical Science, University of Otago, Christchurch, New Zealand.

Haematology Research Group, Christchurch Hospital and Department of Pathology and Biomedical Science, University of Otago, Christchurch, New Zealand.

出版信息

Front Oncol. 2021 Aug 23;11:709543. doi: 10.3389/fonc.2021.709543. eCollection 2021.

Abstract

Loss-of-function mutations in the DNA demethylase TET2 are associated with the dysregulation of hematopoietic stem cell differentiation and arise in approximately 10% of acute myeloid leukemia (AML). mutations coexist with other mutations in AML, including mutations, which can indicate a particularly poor prognosis. Ascorbate can function as an epigenetic therapeutic in pathological contexts involving heterozygous mutations by restoring activity. How this response is affected when myeloid leukemia cells harbor mutations in both and is unknown. Therefore, we examined the effects of ascorbate on the SKM-1 AML cell line that has mutated and . Sustained treatment with ascorbate inhibited proliferation and promoted the differentiation of these cells. Furthermore, ascorbate treatment significantly increased 5-hydroxymethylcytosine, suggesting increased TET activity as the likely mechanism. We also investigated whether ascorbate affected the cytotoxicity of Prima-1, a drug that reactivates some p53 mutants and is currently in clinical trials for AML. We found that the addition of ascorbate had a minimal effect on Prima-1-induced cytotoxicity, with small increases or decreases in cytotoxicity being observed depending on the timing of treatment. Collectively, these data suggest that ascorbate could exert a beneficial anti-proliferative effect on AML cells harboring both and mutations whilst not interfering with targeted cytotoxic therapies such as Prima-1.

摘要

DNA去甲基化酶TET2的功能丧失突变与造血干细胞分化失调有关,约10%的急性髓系白血病(AML)中会出现这种突变。这些突变与AML中的其他突变共存,包括某些突变,这可能预示着特别差的预后。在涉及杂合TET2突变的病理情况下,抗坏血酸可作为一种表观遗传疗法恢复TET活性。当髓系白血病细胞同时存在TET2和p53突变时,这种反应会受到怎样的影响尚不清楚。因此,我们研究了抗坏血酸对已发生TET2和p53突变的SKM-1 AML细胞系的影响。用抗坏血酸持续处理可抑制这些细胞的增殖并促进其分化。此外,抗坏血酸处理显著增加了5-羟甲基胞嘧啶,这表明TET活性增加可能是其作用机制。我们还研究了抗坏血酸是否会影响Prima-1的细胞毒性,Prima-1是一种能重新激活某些p53突变体的药物,目前正处于AML的临床试验阶段。我们发现添加抗坏血酸对Prima-1诱导的细胞毒性影响最小,根据处理时间的不同,细胞毒性会有小幅增加或减少。总体而言,这些数据表明抗坏血酸可能对同时存在TET2和p53突变的AML细胞发挥有益的抗增殖作用,同时不干扰诸如Prima-1等靶向细胞毒性疗法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b559/8419345/3d2f3312c995/fonc-11-709543-g001.jpg

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