Department of Molecular Medicine, Sapienza University, Rome, Italy.
Immunopathology Laboratory, School of Pharmacy, University of Camerino, Camerino, Italy.
Cancer Sci. 2022 Apr;113(4):1235-1249. doi: 10.1111/cas.15257. Epub 2022 Mar 4.
Chronic myeloid leukemia (CML) is a myeloproliferative disorder characterized by accumulation of immature cells in bone marrow and peripheral blood. Although successful results were obtained with tyrosine kinase inhibitors, several patients showed resistance. For this reason, the identification of new strategies and therapeutic biomarkers represents an attractive goal. The role of transient receptor potential (TRP) ion channels as possible drug targets has been elucidated in different types of cancer. Among natural compounds known to activate TRPs, cannabidiol (CBD) displays anticancer properties. By using FACS analysis, confocal microscopy, gene silencing, and cell growth assay, we demonstrated that CBD, through TRPV2, inhibits cell proliferation and cell cycle in CML cells. It promoted mitochondria dysfunction and mitophagy as shown by mitochondrial mass reduction and up-regulation of several mitophagy markers. These effects were associated with changes in the expression of octamer-binding transcription factor 4 and PU.1 markers regulated during cellular differentiation. Interestingly, a synergistic effect by combining CBD with the standard drug imatinib was found and imatinib-resistant cells remain susceptible to CBD effects. Therefore, the targeting of TRPV2 by using CBD, through the activation of mitophagy and the reduction in stemness, could be a promising strategy to enhance conventional therapy and improve the prognosis of CML patients.
慢性髓性白血病(CML)是一种骨髓和外周血中幼稚细胞堆积的骨髓增生性疾病。尽管酪氨酸激酶抑制剂取得了成功,但仍有部分患者出现耐药。因此,寻找新的治疗策略和生物标志物是一个很有吸引力的目标。瞬时受体电位(TRP)离子通道作为可能的药物靶点,其在不同类型的癌症中的作用已经得到阐明。在已知能激活 TRP 的天然化合物中,大麻二酚(CBD)具有抗癌特性。通过 FACS 分析、共聚焦显微镜、基因沉默和细胞生长测定,我们证明 CBD 通过 TRPV2 抑制 CML 细胞的增殖和细胞周期。它促进线粒体功能障碍和线粒体自噬,表现为线粒体质量减少和几种线粒体自噬标志物的上调。这些效应与细胞分化过程中调节的八聚体结合转录因子 4 和 PU.1 标志物的表达变化有关。有趣的是,我们发现 CBD 与标准药物伊马替尼联合使用具有协同作用,而且对伊马替尼耐药的细胞仍对 CBD 敏感。因此,通过激活线粒体自噬和降低干细胞特性,使用 CBD 靶向 TRPV2 可能是增强常规治疗、改善 CML 患者预后的有前途的策略。