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神经纤维瘤病 2 型相关雪旺细胞瘤病的临床前模型中同时抑制 PI3K 和 PAK。

Simultaneous inhibition of PI3K and PAK in preclinical models of neurofibromatosis type 2-related schwannomatosis.

机构信息

Burnett School of Biomedical Sciences, College of Medicine, University of Central Florida, Orlando, FL, 32827, USA.

出版信息

Oncogene. 2024 Mar;43(13):921-930. doi: 10.1038/s41388-024-02958-w. Epub 2024 Feb 9.

Abstract

Neurofibromatosis Type 2 (NF2)-related schwannomatosis is a genetic disorder that causes development of multiple types of nervous system tumors. The primary and diagnostic tumor type is bilateral vestibular schwannoma. There is no cure or drug therapy for NF2. Recommended treatments include surgical resection and radiation, both of which can leave patients with severe neurological deficits or increase the risk of future malignant tumors. Results of our previous pilot high-throughput drug screen identified phosphoinositide 3-kinase (PI3K) inhibitors as strong candidates based on loss of viability of mouse merlin-deficient Schwann cells (MD-SCs). Here we used novel human schwannoma model cells to conduct combination drug screens. We identified a class I PI3K inhibitor, pictilisib and p21 activated kinase (PAK) inhibitor, PF-3758309 as the top combination due to high synergy in cell viability assays. Both single and combination therapies significantly reduced growth of mouse MD-SCs in an orthotopic allograft mouse model. The inhibitor combination promoted cell cycle arrest and apoptosis in mouse merlin-deficient Schwann (MD-SCs) cells and cell cycle arrest in human MD-SCs. This study identifies the PI3K and PAK pathways as potential targets for combination drug treatment of NF2-related schwannomatosis.

摘要

神经纤维瘤病 2 型(NF2)相关的神经鞘瘤病是一种遗传疾病,会导致多种类型的神经系统肿瘤的发展。主要的和诊断性肿瘤类型是双侧前庭神经鞘瘤。NF2 目前尚无治愈方法或药物治疗。推荐的治疗方法包括手术切除和放疗,这两种方法都可能导致患者出现严重的神经功能缺损,或增加未来发生恶性肿瘤的风险。我们之前的高通量药物筛选先导研究结果表明,基于鼠 Merlin 缺陷型许旺细胞(MD-SCs)活力丧失,磷酸肌醇 3-激酶(PI3K)抑制剂是强有力的候选药物。在此,我们使用新型人神经鞘瘤模型细胞进行联合药物筛选。我们发现,由于细胞活力测定中具有很高的协同作用,I 类 PI3K 抑制剂 pictilisib 和 PAK 抑制剂 PF-3758309 是最佳组合。这两种单药和联合治疗方案均能显著抑制小鼠 MD-SCs 在原位同种异体移植小鼠模型中的生长。抑制剂联合治疗方案可促进 Merlin 缺陷型鼠许旺(MD-SCs)细胞的细胞周期停滞和凋亡,并促进人 MD-SCs 的细胞周期停滞。这项研究确定了 PI3K 和 PAK 通路作为 NF2 相关神经鞘瘤病联合药物治疗的潜在靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2b5/10959746/613c541a4a0b/41388_2024_2958_Fig1_HTML.jpg

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