Preclinical Evaluation of a Novel Dual Targeting PI3Kδ/BRD4 Inhibitor, SF2535, in B-Cell Acute Lymphoblastic Leukemia.

Preclinical Evaluation of a Novel Dual Targeting PI3Kδ/BRD4 Inhibitor, SF2535, in B-Cell Acute Lymphoblastic Leukemia.
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DOI:
10.3389/fonc.2021.766888
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发表时间:
2021
影响因子:
4.7
通讯作者:
Kim YM
Kim YM
中科院分区:
医学3区
文献类型:
--
作者:
Ruan Y;Kim HN;Ogana HA;Wan Z;Hurwitz S;Nichols C;Abdel-Azim N;Coba A;Seo S;Loh YE;Gang EJ;Abdel-Azim H;Hsieh CL;Lieber MR;Parekh C;Pal D;Bhojwani D;Durden DL;Kim YM

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已知PI 3 K/Akt通路-特别是PI 3 K δ-在耐药B细胞急性淋巴细胞白血病(B-ALL)中的作用,并且其通常在难治性或复发性B-ALL中上调。Myc蛋白是负责转录促增殖基因的转录因子,并且c-Myc通常在癌症中过表达。染色质调节因子BRD 4是恶性血液病(包括B-ALL)中c-Myc表达所必需的。先前,BRD 4和PI 3 K抑制与SF 2523的组合显示成功地降低Myc表达。然而,PI 3 K δ/BRD 4双重抑制在B-ALL中的潜在机制和作用仍然未知。为了研究这一点,我们利用了SF 2535,一种新型的小分子双重抑制剂,可以特异性靶向PI 3 K δ亚型和BRD 4。我们用不同浓度的SF 2535处理原代B-ALL细胞,并使用体外和体内模型研究其对特定药理学靶向机制如凋亡、细胞周期、细胞增殖和粘附分子表达的影响。SF 2535通过抑制c-Myc启动子位点的BRD 4显著下调c-Myc mRNA和蛋白表达,并通过抑制PI 3 K δ/AKT通路降低p-AKT表达。SF 2535通过下调BCL-2和增加caspase-3、caspase-7和PARP的裂解诱导B-ALL细胞凋亡。此外,SF 2535诱导B-ALL细胞周期阻滞和细胞计数减少。有趣的是,SF 2535降低了整合素α4、α5、α6和β1的平均荧光强度(MFI),同时增加了CXCR 4的MFI,表明SF 2535可能通过整合素的由内而外信号传导起作用。总之,我们的数据为使用SF 2535靶向PI 3 K δ/BRD 4治疗难治性或复发性B-ALL的临床评价提供了依据。
The PI3K/Akt pathway—and in particular PI3Kδ—is known for its role in drug resistant B-cell acute lymphoblastic leukemia (B-ALL) and it is often upregulated in refractory or relapsed B-ALL. Myc proteins are transcription factors responsible for transcribing pro-proliferative genes and c-Myc is often overexpressed in cancers. The chromatin regulator BRD4 is required for expression of c-Myc in hematologic malignancies including B-ALL. Previously, combination of BRD4 and PI3K inhibition with SF2523 was shown to successfully decrease Myc expression. However, the underlying mechanism and effect of dual inhibition of PI3Kδ/BRD4 in B-ALL remains unknown. To study this, we utilized SF2535, a novel small molecule dual inhibitor which can specifically target the PI3Kδ isoform and BRD4. We treated primary B-ALL cells with various concentrations of SF2535 and studied its effect on specific pharmacological on-target mechanisms such as apoptosis, cell cycle, cell proliferation, and adhesion molecules expression usingin vitro and in vivo models. SF2535 significantly downregulates both c-Myc mRNA and protein expression through inhibition of BRD4 at the c-Myc promoter site and decreases p-AKT expression through inhibition of the PI3Kδ/AKT pathway. SF2535 induced apoptosis in B-ALL by downregulation of BCL-2 and increased cleavage of caspase-3, caspase-7, and PARP. Moreover, SF2535 induced cell cycle arrest and decreased cell counts in B-ALL. Interestingly, SF2535 decreased the mean fluorescence intensity (MFI) of integrin α4, α5, α6, and β1 while increasing MFI of CXCR4, indicating that SF2535 may work through inside-out signaling of integrins. Taken together, our data provide a rationale for the clinical evaluation of targeting PI3Kδ/BRD4 in refractory or relapsed B-ALL using SF2535.
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