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    达沙替尼体外抑制慢性淋巴细胞白血病增殖及BTKC481S功能

    Dasatinib inhibits the proliferation of chronic lymphocytic leukemia cells and function of BTKC481S in vitro

    • 摘要: 目的 探讨达沙替尼(BMS-354825)体外对慢性淋巴细胞白血病(chronic lymphocytic leukemia,CLL)细胞系增殖及野生型/耐药突变型布鲁顿激酶(BTK)活化及功能的影响。方法 观察不同浓度的达沙替尼对CLL细胞系的增殖抑制作用。采用不同浓度的达沙替尼及伊布替尼处理外源性表达野生型BTK及常见突变子BTKC481S、BTKT474F及BTKT474I/C481S的细胞系,Western blot检测BTK及其下游靶点PLCγ2的磷酸化水平。结果 达沙替尼能显著抑制CLL细胞系MEC-1及JVM3细胞的增殖,且呈剂量依赖性,IC50分别为3.54 μmol/L及 0.65 μmol/L;0.5 μmol/L的伊布替尼及0.2 μmol/L的达沙替尼可抑制野生型BTK及PLCγ2的磷酸化活化。当BCR信号激活后,BTKC481S、BTKT474F及BTKT474I/C481S均可功能性激活并磷酸化活化下游PLCγ2,这些突变子均对生理浓度的伊布替尼耐药。0.5 μmol/L的达沙替尼体外可抑制BTKC481S活化并进而抑制PLCγ2活化,但不能抑制BTKT474F及BTKT474I/C481S的活化,提示沙替尼体可克服BTKC481S导致的耐药而对"守门员"位点突变无效。结论 达沙替尼可抑制野生型BTK及BTKC481S激酶活化及功能并抑制CLL细胞增殖,有望解决BTKC481S引发的伊布替尼耐药。

       

      Abstract: Objective To investigate the effect of dasatinib (BMS-354825) on the proliferation of chronic lymphocytic leukemia (CLL) cell lines and the activation and function of wild-type/ibrutinib-resistant bruton tyrosine kinase (BTK) in vitro.Methods The inhibitory effect of dasatinib at different concentrations on the proliferation of CLL cell lines were observed. After transfection of indicated plasmids (wild-type BTK and its mutants BTKC481S, BTKT474F and BTKT474I/C481S) and treatment with dasatinib and ibrutinib, the phosphorylation levels of BTK and its initial downstream target PLCγ2 were measured by Western blot.Results The proliferation of CLL cell lines MEC-1 and JVM3 cells were significantly inhibited by dasatinib in a dose-dependent manner with an IC50 value of 3.54 mol/L and 0.65 mol/L, respectively. The phosphorylation of wild-type BTK and PLCγ2 was inhibited by 0.5 mol/L ibrutinib and 0.2 mol/L dasatinib. Upon activation of the BCR signaling, BTKC481S, BTKT474F and BTKT474I/C481S were functionally activated and phosphorylated its downstream target PLCγ2. All the mutations were resistant to ibrutinib at physical concentrations. Furthermore, 0.5 mol/L dasatinib inhibited the activation of BTKC481S followed by inhibition of PLCγ2 activation, but did not suppress the activation of BTKT474F and BTKT474I/C481S, which suggested that dasatinib might overcome BTKC481S-induced resistance to ibrutinib, without effect on "gatekeeper" BTK alterations.Conclusions Dasatinib inhibits the activation and function of both wild-type BTK and BTKC481S and hence inhibits the proliferation of CLL cells, which is promising to overcome ibrutinib resistance caused by BTKC481S.

       

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