Arresting the Inflammatory Drive of Chronic Lymphocytic Leukemia with Ibrutinib

Pavan Bachireddy1, Catherine J Wu2

  • 1Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts. Broad Institute of MIT and Harvard, Cambridge, Massachusetts. Harvard Medical School, Boston, Massachusetts. Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.

Insights

Agents targeting the B-cell receptor pathway in chronic lymphocytic leukemia (CLL) show clinical success partly by disrupting the tumor microenvironment. Further investigation reveals immunomodulatory effects and potential targets for chronic inflammation in CLL.

Area of Science:

  • Immunology
  • Oncology
  • Pharmacology

Background:

  • B-cell receptor (BCR) signaling pathway inhibitors have demonstrated clinical efficacy in chronic lymphocytic leukemia (CLL).
  • The tumor microenvironment plays a critical role in CLL pathogenesis and progression.
  • The interplay between CLL cells and their microenvironment influences treatment response.

Purpose of the Study:

  • To investigate the immunomodulatory effects of agents targeting the BCR signaling pathway in CLL.
  • To explore how these agents disrupt the CLL microenvironment.
  • To identify potential therapeutic targets for mitigating the chronic inflammatory drive in CLL.

Main Methods:

  • Analysis of immunomodulatory effects of BCR pathway inhibitors.
  • Assessment of microenvironmental disruption caused by these agents.
  • Exploration of unique CLL immunobiology.

Main Results:

  • Clinical success of BCR pathway inhibitors may be attributed to microenvironmental disruption.
  • These agents exhibit significant immunomodulatory effects within the CLL microenvironment.
  • The study illuminates the complex immunobiology of CLL.

Conclusions:

  • Disrupting the CLL microenvironment is a key mechanism for BCR pathway inhibitors.
  • Understanding these immunomodulatory effects highlights novel therapeutic strategies.
  • Potential targets for dismantling chronic inflammation in CLL have been identified.

Related Concept Videos

Energy to Drive Translocation01:37

Energy to Drive Translocation

Mitochondrial protein import is powered by two distinct energy sources: ATP hydrolysis and electrochemical potential across the inner membrane. Newly synthesized precursors are bound by cytosolic chaperones of the Hsp70 family, which guide them to the import receptors on the mitochondrial surface. Utilizing the energy of ATP hydrolysis, Hsp70 chaperones transfer these precursors to the TOM receptors on the mitochondrial outer membrane.
Generally, polypeptides are unfolded by two distinct...
2.9K
Inflammatory Response01:28

Inflammatory Response

An inflammatory response is a localized, nonspecific immune reaction that occurs when a tissue is injured. It is characterized by redness, swelling, heat, and pain, which are commonly called the cardinal signs and symptoms of inflammation. Inflammation can sometimes result in a loss of function.
Inflammation can be triggered by various stimuli, such as impact, abrasion, chemical irritation, infections, and extreme hot or cold temperatures. These can damage cells and connective tissue fibers,...
17.1K
Inflammatory Response II: Inflammatory Exudate and Tissue Repair01:24

Inflammatory Response II: Inflammatory Exudate and Tissue Repair

The immune system's inflammatory response destroys the invading pathogen, permitting the tissue to heal. The changes during the cellular and vascular stages allow exudate formation at the site of inflammation. The inflammatory exudate released from the wound has high protein content and a specific gravity above 1.020.
The typical wound exudate is odorless, transparent, straw-colored, thin, and watery. Exudate, however, can differ depending on the state of wound healing. Likewise, the...
8.1K
M-Cdk Drives Transition Into Mitosis02:15

M-Cdk Drives Transition Into Mitosis

Checkpoints throughout the cell cycle serve as safeguards and gatekeepers, allowing the cell cycle to progress in favorable conditions and slow or halt it in problematic ones. This regulation is known as the cell cycle control system.
Cyclin-dependent kinases, or Cdks, work in concert with cyclins to control cell cycle transitions. M-Cdk, a complex of Cdk1 bound to M cyclin, is a well-known example of this coordinated control that drives the transition from the G2 to the M phase.
M cyclin...
6.6K
Drive-Reduction Theory: Push Theory of Motivation01:27

Drive-Reduction Theory: Push Theory of Motivation

Clark Hull's drive-reduction theory, introduced in the 1940s and 1950s and often termed the "push theory" of motivation, provides a framework for understanding how biological and learned drives influence behavior. Hull suggested that motivation originates from the need to alleviate physiological tension caused by unmet biological necessities. The theory proposes that when a basic need, such as hunger or sleep, goes unfulfilled, it creates an internal imbalance. This imbalance, or...
1.3K
Inflammatory Response I: Vascular and Cellular01:30

Inflammatory Response I: Vascular and Cellular

The inflammatory response is the body's defense against infection, injury, or irritation from bacteria, trauma, toxins, or heat. Inflammation helps locate and destroy pathogens and remove damaged tissue elements to heal the body. During this initial phase, fluid, blood products, and nutrients migrate to the injured area, resulting in redness, heat, swelling, ache, and loss of function. Moreover, signs of systemic inflammation include fever, increased WBC count, malaise, anorexia, nausea,...
16.9K