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将间变性淋巴瘤激酶(ALK)抑制剂克唑替尼重新用于治疗急性白血病和多发性骨髓瘤细胞。

Repurposing of the ALK Inhibitor Crizotinib for Acute Leukemia and Multiple Myeloma Cells.

作者信息

Boulos Joelle C, Saeed Mohamed E M, Chatterjee Manik, Bülbül Yagmur, Crudo Francesco, Marko Doris, Munder Markus, Klauck Sabine M, Efferth Thomas

机构信息

Department of Pharmaceutical Biology, Institute of Pharmaceutical and Biomedical Sciences, Johannes Gutenberg University, Staudinger Weg 5, 55128 Mainz, Germany.

Translational Oncology, Comprehensive Cancer Center Mainfranken, University Hospital Würzburg, 97078 Würzburg, Germany.

出版信息

Pharmaceuticals (Basel). 2021 Nov 5;14(11):1126. doi: 10.3390/ph14111126.

Abstract

Crizotinib was a first generation of ALK tyrosine kinase inhibitor approved for the treatment of -positive non-small-cell lung carcinoma (NSCLC) patients. COMPARE and cluster analyses of transcriptomic data of the NCI cell line panel indicated that genes with different cellular functions regulated the sensitivity or resistance of cancer cells to crizotinib. Transcription factor binding motif analyses in gene promoters divulged two transcription factors possibly regulating the expression of these genes, i.e., RXRA and GATA1, which are important for leukemia and erythroid development, respectively. COMPARE analyses also implied that cell lines of various cancer types displayed varying degrees of sensitivity to crizotinib. Unexpectedly, leukemia but not lung cancer cells were the most sensitive cells among the different types of NCI cancer cell lines. Re-examining this result in another panel of cell lines indeed revealed that crizotinib exhibited potent cytotoxicity towards acute myeloid leukemia and multiple myeloma cells. P-glycoprotein-overexpressing CEM/ADR5000 leukemia cells were cross-resistant to crizotinib. NCI-H929 multiple myeloma cells were the most sensitive cells. Hence, we evaluated the mode of action of crizotinib on these cells. Although crizotinib is a TKI, it showed highest correlation rates with DNA topoisomerase II inhibitors and tubulin inhibitors. The altered gene expression profiles after crizotinib treatment predicted several networks, where and genes related to cell cycle were downregulated. Cell cycle analyses showed that cells incubated with crizotinib for 24 h accumulated in the GM phase. Crizotinib also increased the number of p-H3(Ser10)-positive NCI-H929 cells illustrating crizotinib's ability to prevent mitotic exit. However, cells accumulated in the sub-GG fraction with longer incubation periods, indicating apoptosis induction. Additionally, crizotinib disassembled the tubulin network of U2OS cells expressing an α-tubulin-GFP fusion protein, preventing migration of cancer cells. This result was verified by in vitro tubulin polymerization assays. In silico molecular docking also revealed a strong binding affinity of crizotinib to the colchicine and alkaloid binding sites. Taken together, these results demonstrate that crizotinib destabilized microtubules. Additionally, the decatenation assay showed that crizotinib partwise inhibited the catalytic activity of DNA topoisomerase II. In conclusion, crizotinib exerted kinase-independent cytotoxic effects through the dual inhibition of tubulin polymerization and topoisomerase II and might be used to treat not only NSCLC but also multiple myeloma.

摘要

克唑替尼是第一代被批准用于治疗ALK阳性非小细胞肺癌(NSCLC)患者的ALK酪氨酸激酶抑制剂。对NCI细胞系面板的转录组数据进行比较和聚类分析表明,具有不同细胞功能的基因调节癌细胞对克唑替尼的敏感性或抗性。对基因启动子中的转录因子结合基序分析揭示了可能调节这些基因表达的两个转录因子,即RXRA和GATA1,它们分别对白血病和红系发育很重要。比较分析还表明,各种癌症类型的细胞系对克唑替尼表现出不同程度的敏感性。出乎意料的是,在不同类型的NCI癌细胞系中,白血病细胞而非肺癌细胞是最敏感的细胞。在另一组细胞系中重新审视这一结果确实发现,克唑替尼对急性髓系白血病和多发性骨髓瘤细胞表现出强大的细胞毒性。过表达P-糖蛋白的CEM/ADR5000白血病细胞对克唑替尼具有交叉抗性。NCI-H929多发性骨髓瘤细胞是最敏感的细胞。因此,我们评估了克唑替尼对这些细胞的作用模式。尽管克唑替尼是一种酪氨酸激酶抑制剂,但它与DNA拓扑异构酶II抑制剂和微管蛋白抑制剂的相关性最高。克唑替尼处理后基因表达谱的改变预测了几个网络,其中与细胞周期相关的基因被下调。细胞周期分析表明,用克唑替尼孵育24小时的细胞积聚在G1期。克唑替尼还增加了p-H3(Ser10)阳性NCI-H929细胞的数量,说明克唑替尼具有阻止有丝分裂退出的能力。然而,随着孵育时间延长,细胞积聚在亚G1期,表明诱导了细胞凋亡。此外,克唑替尼破坏了表达α-微管蛋白-GFP融合蛋白的U2OS细胞的微管网络,阻止了癌细胞的迁移。这一结果通过体外微管蛋白聚合试验得到验证。计算机模拟分子对接还揭示了克唑替尼与秋水仙碱和生物碱结合位点具有很强的结合亲和力。综上所述,这些结果表明克唑替尼使微管不稳定。此外,解连环分析表明,克唑替尼部分抑制了DNA拓扑异构酶II的催化活性。总之,克唑替尼通过双重抑制微管蛋白聚合和拓扑异构酶II发挥非激酶依赖性细胞毒性作用,可能不仅用于治疗NSCLC,还可用于治疗多发性骨髓瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da12/8617756/05ee029f111a/pharmaceuticals-14-01126-g001.jpg

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