CLIN CANCER RES:克服侵袭性B细胞淋巴瘤Venetoclax耐药策略

2018-08-30 MedSci MedSci原创

BCL-2是一种抗凋亡蛋白,在B细胞淋巴瘤中常存在异常,促进肿瘤细胞存活。近期的一项应用BCL-2抑制剂Venetoclax治疗非霍奇金淋巴瘤的临床试验表明总缓解率为44%。CLIN CANCER RES近期发表了一篇文章,研究Venetoclax治疗侵袭性B细胞淋巴瘤(包括套细胞淋巴瘤MCL和弥漫大B细胞淋巴瘤DLBCL)的生物学效应及机制。

BCL-2是一种抗凋亡蛋白,在B细胞淋巴瘤中常存在异常,促进肿瘤细胞存活。近期的一项应用BCL-2抑制剂Venetoclax治疗非霍奇金淋巴瘤临床试验表明总缓解率为44%。CLIN CANCER RES近期发表了一篇文章,研究Venetoclax治疗侵袭性B细胞淋巴瘤(包括套细胞淋巴瘤MCL和弥漫大B细胞淋巴瘤DLBCL)的生物学效应及机制。

作者使用MCL及DLBCL细胞系,病人样本以及PDX模型研究Venetoclax有效性。使用蛋白质组学及Western blot研究Venetoclax反应机制及耐药机制。研究发现了Venetoclax活性有关的潜在生物学标志以及可以增强Venetoclax反应的联合策略。表达高水平BCL-2的细胞系、肿瘤样本及PDX模型对Venetoclax治疗极其敏感。蛋白质组学分析表明Venetoclax会改变与细胞进展有关蛋白的表达水平和磷酸化状态。短期和长期Venetoclax暴露抑制PTEN表达,导致AKT通路活性增强以及相伴的对PI3K/AKT抑制敏感。Venetoclax耐药的细胞AKT活化增强且对PI3K/AKT抑制敏感。

文章最后认为,该研究为通过PI3K/AKT抑制克服Venetoclax耐药提供了机制证据。

原始出处:
Lan V Pham,Shengjian Huang,et al.Strategic Treatment Targeting to Overcome Venetoclax Resistance in Aggressive B-cell Lymphomas.CLIN CANCER RES.August 2018 doi:10.1158/1078-0432.CCR-17-3004

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    2019-02-17 canlab
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    2018-09-01 sunyl07