艾瑞布林在血液肿瘤临床前模型中的细胞和分子效应

Cellular and Molecular Effects of Eribulin in Preclinical Models of Hematologic Neoplasms.

作者信息

Vicari Hugo Passos, Lima Keli, Costa-Lotufo Leticia Veras, Machado-Neto João Agostinho

机构信息

Department of Pharmacology, Institute of Biomedical Sciences, University of São Paulo, São Paulos 05508-000, Brazil.

Laboratory of Medical Investigation in Pathogenesis and Targeted Therapy in Onco-Immuno-Hematology (LIM-31), Department of Internal Medicine, Hematology Division, Faculdade de Medicina, University of São Paulo, São Paulo 01246-903, Brazil.

出版信息

Cancers (Basel). 2022 Dec 10;14(24):6080. doi: 10.3390/cancers14246080.

Abstract

Despite the advances in understanding the biology of hematologic neoplasms which has resulted in the approval of new drugs, the therapeutic options are still scarce for relapsed/refractory patients. Eribulin is a unique microtubule inhibitor that is currently being used in the therapy for metastatic breast cancer and soft tissue tumors. Here, we uncover eribulin's cellular and molecular effects in a molecularly heterogeneous panel of hematologic neoplasms. Eribulin reduced cell viability and clonogenicity and promoted apoptosis and cell cycle arrest. The minimal effects of eribulin observed in the normal leukocytes suggested selectivity for malignant blood cells. In the molecular scenario, eribulin induces DNA damage and apoptosis markers. The , , p-AKT, p-NFκB, and NFκB levels were associated with responsiveness to eribulin in blood cancer cells, and a resistance eribulin-related target score was constructed. Combining eribulin with elacridar (a P-glycoprotein inhibitor), but not with PDTC (an NFkB inhibitor), increases eribulin-induced apoptosis in leukemia cells. In conclusion, our data indicate that eribulin leads to mitotic catastrophe and cell death in blood cancer cells. The expression and activation of MDR1, PI3K/AKT, and the NFκB-related targets may be biomarkers of the eribulin response, and the combined treatment of eribulin and elacridar may overcome drug resistance in these diseases.

摘要

尽管在理解血液系统肿瘤生物学方面取得了进展,促成了新药获批,但复发/难治性患者的治疗选择仍然有限。艾瑞布林是一种独特的微管抑制剂,目前用于转移性乳腺癌和软组织肿瘤的治疗。在此,我们揭示了艾瑞布林在一组分子异质性血液系统肿瘤中的细胞和分子效应。艾瑞布林降低了细胞活力和克隆形成能力,并促进了细胞凋亡和细胞周期停滞。在正常白细胞中观察到的艾瑞布林最小效应表明其对恶性血细胞具有选择性。在分子层面,艾瑞布林诱导DNA损伤和细胞凋亡标志物。 、 、p-AKT、p-NFκB和NFκB水平与血液癌细胞对艾瑞布林的反应性相关,并构建了一个与艾瑞布林耐药相关的靶点评分。将艾瑞布林与艾拉司群(一种P-糖蛋白抑制剂)联合使用,但不与PDTC(一种NFkB抑制剂)联合使用,可增加艾瑞布林诱导的白血病细胞凋亡。总之,我们的数据表明艾瑞布林导致血液癌细胞发生有丝分裂灾难和细胞死亡。MDR1、PI3K/AKT以及NFκB相关靶点的表达和激活可能是艾瑞布林反应的生物标志物,艾瑞布林与艾拉司群联合治疗可能克服这些疾病中的耐药性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ea4/9776580/8e9b396f3742/cancers-14-06080-g001.jpg

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