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Published on: June 6, 2025
Bone marrow X kinase-mediated signal transduction in irradiated vascular endothelium
Tianxiang Tu1, Dinesh Thotala, Ling Geng
1Department of Radiation Oncology, Vanderbilt University School of Medicine, Nashville, TN 37232-5671, USA.
Abstract:
Radiation-induced activation of the phosphatidyl inositol-3 kinase/Akt signal transduction pathway requires Akt binding to phosphatidyl-inositol phosphates (PIP) on the cell membrane. The tyrosine kinase bone marrow X kinase (Bmx) binds to membrane-associated PIPs in a manner similar to Akt. Because Bmx is involved in cell growth and survival pathways, it could contribute to the radiation response within the vascular endothelium. We therefore studied Bmx signaling within the vascular endothelium. Bmx was activated rapidly in response to clinically relevant doses of ionizing radiation. Bmx inhibition enhanced the efficacy of radiotherapy in endothelial cells as well as tumor vascular endothelium in lung cancer tumors in mice. Retroviral shRNA knockdown of Bmx protein enhanced human umbilical vascular endothelial cell (HUVEC) radiosensitization. Furthermore, pretreatment of HUVEC with a pharmacologic inhibitor of Bmx, LFM-A13, produced significant radiosensitization of endothelial cells as measured by clonogenic survival analysis and apoptosis as well as functional assays including cell migration and tubule formation. In vivo, LFM-A13, when combined with radiation, resulted in significant tumor microvascular destruction as well as enhanced tumor growth delay. Bmx therefore represents a molecular target for the development of novel radiosensitizing agents.
Insights
Targeting bone marrow X kinase (Bmx) with inhibitors like LFM-A13 can enhance radiotherapy efficacy. Inhibiting Bmx in endothelial cells and tumor vasculature radiosensitizes them, leading to improved tumor growth delay.
Area of Science:
- Molecular Biology
- Cell Signaling
- Oncology
Background:
- Phosphatidyl inositol-3 kinase/Akt pathway activation by radiation requires Akt binding to phosphatidyl-inositol phosphates (PIP).
- Bone marrow X kinase (Bmx), a tyrosine kinase, also binds PIPs and is involved in cell growth and survival.
- Bmx signaling in vascular endothelium may contribute to radiation response.
Purpose of the Study:
- Investigate Bmx signaling in vascular endothelium following ionizing radiation.
- Determine if Bmx inhibition can radiosensitize endothelial cells and tumor vasculature.
- Evaluate Bmx as a molecular target for radiosensitizing agents.
Main Methods:
- Studied Bmx activation in response to ionizing radiation in endothelial cells.
- Used retroviral shRNA to knock down Bmx protein in human umbilical vascular endothelial cells (HUVECs).
- Administered Bmx inhibitor LFM-A13 to HUVECs and in mouse lung cancer models.
- Assessed radiosensitization using clonogenic survival, apoptosis, cell migration, and tubule formation assays.
- Evaluated tumor microvascular destruction and tumor growth delay in vivo.
Main Results:
- Bmx was rapidly activated by clinically relevant doses of ionizing radiation.
- Bmx inhibition enhanced radiosensitization in endothelial cells and tumor vascular endothelium.
- shRNA knockdown of Bmx and LFM-A13 treatment significantly radiosensitized HUVECs.
- LFM-A13 combined with radiation caused significant tumor microvascular destruction and enhanced tumor growth delay in mice.
Conclusions:
- Bmx signaling is activated by ionizing radiation in vascular endothelium.
- Inhibiting Bmx, a PIP-binding tyrosine kinase, enhances radiotherapy efficacy.
- Bmx is a promising molecular target for developing novel radiosensitizing agents to improve cancer treatment.
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