Amplifying Radiation Potency Against Leukemic Stem Cells

增强针对白血病干细胞的放射效力

• 批准号: 8507180
• 负责人: FATIH M UCKUN
• 金额: $ 16.56万
• 依托单位: CHILDREN'S HOSPITAL OF LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-07-06 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8507180
• 关键词: Acute Lymphocytic Leukemia; Adverse event; Apoptosis; Apoptotic; B-Lymphocytes; Biological Assay; Biological Models; Biological Products; Bone Marrow; CD19 gene; Cell Line; Cells; Cessation of life; Childhood Leukemia; Development; Disease-Free Survival; Dose; Drug Kinetics; Extracellular Domain; Goals; Hematopoietic Stem Cell Transplantation; In Situ Nick-End Labeling; In Vitro; Ionizing radiation; Leukemic Cell; Ligands; Malignant Neoplasms; Measures; Mus; NOEL; Outcome; Patients; Proteins; Radiation; Radiation Tolerance; Radiation therapy; Radiation-Sensitizing Agents; Recombinants; Recurrence; Regimen; Relapse; Research; Research Project Grants; Resistance; SCID Mice; Signal Transduction; Specimen; Staining method; Stains; Testing; Therapeutic; Toxic effect; Treatment outcome; Whole-Body Irradiation; Work; Xenograft Model; annexin A5; chemoradiation; chemotherapy; effective therapy; experience; improved; in vivo; innovation; leukemia; leukemic stem cell; novel; pre-clinical; radiation resistance; repaired; research study; success

DESCRIPTION (provided by applicant): In this exploratory project, we are proposing to develop a new strategy to overcome radiation resistance of leukemic stem cells in B-lineage ALL using a novel recombinant biotherapeutic agent, namely CD19-Ligand, for selectively amplifying radiation-induced pro-apoptotic signaling. The long-term goal of the proposed research is to establish "personalized" radiation therapy regimens against relapsed B-lineage ALL employing a recombinant biotherapeutic agent to selectively increase the anti-leukemic potency of ionizing radiation. We hypothesize that the treatment outcome of relapsed B-lineage ALL patients can be improved by using recombinant CD19-Ligand in combination with TBI in the context of HSCT. Under Specific Aim 1, we will examine the effects of recombinant CD19-L on in vitro radiation resistance of radiation-resistant ALL cell lines as well as primary ALL cells from relapsed B-lineage ALL patients using quantitative flow cytometric apoptosis assays and clonogenic assays (Year 1 of the Project). We hypothesize that CD19-L will amplify radiation- induced pro-apoptotic BTK signals thereby markedly and selectively enhancing radiation-induced apoptosis of CD19+ B-lineage ALL cells as well as augmenting radiation-induced death of their clonogenic fraction. The radiation resistance of leukemic cells will be measured using our standard quantitative flow cytometric (CD19/Annexin V staining) and confocal (TUNEL) apoptosis assay platforms. Under Specific Aim 2, we will examine the effects of the CD19-L on in vivo radiation resistance of leukemic stem cells in primary bone marrow specimens from relapsed B-lineage ALL patients using SCID mouse xenograft models of relapsed B- lineage ALL and sublethal TBI (Year 2 of the Project). We anticipate that the use of CD19-L before and concomitant with radiation will markedly enhance the anti-leukemic potency of TBI in the context of HSCT. Likewise, the sequential administration of TBI and post-TBI CD19-L is expected to be more effective than TBI alone. We will first perform mouse toxicity and pharmacokinetics experiments to determine non-toxic dose levels of CD19-L and then examine the effects of CD19-L on the anti-leukemic potency of sublethal TBI (2 Gy) against leukemic stem cells in primary bone marrow specimens from relapsed patients as well as radiation- resistant B-lineage ALL cell lines in a SCID mouse xenograft model system. Our working hypothesis is that CD19-L plus TBI regimens will be more effective than TBI alone in improving the event-free survival outcome of SCID mice challenged with primary B-lineage ALL cells. We anticipate that the successful completion of this exploratory research project will provide the first preclinical proof-of-principle for a potentially paradigm-shifting therapeutic innovation against relapsed B-lineage ALL, whereby the radiation resistance of leukemic stem cells is overcome using recombinant CD19-L as a selective radiosensitizer that amplifies pro-apoptotic signaling after radiation.

描述（由申请人提供）：在这个探索性项目中，我们建议开发一种新策略来克服 B 系 ALL 中白血病干细胞的辐射抗性，使用一种新型重组生物治疗剂，即 CD19-配体，选择性地放大辐射诱导的促凋亡信号传导。该研究的长期目标是针对复发性 B 系 ALL 建立“个性化”放射治疗方案，采用重组生物治疗剂选择性增加电离辐射的抗白血病效力。我们假设在 HSCT 背景下使用重组 CD19-配体与 TBI 相结合可以改善复发 B 系 ALL 患者的治疗结果。在具体目标 1 下，我们将使用定量流式细胞术凋亡测定和克隆形成测定（项目的第一年）检查重组 CD19-L 对耐辐射 ALL 细胞系以及来自复发 B 系 ALL 患者的原代 ALL 细胞的体外辐射耐受性的影响。我们假设 CD19-L 将放大辐射诱导的促凋亡 BTK 信号，从而显着且选择性地增强辐射诱导的 CD19+ B 系 ALL 细胞的凋亡，并增加辐射诱导的其克隆部分的死亡。将使用我们的标准定量流式细胞术（CD19/Annexin V 染色）和共聚焦（TUNEL）细胞凋亡测定平台来测量白血病细胞的辐射耐受性。在具体目标 2 下，我们将使用复发 B 系 ALL 和亚致死 TBI 的 SCID 小鼠异种移植模型（项目第二年）检查 CD19-L 对复发 B 系 ALL 患者原代骨髓标本中白血病干细胞体内辐射抗性的影响。我们预计，在 HSCT 背景下，在放疗之前和同时使用 CD19-L 将显着增强 TBI 的抗白血病效力。同样，TBI 和 TBI 后 CD19-L 的顺序给药预计比单独 TBI 更有效。我们将首先进行小鼠毒性和药代动力学实验，以确定 CD19-L 的无毒剂量水平，然后在 SCID 小鼠异种移植模型系统中检查 CD19-L 对亚致死 TBI（2 Gy）针对复发患者原代骨髓标本中的白血病干细胞以及抗辐射 B 系 ALL 细胞系的抗白血病效力的影响。我们的工作假设是，CD19-L 加 TBI 方案比单独 TBI 更有效地改善接受原代 B 系 ALL 细胞攻击的 SCID 小鼠的无事件生存结果。我们预计，这一探索性研究项目的成功完成将为针对复发性 B 系 ALL 的潜在范式转变治疗创新提供第一个临床前原理验证，其中使用重组 CD19-L 作为选择性放射增敏剂，在放射后放大促凋亡信号，克服白血病干细胞的放射耐受性。