半乳糖凝集素-9对急性髓系白血病具有非凋亡性细胞毒性活性,且与阿糖胞苷耐药无关。
Galectin-9 has non-apoptotic cytotoxic activity toward acute myeloid leukemia independent of cytarabine resistance.
作者信息
Choukrani Ghizlane, Visser Nienke, Ustyanovska Avtenyuk Natasha, Olthuis Mirjam, Marsman Glenn, Ammatuna Emanuele, Lourens Harm Jan, Niki Toshiro, Huls Gerwin, Bremer Edwin, Wiersma Valerie R
机构信息
Department of Hematology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Surflay Nanotec GmbH, Berlin, Germany.
出版信息
Cell Death Discov. 2023 Jul 6;9(1):228. doi: 10.1038/s41420-023-01515-w.
Acute myeloid leukemia (AML) is a malignancy still associated with poor survival rates, among others, due to frequent occurrence of therapy-resistant relapse after standard-of-care treatment with cytarabine (AraC). AraC triggers apoptotic cell death, a type of cell death to which AML cells often become resistant. Therefore, therapeutic options that trigger an alternate type of cell death are of particular interest. We previously identified that the glycan-binding protein Galectin-9 (Gal-9) has tumor-selective and non-apoptotic cytotoxicity towards various types of cancer, which depended on autophagy inhibition. Thus, Gal-9 could be of therapeutic interest for (AraC-resistant) AML. In the current study, treatment with Gal-9 was cytotoxic for AML cells, including for CD34 patient-derived AML stem cells, but not for healthy cord blood-derived CD34 stem cells. This Gal-9-mediated cytotoxicity did not rely on apoptosis but was negatively associated with autophagic flux. Importantly, both AraC-sensitive and -resistant AML cell lines, as well as AML patient samples, were sensitive to single-agent treatment with Gal-9. Additionally, Gal-9 potentiated the cytotoxic effect of DNA demethylase inhibitor Azacytidine (Aza), a drug that is clinically used for patients that are not eligible for intensive AraC treatment. Thus, Gal-9 is a potential therapeutic agent for the treatment of AML, including AraC-resistant AML, by inducing caspase-independent cell death.
急性髓系白血病(AML)仍然是一种生存率较低的恶性肿瘤,这尤其归因于在采用阿糖胞苷(AraC)进行标准治疗后频繁发生治疗抵抗性复发。AraC会引发凋亡性细胞死亡,而AML细胞常常会对这种细胞死亡类型产生抗性。因此,能够引发另一种细胞死亡类型的治疗选择备受关注。我们之前发现,聚糖结合蛋白半乳糖凝集素-9(Gal-9)对各种类型的癌症具有肿瘤选择性和非凋亡性细胞毒性,这依赖于自噬抑制。因此,Gal-9可能对(AraC耐药的)AML具有治疗价值。在当前研究中,Gal-9处理对AML细胞具有细胞毒性,包括对CD34阳性的患者来源的AML干细胞,但对健康脐带血来源的CD34阳性干细胞没有细胞毒性。这种Gal-9介导的细胞毒性不依赖于凋亡,而是与自噬通量呈负相关。重要的是,AraC敏感和耐药的AML细胞系以及AML患者样本对Gal-9单药治疗均敏感。此外,Gal-9增强了DNA去甲基化酶抑制剂阿扎胞苷(Aza)的细胞毒性作用,Aza是一种临床上用于不适合强化AraC治疗患者的药物。因此,Gal-9通过诱导不依赖半胱天冬酶的细胞死亡,是治疗AML(包括AraC耐药的AML)的一种潜在治疗剂。