Přehled o publikaci
2024
Blockage of BCL-XL overcomes venetoclax resistance across BCL2-positive lymphoid malignancies irrespective of BIM status
DOLNIKOVA, Alexandra, Dmitry KAZANTSEV, Magdalena KLANOVA, Eva POKORNA, Dana SOVILJ et. al.Základní údaje
Originální název
Blockage of BCL-XL overcomes venetoclax resistance across BCL2-positive lymphoid malignancies irrespective of BIM status
Autoři
DOLNIKOVA, Alexandra (203 Česká republika), Dmitry KAZANTSEV (203 Česká republika), Magdalena KLANOVA (203 Česká republika), Eva POKORNA (203 Česká republika), Dana SOVILJ (203 Česká republika), Cristina Daniela KELEMEN (203 Česká republika), Liliana TUSKOVA (203 Česká republika), Eva HOFERKOVÁ (203 Česká republika, domácí), Marek MRÁZ (203 Česká republika, domácí), Karel HELMAN (203 Česká republika), Nikola CURIK (203 Česká republika), Katerina MACHOVA POLAKOVA (203 Česká republika), Ladislav ANDĚRA (203 Česká republika), Marek TRNĚNÝ (203 Česká republika) a Pavel KLENER (203 Česká republika)
Vydání
Blood advances, AMSTERDAM, ELSEVIER, 2024, 2473-9529
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Stát vydavatele
Nizozemské království
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Kód RIV
RIV/00216224:14740/24:00136285
Organizace
Středoevropský technologický institut – Masarykova univerzita – Repozitář
UT WoS
001294402000001
EID Scopus
2-s2.0-85195879602
Klíčová slova anglicky
CHRONIC LYMPHOCYTIC-LEUKEMIA; MANTLE CELL LYMPHOMA; HOMOZYGOUS DELETIONS; SUSCEPTIBILITY; SENSITIVITY; IBRUTINIB; MCL-1
Návaznosti
LX22NPO5102, projekt VaV. NU23-08-00448, projekt VaV.
Změněno: 3. 6. 2025 00:50, RNDr. Daniel Jakubík
Anotace
V originále
Venetoclax, a BCL2 inhibitor, has a promising single-agent activity in mantle cell lymphoma (MCL), acute lymphoblastic leukemia (ALL), and large B-cell lymphomas (LBCL), but remissions were generally short, which calls for rational drug combinations. Using a panel of 21 lymphoma and leukemia cell lines and 28 primary samples we demonstrated strong synergy between venetoclax and A1155463, a BCL-XL inhibitor. Immunoprecipitation experiments, and studies on clones with knockout of expression, or transgenic expression of BCL-XL confirmed its key role in mediating inherent and acquired venetoclax resistance. Of note, the venetoclax and A1155463 combination was synthetically lethal even in the cell lines with lack of expression of the pro-apoptotic BCL2L11/BIM, and in the derived clones with genetic knockout of BCL2L11/BIM. This is clinically important because BCL2L11/BIM deletion, downregulation, or sequestration results in venetoclax resistance. Immunoprecipitation experiments further suggested that the pro-apoptotic effector BAX belongs to principal mediators of the venetoclax and A1155463 mode of action in the BIM-deficient cells. Lastly, the efficacy of the new pro-apoptotic combination was confirmed in vivo on a panel of 9 PDX models including MCL (n = 3), B-ALL (n = 2), T-ALL (n = 1), and DLBCL (n = 3). Because continuous inhibition of BCL-XL causes thrombocytopenia, we proposed and tested an interrupted 4 days ON / 3 days OFF treatment regimen, which retained the desired anti-tumor synergy with manageable platelet toxicity. The proposed VEN and A1155463 combination represents an innovative chemotherapy-free regimen with significant preclinical activity across diverse BCL2-positive hematologic malignancies irrespective of the BCL1L11/BIM status.