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Ibrutinib抑制弥漫大B细胞淋巴瘤细胞生存的作用研究
引用本文:吴东维,夏冰,吴凌,许雯,宁乔杨,袁田,王超雨,晋鑫,于泳,张翼鷟. Ibrutinib抑制弥漫大B细胞淋巴瘤细胞生存的作用研究[J]. 中国肿瘤临床, 2017, 44(18): 903-908. DOI: 10.3969/j.issn.1000-8179.2017.18.676
作者姓名:吴东维  夏冰  吴凌  许雯  宁乔杨  袁田  王超雨  晋鑫  于泳  张翼鷟
作者单位:天津医科大学肿瘤医院血液科, 国家肿瘤临床医学研究中心, 天津市肿瘤防治重点实验室, 天津市恶性肿瘤临床医学研究中心 (天津市 300060)
基金项目:the National Natural Science Foundation of China(No.81600163 and 81570201)本文课题受国家自然科学基金项目(81600163、81570201)
摘    要:  目的  探讨Bruton酪氨酸激酶(Bruton's tyrosine kinase,BTK)抑制剂ibrutinib抑制弥漫大B细胞淋巴瘤(diffuse large B cell lymphoma,DLBCL)细胞生存的作用及其相关机制。  方法  用不同浓度的ibrutinib处理DLBCL细胞系SUDHL-10、HBL-1和患者原代细胞,以MTT法检测细胞的增殖抑制情况;以Annexin V/PI流式细胞术和DAPI染色法检测细胞的凋亡情况;应用Western blot法检测细胞表达磷酸化BTK、AKT、ERK的变化。DLBCL细胞与MSC共培养后,体外克隆形成实验和NOD/SCID肿瘤模型小鼠检测ibrutinib在肿瘤微环境里对DLBCL细胞的抑制作用。  结果  2.5μmol/L及更高浓度的ibrutinib对DLBCL细胞的增殖有明显的抑制作用,且呈剂量依赖性。1.0、2.5μmol/L ibrutinib作用于SUDHL-10细胞24 h,细胞凋亡率分别为(21.73±3.64)%和(34.71±2.36)%,高于对照组(3.55±1.89)%(P < 0.05)。5、10μmol/L ibrutinib处理24 h后,DLBCL细胞系均出现核皱缩(5μmol/L)、碎裂(10μmol/L)。ibrutinib处理细胞后磷酸化BTK、AKT、ERK的表达均明显降低。ibrutinib抑制共培养时DLBCL细胞的体外克隆形成(P < 0.01)及DLBCL细胞在体内的增殖生长,差异均具有统计学意义(P < 0.05)。  结论  ibrutinib可抑制细胞系SUDHL-10和HBL-1的增殖,诱导凋亡,其机制可能通过阻断AKT、ERK信号途径而实现;在肿瘤微环境中ibrutinib同样对DLBCL细胞具有较强的抑制生存的作用,该药物有望为DLBCL的治疗带来希望。 

关 键 词:弥漫大B细胞淋巴瘤   ibrutinib   增殖   凋亡
收稿时间:2017-06-16

Ibrutinib inhibits diffuse large B-cell lymphoma cell survival
Dongwei WU,Bing XIA,Ling WU,Wen XU,Qiaoyang NING,Tian YUAN,Chaoyu WANG,Xin JIN,Yong YU,Yizhuo ZHANG. Ibrutinib inhibits diffuse large B-cell lymphoma cell survival[J]. Chinese Journal of Clinical Oncology, 2017, 44(18): 903-908. DOI: 10.3969/j.issn.1000-8179.2017.18.676
Authors:Dongwei WU  Bing XIA  Ling WU  Wen XU  Qiaoyang NING  Tian YUAN  Chaoyu WANG  Xin JIN  Yong YU  Yizhuo ZHANG
Affiliation:Department of Hematology Tianjin Medical University Cancer Institute and Hospital; National Clinical Research Center for Cancer; Key Laboratory of Cancer Prevention and Therapy, Tianjin; Tianjin's Clinical Research Center for Cancer, Tianjin 300060, China
Abstract:Objective:To illustrate the effect and mechanism of ibrutinib,a Bruton's tyrosine kinase(BTK)inhibitor that inhibits diffuse large B-cell lymphoma(DLBCL)cell survival.Methods:DLBCL cell lines SUDHL-10 and HBL-1 were treated with ibrutinib at different concentrations.A MTT assay was used to detect the inhibition of cell proliferation.Cell apoptosis was analyzed by Annexin V-binding assay,as well as flow cytometry and DAPI staining.The expression of phosphorylated BTK,AKT and ERK was detected by Western blot. DLBCL cells were co-cultured with MSC.The inhibitory effect of ibrutinib on DLBCL cells in tumor microenvironment was assessed in clonogenicity in vitro and in a tumor-bearing non-obese diabetic/severe combined immunodeficient mice in vivo.Results:Up to 2.5 μmol/L and high concentrations of ibrutinib significantly inhibited the proliferation of DLBCL cells in a dose-dependent manner.Approx-imately 1 and 2.5 μmol/L ibrutinib was added on SUDHL-10 cells for 24 h,and the cell apoptotic rates were(21.73±3.64)% and(34.71± 2.36)%,respectively.Both were superior to that of the control group(3.55±1.89)%(P<0.05).Both two DLBCL cell lines pretreated with 5 and 10 μmol/L ibrutinib for 24 h and exhibited nuclear shrinkage at 5 μmol/L and nuclear fragmentation at 10 μmol/L.The expres-sion of phosphorylated BTK,AKT,and ERK decreased significantly after ibrutinib treatment.Ibrutinib inhibited clonogenicity in vitro(P<0.01)and cell proliferation and growth in vivo of DLBCL cells in co-culture system.The differences were statistically significant.Conclu-sion:Ibrutinib can inhibit the proliferation and induce apoptosis of SUDHL-10 and HBL-1 cell lines through a mechanism of blocking the AKT and ERK signaling pathways,as well as the proliferation of DLBCL cells in tumor microenvironment.This finding can significant-ly benefit DLBCL treatment.
Keywords:diffuse large B-cell lymphoma  ibrutinib  proliferation  apoptosis
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