RRC ID 68562
著者 Chen R, Tsai J, Thompson PA, Chen Y, Xiong P, Liu C, Burrows F, Sivina M, Burger JA, Keating MJ, Wierda WG, Plunkett W.
タイトル The multi-kinase inhibitor TG02 induces apoptosis and blocks B-cell receptor signaling in chronic lymphocytic leukemia through dual mechanisms of action.
ジャーナル Blood Cancer J
Abstract The constitutive activation of B-cell receptor (BCR) signaling, together with the overexpression of the Bcl-2 family anti-apoptotic proteins, represents two hallmarks of chronic lymphocytic leukemia (CLL) that drive leukemia cell proliferation and sustain their survival. TG02 is a small molecule multi-kinase inhibitor that simultaneously targets both of these facets of CLL pathogenesis. First, its inhibition of cyclin-dependent kinase 9 blocked the activation of RNA polymerase II and transcription. This led to the depletion of Mcl-1 and rapid induction of apoptosis in the primary CLL cells. This mechanism of apoptosis was independent of CLL prognostic factors or prior treatment history, but dependent on the expression of BAX and BAK. Second, TG02, which inhibits the members of the BCR signaling pathway such as Lck and Fyn, blocked BCR-crosslinking-induced activation of NF-κB and Akt, indicating abrogation of BCR signaling. Finally, the combination of TG02 and ibrutinib demonstrated moderate synergy, suggesting a future combination of TG02 with ibrutinib, or use in patients that are refractory to the BCR antagonists. Thus, the dual inhibitory activity on both the CLL survival pathway and BCR signaling identifies TG02 as a unique compound for clinical development in CLL and possibly other B cell malignancies.
巻・号 11(3)
ページ 57
公開日 2021-3-13
DOI 10.1038/s41408-021-00436-0
PII 10.1038/s41408-021-00436-0
PMID 33714981
PMC PMC7956145
MeSH Adenine / analogs & derivatives Adenine / pharmacology Adult Aged Aged, 80 and over Apoptosis / drug effects* Drug Synergism Female Heterocyclic Compounds, 4 or More Rings / pharmacology* Humans Leukemia, Lymphocytic, Chronic, B-Cell / drug therapy* Leukemia, Lymphocytic, Chronic, B-Cell / metabolism Male Middle Aged Piperidines / pharmacology Protein Kinase Inhibitors / pharmacology* Receptors, Antigen, B-Cell / metabolism* Signal Transduction / drug effects Tumor Cells, Cultured
IF 8.023
リソース情報
ヒト・動物細胞 StromaNKtert(RCB2350)