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Published on: November 7, 2015
Temsirolimus inhibits cell growth in combination with inhibitors of the B-cell receptor pathway
Anna-Katharina Zoellner1,2, Stephan Bayerl2, Grit Hutter2
1a Department of Internal Medicine III , University Hospital Munich-Großhadern , Germany.
Abstract:
Lately, mTOR inhibitors have gained clinical relevance in malignant lymphoma. Still, rapamycin derivatives may activate a pro-survival feedback loop through PI3K-Akt. In this current study, temsirolimus effectively reduced cell growth in GCB and ABC diffuse large cell B-cell lymphoma (GCB=30-66%, ABC=45-57%). Combination treatment with the PI3K-δ inhibitor idelalisib additively effected ABC and GCB lymphoma (GCB=16-38%, ABC=25-50%). Since Bruton's Tyrosine Kinase (BTK) plays a significant role for the survival of ABC lymphoma, this study also combined the BTK inhibitor ibrutinib with temsirolimus, which resulted in additive cell growth reduction (ibrutinib 50%, temsirolimus 44%, combination 25%) in ABC lymphoma. In contrast, bortezomib, which has been shown previously to be efficient in ABC lymphoma, revealed an antagonistic effect with temsirolimus in some GCB lymphoma (temsirolimus 53%, temsirolimus+bortezomib 63%). Western blot analysis identified the increase of phosphorylated pro-survival kinases Akt and PDK as a possible underlying mechanism of this interaction.
Insights
Temsirolimus effectively reduced lymphoma cell growth. Combining it with PI3K-δ or BTK inhibitors showed additive effects, but bortezomib revealed antagonism, possibly due to increased pro-survival kinases.
Area of Science:
- Oncology
- Pharmacology
- Cell Biology
Background:
- mTOR inhibitors are clinically relevant for malignant lymphoma.
- Rapamycin derivatives can activate pro-survival feedback loops via PI3K-Akt.
- Understanding drug interactions is crucial for optimizing lymphoma treatment.
Purpose of the Study:
- To evaluate the efficacy of temsirolimus, a mTOR inhibitor, in diffuse large B-cell lymphoma (DLBCL) subtypes.
- To investigate the additive or antagonistic effects of combining temsirolimus with other targeted therapies (PI3K-δ inhibitor, BTK inhibitor, bortezomib).
- To explore the underlying molecular mechanisms of drug interactions.
Main Methods:
- Cell growth assays were performed on GCB and ABC DLBCL cell lines.
- Combination treatments included temsirolimus with idelalisib (PI3K-δ inhibitor), ibrutinib (BTK inhibitor), or bortezomib.
- Western blot analysis was used to assess the levels of phosphorylated Akt and PDK.
Main Results:
- Temsirolimus reduced cell growth in both GCB (30-66%) and ABC (45-57%) DLBCL.
- Combination with idelalisib or ibrutinib showed additive effects on lymphoma cell growth.
- Bortezomib demonstrated an antagonistic effect with temsirolimus in some GCB lymphoma, associated with increased p-Akt and p-PDK.
Conclusions:
- Temsirolimus is effective against DLBCL, with additive benefits when combined with PI3K-δ or BTK inhibitors.
- The combination of temsirolimus and bortezomib may be antagonistic in certain lymphoma subtypes.
- Upregulation of pro-survival kinases (Akt, PDK) may mediate resistance to combination therapy.
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