不适合移植的大 B 细胞淋巴瘤二线使用 axicabtagene ciloleucel:ALYCANTE 最终分析
Second-line axicabtagene ciloleucel in large B-cell lymphoma ineligible for transplantation: ALYCANTE final analysis.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:PLCγ1/PKCθ Downstream Signaling Controls Cutaneous T-Cell Lymphoma Development and Progression.
PLCγ1/PKCθ Downstream Signaling Controls Cutaneous T-Cell Lymphoma Development and Progression.
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建立机制学依据可改善皮肤T细胞淋巴瘤的临床管理。已有大量遗传学和生物学证据表明,存在一个受TCR/PLCγ1活性失调高度影响的恶性信号网络,控制着这些病变的生物学行为。
此外,活化的信号转导与转录激活因子3与临床进展相关,尽管导致这一现象的改变尚未完全阐明。本研究探讨了可介导STAT3激活并控制肿瘤生长与进展的PLCγ1依赖机制。在PLCγ1下游,对蛋白激酶C theta(PKCθ)的药理学抑制和基因敲低可抑制皮肤T细胞淋巴瘤细胞中信号转导与转录激活因子3的激活,损害增殖并促进凋亡。在蕈样肉芽肿/Sézary综合征细胞中发现的PKCθ依赖性转录组揭示了控制细胞因子信号、TP53和肌动蛋白细胞骨架动力学的潜在效应基因。与此一致,移植蕈样肉芽肿细胞的体内鸡胚模型显示,阻断PKCθ可消除肿瘤生长及其向远处器官的扩散。
最后,在81例人蕈样肉芽肿样本中,蕈样肉芽肿细胞中发现的多个PKCθ靶基因的表达与PRKCQ(PKCθ)的表达显著相关。
总之,PKCθ可通过包括但不限于STAT3在内的多条途径,在恶性皮肤T细胞淋巴瘤机制的激活中发挥核心作用。这些机制反过来可作为特异性治疗的靶点。
Developing mechanistic rationales can improve the clinical management of cutaneous T-cell lymphomas. There is considerable genetic and biological evidence of a malignant network of signaling mechanisms, highly influenced by deregulated TCR/PLCγ1 activity, controlling the biology of these lesions.
In addition, activated signal transducer and activator of transcription 3 is associated with clinical progression, although the alterations responsible for this have not been fully elucidated.
Here, we studied PLCγ1-dependent mechanisms that can mediate STAT3 activation and control tumor growth and progression. Downstream of PLCγ1, the pharmacological inhibition and genetic knockdown of protein kinase C theta (PKCθ) inhibited signal transducer and activator of transcription 3 activation, impaired proliferation, and promoted apoptosis in cutaneous T-cell lymphoma cells.
A PKCθ-dependent transcriptome in mycosis fungoides/Sézary syndrome cells revealed potential effector genes controlling cytokine signaling, TP53, and actin cytoskeleton dynamics. Consistently, an in vivo chicken embryo model xenografted with mycosis fungoides cells showed that PKCθ blockage abrogates tumor growth and spread to distant organs.
Finally, the expression of a number of PKCθ target genes found in mycosis fungoides cells significantly correlated with that of PRKCQ (PKCθ) in 81 human mycosis fungoides samples. In summary, PKCθ can play a central role in the activation of malignant cutaneous T-cell lymphoma mechanisms via multiple routes, including, but not restricted to, STAT3. These mechanisms may, in turn, serve as targets for specific therapies.
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