通过高通量查识别的药物组合促进细胞循环过渡,并升调髓瘤中Smad通路
Tyler J Peat1, Snehal M Gaikwad2, Wendy Dubois2
1Laboratory of Cancer Biology and Genetics, Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA; Department of Comparative Pathobiology, Purdue University, West Lafayette, IN, USA.
Cancer letters
|June 25, 2023
概括
新的药物组合有望通过减少MYC和增强p16活性来治疗多发性骨髓瘤 (MM). 这些协同疗法有效地向耐药性MM细胞,并在临床前模型中改善存活率.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 遗传学 是一个遗传学.
背景情况:
- 耐药性和疾病进展是多发性骨髓瘤 (MM) 治疗中的重大挑战.
- 需要新的治疗策略和药物组合来克服耐药性.
研究的目的:
- 确定和验证多发性骨髓瘤 (MM) 的协同药物组合.
- 研究这些组合对MYC表达和p16活性的影响.
- 在临床前MM模型中评估有前途组合的疗效.
主要方法:
- 在47MM细胞系中进行高通量药物查.
- 在 silico Huber 强大的回归分析用于药物反应预测.
- 评估MYC蛋白和p16表达水平.
- 在可移植的老鼠模型中对先进MM的评估.
- 患者衍生细胞的活体治疗.
主要成果:
- 确定了43种潜在的协同作用药物组合.
- 六种组合协同降低了MYC和增加了p16表达.
- 顶级组合显示了对抗性和敏感的MM细胞的协同活力降低,节省了纤维细胞.
- 三种组合在临床前MM模型中延长了生存时间,并降低了患者细胞活力.
- 分析显示细胞循环和TGFβ/SMAD信号通路的调节.
结论:
- 临床前数据确定了对耐药性MM的有希望的药物组合.
- 这些组合在降低MM细胞活力和改善存活率方面表现出有效性.
- 该研究揭示了联合药物敏感性的潜在机制,包括MYC/p16调制和TGFβ/SMAD信号传递.
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