依鲁替尼破坏血肿瘤屏障完整性并延长啮齿动物神经胶质瘤模型的生存期。
Ibrutinib disrupts blood-tumor barrier integrity and prolongs survival in rodent glioma model.
机构信息
Develomental Therapeutics and Pharmacology Unit, Surgical Neurology Branch, National Institute of Neurologic Disorders and Stroke (NINDS), NIH, Building 10, Room 7D45, 10 Center Drive, Bethesda, MD, 20892, USA.
Laboratory of Cell Biology, Center for Cancer Research, National Cancer Institute (NCI), NIH, Bethesda, MD, 20892, USA.
出版信息
Acta Neuropathol Commun. 2024 Apr 8;12(1):56. doi: 10.1186/s40478-024-01763-6.
In malignant glioma, cytotoxic drugs are often inhibited from accessing the tumor site due to the blood-tumor barrier (BTB). Ibrutinib, FDA-approved lymphoma agent, inhibits Bruton tyrosine kinase (BTK) and has previously been shown to independently impair aortic endothelial adhesion and increase rodent glioma model survival in combination with cytotoxic therapy. Yet additional research is required to understand ibrutinib's effect on BTB function. In this study, we detail baseline BTK expression in glioma cells and its surrounding vasculature, then measure endothelial junctional expression/function changes with varied ibrutinib doses in vitro. Rat glioma cells and rodent glioma models were treated with ibrutinib alone (1-10 µM and 25 mg/kg) and in combination with doxil (10-100 µM and 3 mg/kg) to assess additive effects on viability, drug concentrations, tumor volume, endothelial junctional expression and survival. We found that ibrutinib, in a dose-dependent manner, decreased brain endothelial cell-cell adhesion over 24 h, without affecting endothelial cell viability (p < 0.005). Expression of tight junction gene and protein expression was decreased maximally 4 h after administration, along with inhibition of efflux transporter, ABCB1, activity. We demonstrated an additive effect of ibrutinib with doxil on rat glioma cells, as seen by a significant reduction in cell viability (p < 0.001) and increased CNS doxil concentration in the brain (56 ng/mL doxil alone vs. 74.6 ng/mL combination, p < 0.05). Finally, Ibrutinib, combined with doxil, prolonged median survival in rodent glioma models (27 vs. 16 days, p < 0.0001) with brain imaging showing a - 53% versus - 75% volume change with doxil alone versus combination therapy (p < 0.05). These findings indicate ibrutinib's ability to increase brain endothelial permeability via junctional disruption and efflux inhibition, to increase BTB drug entry and prolong rodent glioma model survival. Our results motivate the need to identify other BTB modifiers, all with the intent of improving survival and reducing systemic toxicities.
在恶性神经胶质瘤中,由于血脑屏障(BTB)的存在,细胞毒性药物往往无法到达肿瘤部位。伊布替尼是一种获得 FDA 批准的淋巴瘤药物,可抑制布鲁顿酪氨酸激酶(BTK),此前已被证明可独立损害主动脉内皮细胞的黏附能力,并与细胞毒性疗法联合使用可增加啮齿动物神经胶质瘤模型的存活率。然而,还需要进一步研究以了解伊布替尼对 BTB 功能的影响。在这项研究中,我们详细描述了神经胶质瘤细胞及其周围血管中原发性 BTK 表达,然后在体外测量了不同伊布替尼剂量下内皮连接表达/功能的变化。单独用伊布替尼(1-10µM 和 25mg/kg)和与多柔比星联合(10-100µM 和 3mg/kg)治疗大鼠神经胶质瘤细胞和啮齿动物神经胶质瘤模型,以评估对活力、药物浓度、肿瘤体积、内皮连接表达和存活率的附加作用。我们发现,伊布替尼以剂量依赖的方式在 24 小时内降低了脑内皮细胞-细胞黏附,而不影响内皮细胞活力(p<0.005)。给药后 4 小时最大程度地下调了紧密连接基因和蛋白表达,并抑制了外排转运蛋白 ABCB1 的活性。我们证明了伊布替尼与多柔比星对大鼠神经胶质瘤细胞的协同作用,表现为细胞活力显著降低(p<0.001),并且大脑中的 CNS 多柔比星浓度增加(单独使用多柔比星 56ng/mL 与联合治疗 74.6ng/mL,p<0.05)。最后,伊布替尼联合多柔比星延长了啮齿动物神经胶质瘤模型的中位生存期(27 天对 16 天,p<0.0001),脑成像显示单独使用多柔比星与联合治疗相比,体积变化分别为-53%和-75%(p<0.05)。这些发现表明,伊布替尼通过破坏连接和抑制外排来增加血脑屏障通透性,从而增加 BTB 药物进入并延长啮齿动物神经胶质瘤模型的存活时间。我们的研究结果表明需要识别其他 BTB 调节剂,目的都是提高存活率并降低全身毒性。