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:SBNO2 is a critical mediator of STAT3-driven hematological malignancies.
SBNO2 is a critical mediator of STAT3-driven hematological malignancies.
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信号转导和转录激活因子3(STAT3)基因的功能获得性突变在大颗粒淋巴细胞白血病(LGLL)患者以及部分自然杀伤(NK)/T细胞和成人T细胞白血病/淋巴瘤病例中被反复发现。为了理解导致疾病发生和肿瘤性转化的后果及分子机制,我们建立了表达突变型STAT3Y640F的小鼠造血干细胞和祖细胞模型。这些细胞表现出加速的增殖和增强的自我更新潜能。
我们将STAT3Y640F转化细胞的基因表达分析和染色质占据谱分析与T-LGLL患者的数据进行整合。这种方法揭示了一组保守的STAT3Y640F直接转录靶标。其中,strawberry notch homolog 2(SBNO2)代表一个必需的转录靶标,通过比较性全基因组CRISPR/Cas9功能缺失筛选鉴定出来。STAT3-SBNO2轴也存在于NK细胞白血病、T细胞非霍奇金淋巴瘤和NPM-ALK重排的T细胞间变性大细胞淋巴瘤(T-ALCL)中,这些疾病由STAT3过度激活/突变驱动。在NPM-ALK+ T-ALCL患者中,高SBNO2表达与较短的无复发生存期和总生存期相关。
我们的发现将SBNO2确定为STAT3驱动的造血系统恶性肿瘤的潜在治疗干预靶点。
Gain-of-function mutations in the signal transducer and activator of transcription 3 (STAT3) gene are recurrently identified in patients with large granular lymphocytic leukemia (LGLL) and in some cases of natural killer (NK)/T-cell and adult T-cell leukemia/lymphoma.
To understand the consequences and molecular mechanisms contributing to disease development and oncogenic transformation, we developed murine hematopoietic stem and progenitor cell models that express mutated STAT3Y640F. These cells show accelerated proliferation and enhanced self-renewal potential.
We integrated gene expression analyses and chromatin occupancy profiling of STAT3Y640F-transformed cells with data from patients with T-LGLL. This approach uncovered a conserved set of direct transcriptional targets of STAT3Y640F. Among these, strawberry notch homolog 2 (SBNO2) represents an essential transcriptional target, which was identified by a comparative genome-wide CRISPR/Cas9-based loss-of-function screen.
The STAT3-SBNO2 axis is also present in NK-cell leukemia, T-cell non-Hodgkin lymphoma, and NPM-ALK-rearranged T-cell anaplastic large cell lymphoma (T-ALCL), which are driven by STAT3-hyperactivation/mutation. In patients with NPM-ALK+ T-ALCL, high SBNO2 expression correlates with shorter relapse-free and overall survival.
Our findings identify SBNO2 as a potential therapeutic intervention site for STAT3-driven hematopoietic malignancies.
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