Department of Hematology, the Second Affiliated Hospital of Soochow University, San Xiang Road 1055, Suzhou, 215006, China.
Department of Pharmacy, the Second Affiliated Hospital of Soochow University, Suzhou, China.
Ann Hematol. 2024 Aug;103(8):2905-2915. doi: 10.1007/s00277-024-05670-7. Epub 2024 Mar 1.
Diffuse large B-cell lymphoma (DLBCL) is the most common and aggressive type of B-cell lymphoma. Unfortunately, about one-third of patients either relapse after the initial treatment or are refractory to first-line therapy, indicating a need for new treatment modalities. PIM serine/threonine kinases are proteins that are associated with genetic mutations, overexpression, or translocation events in B-cell lymphomas. We conducted an integrative analysis of whole-exome sequencing in 52 DLBCL patients, and no amplification, mutation, or translocation of the PIM1 gene was detected. Instead, analyses of TCGA and GTEx databases identified that PIM1 expression was increased in DLBCL samples compared to normal tissue, and high expression levels were associated with poor overall survival. Moreover, interference of PIM1 significantly suppressed DLBCL cell proliferation. In addition, we identified anwulignan, a natural small-molecule compound, as a PIM1 inhibitor. Anwulignan directly binds to PIM1 and exerts antitumor effects on DLBCL in vitro and in vivo by inducing apoptosis, cell cycle arrest, and autophagic cell death. Furthermore, we identified an effective synergistic combination between anwulignan and chidamide. Our findings suggested that PIM1 could be a therapeutic target and prognostic factor for DLBCL, and anwulignan holds promise for future development as a natural product for treatment.
弥漫性大 B 细胞淋巴瘤(DLBCL)是最常见和侵袭性最强的 B 细胞淋巴瘤。不幸的是,约三分之一的患者在初始治疗后复发或对一线治疗耐药,这表明需要新的治疗方式。PIM 丝氨酸/苏氨酸激酶是与 B 细胞淋巴瘤中的基因突变、过表达或易位事件相关的蛋白质。我们对 52 例 DLBCL 患者进行了全外显子组测序的综合分析,未检测到 PIM1 基因的扩增、突变或易位。相反,TCGA 和 GTEx 数据库的分析表明,与正常组织相比,DLBCL 样本中 PIM1 的表达增加,高水平的表达与总生存不良相关。此外,PIM1 的干扰显著抑制了 DLBCL 细胞的增殖。此外,我们鉴定出一种天然小分子化合物 anwulignan 是 PIM1 抑制剂。Anwulignan 通过诱导细胞凋亡、细胞周期停滞和自噬性细胞死亡,直接与 PIM1 结合,在体外和体内对 DLBCL 发挥抗肿瘤作用。此外,我们确定了 anwulignan 和 chidamide 之间有效的协同组合。我们的研究结果表明,PIM1 可以作为 DLBCL 的治疗靶点和预后因素,anwulignan 作为一种天然产物,具有很大的发展潜力。
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