Torun Anna, Zdanowicz Aleksandra, Miazek-Zapala Nina, Zapala Piotr, Pradhan Bhaskar, Jedrzejczyk Marta, Ciechanowicz Andrzej, Pilch Zofia, Skorzynski Marcin, Słabicki Mikołaj, Rymkiewicz Grzegorz, Barankiewicz Joanna, Martines Claudio, Laurenti Luca, Struga Marta, Winiarska Magdalena, Golab Jakub, Kucia Magdalena, Ratajczak Mariusz Z, Huczynski Adam, Calado Dinis P, Efremov Dimitar G, Zerrouqi Abdessamad, Pyrzynska Beata
Medical University of Warsaw, Warsaw.
Medical University of Warsaw, Warsaw, Poland; Doctoral School, Medical University of Warsaw, Warsaw.
Haematologica. 2024 Dec 19. doi: 10.3324/haematol.2024.285826.
Our investigation uncovers that nanomolar concentrations of salinomycin, monensin, nigericin, and narasin (a group of potassium/sodium cation carriers) robustly enhance surface expression of CD20 antigen in B-cell-derived tumor cells, including primary malignant cells of chronic lymphocytic leukemia and diffuse large B-cell lymphoma. Experiments in vitro, ex vivo, and animal model reveal a novel approach of combining salinomycin or monensin with therapeutic anti-CD20 monoclonal antibodies or anti-CD20 CAR-T cells, significantly improving non- Hodgkin lymphoma (NHL) therapy. The results of RNA-seq, genetic editing, and chemical inhibition delineate the molecular mechanism of CD20 upregulation, at least partially, to the downregulation of MYC, the transcriptional repressor of the MS4A1 gene encoding CD20. Our findings propose the cation carriers as compounds targeting MYC oncogene, which can be combined with anti-CD20 antibodies or adoptive cellular therapies to treat NHL and mitigate resistance, which frequently depends on the CD20 antigen loss, offering new solutions to improve patient outcomes.
我们的研究发现,纳摩尔浓度的盐霉素、莫能菌素、尼日利亚菌素和那拉菌素(一组钾/钠阳离子载体)能显著增强B细胞源性肿瘤细胞中CD20抗原的表面表达,这些肿瘤细胞包括慢性淋巴细胞白血病和弥漫性大B细胞淋巴瘤的原发性恶性细胞。体外、离体和动物模型实验揭示了一种将盐霉素或莫能菌素与治疗性抗CD20单克隆抗体或抗CD20嵌合抗原受体T细胞相结合的新方法,可显著改善非霍奇金淋巴瘤(NHL)的治疗效果。RNA测序、基因编辑和化学抑制的结果至少部分地阐明了CD20上调的分子机制,即MYC(编码CD20的MS4A1基因的转录抑制因子)的下调。我们的研究结果表明,阳离子载体可作为靶向MYC癌基因的化合物,可与抗CD20抗体或过继性细胞疗法联合用于治疗NHL并减轻耐药性,耐药性通常取决于CD20抗原的缺失,这为改善患者预后提供了新的解决方案。
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