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奥米帕利司对急性髓系白血病的抗白血病作用:抑制PI3K/AKT/mTOR信号传导并抑制线粒体生物合成。

Anti-leukemia effects of omipalisib in acute myeloid leukemia: inhibition of PI3K/AKT/mTOR signaling and suppression of mitochondrial biogenesis.

作者信息

Tseng Chi-Yang, Fu Yu-Hsuan, Ou Da-Liang, Lu Jeng-Wei, Hou Hsin-An, Lin Liang-In

机构信息

Department of Clinical Laboratory Sciences and Medical Biotechnology, National Taiwan University, Taipei, Taiwan.

Graduate Institute of Oncology, National Taiwan University, Taipei, Taiwan.

出版信息

Cancer Gene Ther. 2023 Dec;30(12):1691-1701. doi: 10.1038/s41417-023-00675-2. Epub 2023 Oct 11.

Abstract

Omipalisib (GSK2126458), a potent dual PI3K/mTOR inhibitor, is reported to exhibit anti-tumor effect in several kinds of cancers. More than 50% of acute myeloid leukemia (AML) patients display a hyperactivation of PI3K/AKT/mTOR signaling. We investigated the anti-proliferative effect of omipalisib in AML cell lines with varied genetic backgrounds. The OCI-AML3 and THP-1 cell lines had a significant response to omipalisib, with IC values of 17.45 nM and 8.93 nM, respectively. We integrated transcriptomic profile and metabolomic analyses, and followed by gene set enrichment analysis (GSEA) and metabolite enrichment analysis. Our findings showed that in addition to inhibiting PI3K/AKT/mTOR signaling and inducing cell cycle arrest at the G/G phase, omipalisib also suppressed mitochondrial respiration and biogenesis. Furthermore, omipalisib downregulated several genes associated with serine, glycine, threonine, and glutathione metabolism, and decreased their protein and glutathione levels. In vivo experiments revealed that omipalisib significantly inhibited tumor growth and prolonged mouse survival without weight loss. Gedatolisib and dactolisib, another two PI3K/mTOR inhibitors, exerted similar effects without affecting mitochondria biogenesis. These results highlight the multifaceted anti-leukemic effect of omipalisib, revealing its potential as a novel therapeutic agent in AML treatment.

摘要

奥米帕利西布(GSK2126458)是一种强效的双PI3K/mTOR抑制剂,据报道在几种癌症中具有抗肿瘤作用。超过50%的急性髓系白血病(AML)患者表现出PI3K/AKT/mTOR信号通路的过度激活。我们研究了奥米帕利西布在具有不同遗传背景的AML细胞系中的抗增殖作用。OCI-AML3和THP-1细胞系对奥米帕利西布有显著反应,IC值分别为17.45 nM和8.93 nM。我们整合了转录组学图谱和代谢组学分析,随后进行基因集富集分析(GSEA)和代谢物富集分析。我们的研究结果表明,除了抑制PI3K/AKT/mTOR信号通路并诱导细胞周期在G/G期停滞外,奥米帕利西布还抑制线粒体呼吸和生物发生。此外,奥米帕利西布下调了与丝氨酸、甘氨酸、苏氨酸和谷胱甘肽代谢相关的几个基因,并降低了它们的蛋白质和谷胱甘肽水平。体内实验表明,奥米帕利西布显著抑制肿瘤生长并延长小鼠生存期,且无体重减轻。另外两种PI3K/mTOR抑制剂吉达托利西布和达托利西布也发挥了类似作用,但不影响线粒体生物发生。这些结果突出了奥米帕利西布多方面的抗白血病作用,揭示了其作为AML治疗新型治疗药物的潜力。

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