在NUP98重新排列的AML中,MLL-Menin相互作用是一种治疗脆弱性
Milad Rasouli1,2, Helen Blair3, Selina Troester4
1Princess Maxima Center for pediatric Oncology, Utrecht, The Netherlands.
HemaSphere
|July 31, 2023
概括
针对Menin-MLL与revumenib的相互作用抑制了NUP98融合的儿科急性髓性白血病 (AML). 这种Menin抑制剂疗法减少了白血病细胞的生长,并改善了临床前模型的结果.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 分子生物学分子生物学
背景情况:
- 涉及NUP98位点的染色体转位在儿科急性髓性白血病 (AML) 中很常见.
- NUP98的融合导致高的HOXA和MEIS1基因表达,与预后不佳相关.
- NUP98融合蛋白依赖于Menin-MLL相互作用来招募目标基因.
研究的目的:
- 调查针对NUP98重组的AML中的Menin-MLL相互作用的有效性.
- 在临床前AML模型中评估Menin抑制剂revumenib (SNDX-5613) 的治疗潜力.
主要方法:
- 使用revumenib对初级AML细胞进行体外治疗.
- 在体内研究中,使用与患者衍生的AML细胞移植的小鼠模型.
- 对基因表达变化和与FLT3抑制剂的药物协同作用的分析.
主要成果:
- 雷文尼布损害了NUP98重新排列的AML细胞的扩散和克隆原性.
- 治疗下调了关键的NUP98融合基因,包括MEIS1和CDK6.
- 单独或与FLT3抑制剂一起使用的revumenib抑制了白血病的生长,并改善了体内生存率.
结论:
- NUP98重组的AML对Menin-MLL相互作用的抑制敏感.
- 雷文尼布证明了NUP98重新安排的AML的治疗潜力.
- 梅因抑制剂需要对NUP98融合的AML患者进行临床评估.
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