Department of Hematology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, 321000, China.
Department of Hematology, Lanxi People's Hospital, Lanxi, 321100, China.
J Cancer Res Clin Oncol. 2024 Sep 20;150(9):426. doi: 10.1007/s00432-024-05939-4.
Double-hit lymphoma (DHL) with c-MYC gene translocation is highly aggressive and has a poor prognosis. In DHL cells, activation-induced cytidine deaminase (AID) promotes antibody class switch recombination (CSR), ultimately leading to c-MYC gene translocation caused by Myc/IgH DNA double-strand breaks. However, currently there is still no method to suppress the expression of AID.
In this study, we compared the clinical significance of AID expression in DHL, Additionally, two human double-hit lymphoma cell lines were used to analyze the effect of imatinib mesylate on c-MYC in vitro, and the therapeutic effect was also evaluated in xenograft mouse models.
Imatinib mesylate downregulated the AID and c-MYC proteins in patients with chronic myelogenous leukemia associated with DHL. In addition, imatinib mesylate reduced AID and c-MYC expression in SU-DHL-4 and OCI-Ly18 DHL cells. Imatinib mesylate exerted significant inhibitory effects on the proliferation and metastasis of SU-DHL-4 and OCI-Ly18 cells. Finally, imatinib mesylate reduced not only tumor burden in DHL mouse models, but also AID and c-MYC expression in vivo.
These findings reveal that imatinib mesylate effectively reduces the carcinogenic function of c-MYC in DHL, providing novel strategies for developing therapies targeting c-MYC-driven DHL.
具有 c-MYC 基因易位的双打击淋巴瘤(DHL)侵袭性强,预后差。在 DHL 细胞中,激活诱导的胞嘧啶脱氨酶(AID)促进抗体类别转换重组(CSR),最终导致 Myc/IgH DNA 双链断裂引起的 c-MYC 基因易位。然而,目前仍没有抑制 AID 表达的方法。
本研究比较了 AID 在 DHL 中的表达的临床意义。此外,使用两种人双打击淋巴瘤细胞系分析甲磺酸伊马替尼对体外 c-MYC 的影响,并在异种移植小鼠模型中评估治疗效果。
甲磺酸伊马替尼下调了伴有 DHL 的慢性髓系白血病患者的 AID 和 c-MYC 蛋白。此外,甲磺酸伊马替尼降低了 SU-DHL-4 和 OCI-Ly18 DHL 细胞中的 AID 和 c-MYC 表达。甲磺酸伊马替尼对 SU-DHL-4 和 OCI-Ly18 细胞的增殖和转移具有显著的抑制作用。最后,甲磺酸伊马替尼不仅减少了 DHL 小鼠模型中的肿瘤负担,而且减少了体内的 AID 和 c-MYC 表达。
这些发现表明,甲磺酸伊马替尼有效地降低了 DHL 中 c-MYC 的致癌功能,为开发针对 c-MYC 驱动的 DHL 的治疗策略提供了新的思路。