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一种新型三作用抑制剂靶向 B 细胞受体信号和 BRD4,在慢性淋巴细胞白血病中显示出临床前活性。

A Novel Triple-Action Inhibitor Targeting B-Cell Receptor Signaling and BRD4 Demonstrates Preclinical Activity in Chronic Lymphocytic Leukemia.

机构信息

Eppley Institute for Research in Cancer and Allied Diseases, Fred and Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE 68198, USA.

Department of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha, NE 68198, USA.

出版信息

Int J Mol Sci. 2022 Jun 16;23(12):6712. doi: 10.3390/ijms23126712.

Abstract

B-cell chronic lymphocytic leukemia (CLL) results from intrinsic genetic defects and complex microenvironment stimuli that fuel CLL cell growth through an array of survival signaling pathways. Novel small-molecule agents targeting the B-cell receptor pathway and anti-apoptotic proteins alone or in combination have revolutionized the management of CLL, yet combination therapy carries significant toxicity and CLL remains incurable due to residual disease and relapse. Single-molecule inhibitors that can target multiple disease-driving factors are thus an attractive approach to combat both drug resistance and combination-therapy-related toxicities. We demonstrate that SRX3305, a novel small-molecule BTK/PI3K/BRD4 inhibitor that targets three distinctive facets of CLL biology, attenuates CLL cell proliferation and promotes apoptosis in a dose-dependent fashion. SRX3305 also inhibits the activation-induced proliferation of primary CLL cells in vitro and effectively blocks microenvironment-mediated survival signals, including stromal cell contact. Furthermore, SRX3305 blocks CLL cell migration toward CXCL-12 and CXCL-13, which are major chemokines involved in CLL cell homing and retention in microenvironment niches. Importantly, SRX3305 maintains its anti-tumor effects in ibrutinib-resistant CLL cells. Collectively, this study establishes the preclinical efficacy of SRX3305 in CLL, providing significant rationale for its development as a therapeutic agent for CLL and related disorders.

摘要

B 细胞慢性淋巴细胞白血病 (CLL) 源自内在遗传缺陷和复杂的微环境刺激,通过一系列生存信号通路促进 CLL 细胞生长。单独或联合靶向 B 细胞受体途径和抗凋亡蛋白的新型小分子药物已彻底改变了 CLL 的治疗方法,但联合治疗具有显著的毒性,而且由于残留疾病和复发,CLL 仍然无法治愈。因此,能够靶向多种疾病驱动因素的单分子抑制剂是一种有吸引力的方法,可以对抗耐药性和联合治疗相关的毒性。我们证明,新型小分子 BTK/PI3K/BRD4 抑制剂 SRX3305 可靶向 CLL 生物学的三个不同方面,以剂量依赖的方式抑制 CLL 细胞增殖并促进细胞凋亡。SRX3305 还可抑制体外原代 CLL 细胞的激活诱导增殖,并有效阻断微环境介导的生存信号,包括基质细胞接触。此外,SRX3305 可阻断 CLL 细胞向 CXCL-12 和 CXCL-13 的迁移,这两种趋化因子是 CLL 细胞归巢和在微环境龛中保留所涉及的主要趋化因子。重要的是,SRX3305 在 ibrutinib 耐药的 CLL 细胞中保持其抗肿瘤作用。总之,这项研究确立了 SRX3305 在 CLL 中的临床前疗效,为其作为 CLL 及相关疾病的治疗药物的开发提供了重要的依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7ed/9224275/783b81471d6f/ijms-23-06712-g001.jpg

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