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ONC201 与 TLY012 的联合使用在体外诱导选择性协同凋亡,并显著延缓体内 PDAC 异种移植物的生长。

Combination of ONC201 and TLY012 induces selective, synergistic apoptosis in vitro and significantly delays PDAC xenograft growth in vivo.

机构信息

Laboratory of Translational Oncology and Experimental Cancer Therapeutics, Department of Pathology and Laboratory Medicine, The Warren Alpert Medical School, Brown University, Providence, RI, United States (US).

Master of Science in Biotechnology Program, the Warren Alpert Medical School, Brown University, Providence, Ri, United States (US).

出版信息

Cancer Biol Ther. 2021 Dec 2;22(10-12):607-618. doi: 10.1080/15384047.2021.1976567.


DOI:10.1080/15384047.2021.1976567
PMID:34856854
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8726623/
Abstract

The five-year survival rate for pancreatic ductal adenocarcinoma (PDAC) has remained a dismal 9% for approximately 40 years with an urgent need for novel therapeutic interventions. ONC201 is the founding member of the imipridone class, comprised of orally bioavailable small molecules that have shown efficacy in multiple tumor types both in animal models and in Phase I/II clinical trials. ONC201 is a potent inducer of the tumor necrosis factor related apoptosis inducing ligand (TRAIL) pathway. TRAIL is an innate immune mechanism which induces programmed cell death of cancer cells. We observed that PDAC cells upregulated ATF4, CHOP, and DR5 after treatment with ONC201. This occurred in cell lines that are susceptible to ONC201-induced apoptosis and in ones that are not. In response to ONC201, PDAC cells downregulated anti-apoptotic proteins including c-FLIP, BclXL, XIAP, cIAP1, and survivin. We hypothesized that TRAIL receptor agonists might induce selective, synergistic apoptosis in pancreatic cancer cell lines treated with ONC201. We screened 7 pancreatic cancer cell lines and found synergy with ONC201 and rhTRAIL or the novel TRAIL receptor agonist TLY012 in 6 of the 7 cell lines tested. experiments using BxPC3 and HPAFII xenograft models showed that the combination of ONC201 plus TLY012 significantly delays tumor growth as compared to controls. Immunohistochemical analysis of the tumors after three doses of the combination showed significantly increased cleavage of caspase 3 as compared to controls. Taken together, the preclinical efficacy of ONC201 and TLY012 represents a novel therapeutic option for further testing in pancreatic cancer patients. This combination showed marked efficacy in tumor cells that are both sensitive and resistant to the pro-apoptotic effects of ONC201, providing rationale to further investigate the combination of ONC201 plus TLY012 in patients with pancreatic cancer.

