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EZH2 和 ATM 抑制联合治疗 BAP1 缺陷性间皮瘤。

Combination of EZH2 and ATM inhibition in BAP1-deficient mesothelioma.

机构信息

Division of Molecular Genetics, The Netherlands Cancer Institute, Plesmanlaan 121, Amsterdam, The Netherlands.

Oncode Institute, Jaarbeursplein 6, Utrecht, The Netherlands.

出版信息

Br J Cancer. 2024 May;130(11):1855-1865. doi: 10.1038/s41416-024-02661-3. Epub 2024 Mar 22.

DOI:10.1038/s41416-024-02661-3
PMID:38519707
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11130181/
Abstract

BACKGROUND

More than half of mesothelioma tumours show alterations in the tumour suppressor gene BAP1. BAP1-deficient mesothelioma is shown to be sensitive to EZH2 inhibition in preclinical settings but only showed modest efficacy in clinical trial. Adding a second inhibitor could potentially elevate EZH2i treatment efficacy while preventing acquired resistance at the same time.

METHODS

A focused drug synergy screen consisting of 20 drugs was performed by combining EZH2 inhibition with a panel of anti-cancer compounds in mesothelioma cell lines. The compounds used are under preclinical investigation or already used in the clinic. The synergistic potential of the combinations was assessed by using the Bliss model. To validate our findings, in vivo xenograft experiments were performed.

RESULTS

Combining EZH2i with ATMi was found to have synergistic potential against BAP1-deficient mesothelioma in our drug screen, which was validated in clonogenicity assays. Tumour growth inhibition potential was significantly increased in BAP1-deficient xenografts. In addition, we observe lower ATM levels upon depletion of BAP1 and hypothesise that this might be mediated by E2F1.

CONCLUSIONS

We demonstrated the efficacy of the combination of ATM and EZH2 inhibition against BAP1-deficient mesothelioma in preclinical models, indicating the potential of this combination as a novel treatment modality using BAP1 as a biomarker.

摘要

背景

超过一半的间皮瘤肿瘤显示肿瘤抑制基因 BAP1 的改变。在临床前研究中,BAP1 缺陷型间皮瘤对 EZH2 抑制敏感,但在临床试验中仅显示出适度的疗效。同时抑制两种蛋白可能会提高 EZH2i 治疗的疗效,同时防止获得性耐药。

方法

通过将 EZH2 抑制与间皮瘤细胞系中的一组抗癌化合物组合,进行了一个由 20 种药物组成的药物协同作用筛选。所用的化合物正在进行临床前研究或已在临床使用。通过 Bliss 模型评估组合的协同潜力。为了验证我们的发现,进行了体内异种移植实验。

结果

在我们的药物筛选中,发现 EZH2i 与 ATMi 联合使用对 BAP1 缺陷型间皮瘤具有协同作用,这在集落形成实验中得到了验证。BAP1 缺陷型异种移植中的肿瘤生长抑制潜力显著增加。此外,我们观察到 BAP1 耗竭时 ATM 水平降低,我们假设这可能是由 E2F1 介导的。

结论

我们在临床前模型中证明了 ATM 和 EZH2 抑制联合使用对 BAP1 缺陷型间皮瘤的疗效,表明该联合治疗作为一种新的治疗方法具有潜力,将 BAP1 作为生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d2/11130181/fb51ea81388c/41416_2024_2661_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d2/11130181/e61115b2a790/41416_2024_2661_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d2/11130181/11921ce41ed5/41416_2024_2661_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d2/11130181/31997ae90a7a/41416_2024_2661_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d2/11130181/7fcbf2f14ee2/41416_2024_2661_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d2/11130181/fb51ea81388c/41416_2024_2661_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d2/11130181/e61115b2a790/41416_2024_2661_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d2/11130181/11921ce41ed5/41416_2024_2661_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d2/11130181/31997ae90a7a/41416_2024_2661_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d2/11130181/7fcbf2f14ee2/41416_2024_2661_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d2/11130181/fb51ea81388c/41416_2024_2661_Fig5_HTML.jpg

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