重新利用 NAMPT 抑制剂治疗生发中心 B 细胞样弥漫性大 B 细胞淋巴瘤。
Repurposing NAMPT Inhibitors for Germinal Center B Cell-Like Diffuse Large B-Cell Lymphoma.
机构信息
Institute for Cancer Genetics, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York.
Department of Pathology and Cell Biology, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York.
出版信息
Blood Cancer Discov. 2024 Nov 1;5(6):417-427. doi: 10.1158/2643-3230.BCD-24-0020.
Diffuse large B-cell lymphoma (DLBCL) includes the activated B cell-like (ABC) and germinal center B cell-like (GCB) subtypes, which differ in cell of origin, genetics, and clinical response. By screening the subtype-specific activity of 211 drugs approved or in active clinical development for other diseases, we identified inhibitors of nicotinamide phosphoribosyl transferase (NAMPTi) as active in a subset of GCB-DLBCL in vitro and in vivo. We validated three chemically distinct NAMPTis for their on-target activity based on biochemical and genetic rescue approaches and found the ratio between NAMPT and PARP1 RNA levels was predictive of NAMPTi sensitivity across DLBCL subtypes. Notably, the NAMPT:PARP1 transcript ratio predicts higher antitumor activity in BCL2-translocated GCB-DLBCL. Accordingly, pharmacologic and genetic inhibition of BCL2 was potently synergistic with NAMPT blockade. These data support the inhibition of NAMPT as a therapeutically relevant strategy for BCL2-translocated DLBCLs. Significance: Targeted therapies have emerged for the ABC subtype of DLBCL, but not for the GCB subtype, despite the evidence of a significant subset of high-risk cases. We identify a drug that specifically targets a subset of GCB-DLBCL and provide preclinical evidence for BCL2 translocations as biomarkers for their identification.
弥漫性大 B 细胞淋巴瘤(DLBCL)包括激活 B 细胞样(ABC)和生发中心 B 细胞样(GCB)亚型,它们在起源细胞、遗传学和临床反应方面存在差异。通过筛选 211 种已批准或正在积极临床开发用于治疗其他疾病的药物的亚类特异性活性,我们发现烟酰胺磷酸核糖转移酶(NAMPTi)抑制剂在体外和体内的一部分 GCB-DLBCL 中具有活性。我们基于生化和遗传挽救方法验证了三种化学上不同的 NAMPTi 的靶标活性,并发现 NAMPT 和 PARP1 RNA 水平之间的比值可预测 NAMPTi 在整个 DLBCL 亚类中的敏感性。值得注意的是,NAMPT:PARP1 转录本比值预测 BCL2 易位的 GCB-DLBCL 具有更高的抗肿瘤活性。因此,BCL2 的药理学和遗传学抑制与 NAMPT 阻断具有强大的协同作用。这些数据支持抑制 NAMPT 作为 BCL2 易位的 DLBCLs 的治疗相关策略。意义:针对 ABC 亚型的 DLBCL 已经出现了靶向治疗方法,但针对 GCB 亚型则没有,尽管有大量高危病例的证据。我们确定了一种专门针对 GCB-DLBCL 的药物,并提供了临床前证据,证明 BCL2 易位可作为其鉴定的生物标志物。