摘要

胰腺导管腺癌 (PDAC) 的五年生存率在大约 40 年内一直保持在 9%的惨淡水平,迫切需要新的治疗干预措施。ONC201 是 imipridone 类的创始成员,由口服生物可利用的小分子组成,这些小分子在动物模型和 I/II 期临床试验中已显示出对多种肿瘤类型的疗效。ONC201 是肿瘤坏死因子相关凋亡诱导配体 (TRAIL) 途径的有效诱导剂。TRAIL 是一种先天免疫机制,可诱导癌细胞的程序性细胞死亡。我们观察到,PDAC 细胞在用 ONC201 处理后上调了 ATF4、CHOP 和 DR5。这种情况发生在对 ONC201 诱导凋亡敏感的细胞系和不敏感的细胞系中。PDAC 细胞对 ONC201 的反应下调了包括 c-FLIP、BclXL、XIAP、cIAP1 和 survivin 在内的抗凋亡蛋白。我们假设 TRAIL 受体激动剂可能会诱导在用 ONC201 处理的胰腺癌细胞系中产生选择性的协同凋亡。我们筛选了 7 种胰腺癌细胞系,发现 7 种细胞系中有 6 种与 ONC201 和 rhTRAIL 或新型 TRAIL 受体激动剂 TLY012 具有协同作用。使用 BxPC3 和 HPAFII 异种移植模型进行的实验表明,与对照组相比,ONC201 加 TLY012 的组合显著延迟了肿瘤生长。与对照组相比,联合用药 3 剂后肿瘤的免疫组织化学分析显示 caspase 3 的裂解明显增加。综上所述,ONC201 和 TLY012 的临床前疗效为进一步在胰腺癌患者中进行测试提供了一种新的治疗选择。该组合在对 ONC201 的促凋亡作用敏感和耐药的肿瘤细胞中均表现出显著疗效,为进一步研究 ONC201 加 TLY012 联合治疗胰腺癌患者提供了依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c5a/8726623/15d4c73b78a3/KCBT_A_1976567_F0007_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c5a/8726623/5b649b45d7cc/KCBT_A_1976567_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c5a/8726623/99131e26adda/KCBT_A_1976567_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c5a/8726623/a58ab33b0487/KCBT_A_1976567_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c5a/8726623/9ac891e53e30/KCBT_A_1976567_F0004_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c5a/8726623/f733455576b7/KCBT_A_1976567_F0005_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c5a/8726623/0da504a41245/KCBT_A_1976567_F0006_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c5a/8726623/15d4c73b78a3/KCBT_A_1976567_F0007_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c5a/8726623/5b649b45d7cc/KCBT_A_1976567_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c5a/8726623/99131e26adda/KCBT_A_1976567_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c5a/8726623/a58ab33b0487/KCBT_A_1976567_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c5a/8726623/9ac891e53e30/KCBT_A_1976567_F0004_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c5a/8726623/f733455576b7/KCBT_A_1976567_F0005_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c5a/8726623/0da504a41245/KCBT_A_1976567_F0006_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c5a/8726623/15d4c73b78a3/KCBT_A_1976567_F0007_OC.jpg

相似文献

[1]
Combination of ONC201 and TLY012 induces selective, synergistic apoptosis in vitro and significantly delays PDAC xenograft growth in vivo.

Cancer Biol Ther. 2021-12-2

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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Mol Cancer Ther. 2017-7

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[2]
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Am J Cancer Res. 2025-1-15

[3]
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[4]
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[5]
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[6]
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[7]
ONC201/TIC10 plus TLY012 anti-cancer effects via apoptosis inhibitor downregulation, stimulation of integrated stress response and death receptor DR5 in gastric adenocarcinoma.

Am J Cancer Res. 2023-12-15

[8]
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[9]
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[10]
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本文引用的文献

[1]
TRAIL receptor agonists convert the response of breast cancer cells to ONC201 from anti-proliferative to apoptotic.

Oncotarget. 2020-10-20

[2]
ONC201 and imipridones: Anti-cancer compounds with clinical efficacy.

Neoplasia. 2020-12

[3]
Targeting apoptosis in cancer therapy.

Nat Rev Clin Oncol. 2020-3-23

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First clinical experience with DRD2/3 antagonist ONC201 in H3 K27M-mutant pediatric diffuse intrinsic pontine glioma: a case report.

J Neurosurg Pediatr. 2019-4-5

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Targeting of dermal myofibroblasts through death receptor 5 arrests fibrosis in mouse models of scleroderma.

Nat Commun. 2019-3-8

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Dose intensification of TRAIL-inducing ONC201 inhibits metastasis and promotes intratumoral NK cell recruitment.

J Clin Invest. 2018-4-30

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Anti-pancreatic cancer activity of ONC212 involves the unfolded protein response (UPR) and is reduced by IGF1-R and GRP78/BIP.

Oncotarget. 2017-9-12

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CB002, a novel p53 tumor suppressor pathway-restoring small molecule induces tumor cell death through the pro-apoptotic protein NOXA.

Cell Cycle. 2018-2-19

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Nat Rev Cancer. 2017-5-24

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