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研究发现白血病耐药性治疗新靶点
作者:小柯机器人 发布时间:2020/5/17 12:26:11

加拿大特里福克斯实验室Xiaoyan Jiang、Katharina Rothe等研究人员合作发现,整合素链接激酶介导静息CML干细胞对酪氨酸激酶抑制剂的耐药性。相关论文于2020年5月14日在线发表在《细胞—干细胞》上。

研究人员表示,由于持续存在TKI耐药性的白血病干细胞(LSC)群体,慢性粒细胞白血病(CML)患者通常需要使用ABL1酪氨酸激酶抑制剂(TKI)进行终身治疗。
 
从转录组分析中,研究人员显示整合素连接激酶(ILK),即粘着斑的关键组成部分,在TKI不响应的患者细胞及其LSC中高度表达。ILK的遗传和药理学抑制影响了无响应患者细胞的存活,即使在存在保护性微环境细胞的情况下,它们也对TKI敏感。此外,ILK抑制在体外和体内消除了患者的TKI耐药性LSC,但没有消除正常的HSC。RNA测序和功能验证研究表明,ILK在维持静态LSC中线粒体氧化代谢水平方面起着重要作用。因此,这些发现表明ILK是TKI和静态干细胞的关键生存因子,从而为干细胞驱动型癌症的联合疗法提供了治疗靶点和模型。
 
附:英文原文
 
Title: Integrin-Linked Kinase Mediates Therapeutic Resistance of Quiescent CML Stem Cells to Tyrosine Kinase Inhibitors

Author: Katharina Rothe, Artem Babaian, Naoto Nakamichi, Min Chen, Shawn C. Chafe, Akie Watanabe, Donna L. Forrest, Dixie L. Mager, Connie J. Eaves, Shoukat Dedhar, Xiaoyan Jiang

Issue&Volume: 2020-05-14

Abstract: Patients with chronic myeloid leukemia (CML) often require lifelong therapy with ABL1tyrosine kinase inhibitors (TKIs) due to a persisting TKI-resistant population ofleukemic stem cells (LSCs). From transcriptome profiling, we show integrin-linkedkinase (ILK), a key constituent of focal adhesions, is highly expressed in TKI-nonresponsivepatient cells and their LSCs. Genetic and pharmacological inhibition of ILK impairedthe survival of nonresponder patient cells, sensitizing them to TKIs, even in thepresence of protective niche cells. Furthermore, ILK inhibition eliminated TKI-refractoryLSCs from patients, but not normal HSCs, in vitro and in vivo. RNA-sequencing and functional validation studies implicated an important role ofILK in maintaining a requisite level of mitochondrial oxidative metabolism in highlypurified, quiescent LSCs. Thus, these findings point to ILK as a critical survivalmediator to TKIs and quiescent stem cells, offering an attractive therapeutic targetand model for curative combination therapies in stem-cell-driven cancers.

DOI: 10.1016/j.stem.2020.04.005

Source: https://www.cell.com/cell-stem-cell/fulltext/S1934-5909(20)30144-2

期刊信息

Cell Stem Cell:《细胞—干细胞》,创刊于2007年。隶属于细胞出版社,最新IF:21.464
官方网址:https://www.cell.com/cell-stem-cell/home
投稿链接:https://www.editorialmanager.com/cell-stem-cell/default.aspx