PO.ET06.05 · 实验与分子治疗
靶向Rac1作为T细胞淋巴瘤的治疗易感靶点
Targeting Rac1 as a therapeutic vulnerability in T-cell lymphomas
作者与单位 Authors & Affiliations
摘要 Abstract
中文摘要
T细胞淋巴瘤(TCL)是一类侵袭性强、异质性高的肿瘤,治疗选择有限且预后差,凸显了寻找新型分子靶点的必要性。在本研究中,我们探讨了Rac1(一种调控细胞骨架动力学、迁移和存活通路的Rho GTPase)作为TCL潜在治疗易感靶点的可能性。Rac1在这些促肿瘤过程中的核心作用提示,抑制Rac1可能成为限制淋巴瘤生长和播散的创新策略。我们首先在一组TCL细胞系(EL4、CUTLL1、OCI-Ly12、OCI-Ly13.2、HuT78、MJ、Karpas299)中评估了药理学Rac1抑制剂1A-116的抗淋巴瘤活性。通过发光法评估细胞活力,并在处理48小时后通过caspase-3/7活性评估凋亡。我们发现,1A-116在所有模型中均显著降低细胞活力(p<0.01),IC₅₀值范围为20至250 μM,并诱导caspase活性增加60-200%(p<0.05)。与健康小鼠淋巴结对照相比,基础Rac1表达升高,各细胞系增加30-60%(p<0.05)。与此一致,基础磷酸化PAK 1-3水平(Rac1通路激活的指标)在大多数细胞系中显著升高,但HuT78和Karpas299除外,这两者是对Rac1抑制最耐药的细胞。为进一步验证靶向Rac1的治疗潜力,我们使用了荷皮下EL4肿瘤的同基因小鼠模型。连续九天每日腹腔注射1A-116(20 mg/kg)显著减少了肿瘤生长,肿瘤曲线下面积平均减少80%(p=0.0071),最终肿瘤体积减少79%(p=0.0175),且无明显毒性迹象。最后,对三个独立的TCL RNA-seq数据集(GSE113113、GSE168508、GSE58445)的分析表明,Rac1激活因子(如VAV1和TIAM2)以及下游效应因子(如PAK2和GSK3)表达升高与疾病进展和较差的生存相关(p<0.05)。与这些发现一致,14例TCL活检样本的Rac1免疫染色显示所有病例均呈阳性表达,凸显了Rac1信号在TCL中的临床相关性。综上所述,这些结果确认Rac1是TCL的关键分子驱动因素,并确立其药理学抑制作为一种有前景且具有转化相关性的治疗策略。我们的研究为进一步评估Rac1抑制剂(单独使用或联合方案)以改善T细胞淋巴瘤患者的治疗结局提供了充分的理论依据。总体而言,这些数据将Rac1信号确认为一个有前景的靶点,可能拓展这些侵袭性恶性肿瘤目前有限的治疗格局。
查看英文原文 English abstract
T-cell lymphomas (TCL) are aggressive and heterogeneous neoplasms with limited therapeutic options and poor prognosis, underscoring the need for novel molecular targets. Here, we investigated Rac1, a Rho GTPase that regulates cytoskeletal dynamics, migration, and survival pathways, as a potential therapeutic vulnerability in TCL. Its central role in these tumor-promoting processes suggests that Rac1 inhibition could represent an innovative strategy to limit lymphoma growth and dissemination. We first evaluated the anti-lymphoma activity of the pharmacological Rac1 inhibitor 1A-116 in a panel of TCL cell lines (EL4, CUTLL1, OCI-Ly12, OCI-Ly13.2, HuT78, MJ, Karpas299). Cell viability was assessed by luminescence assay, and apoptosis by caspase-3/7 activity after 48 h of treatment. We found that 1A-116 markedly reduced cell viability in all models (p<0.01), with IC₅₀ values ranging from 20 to 250 µM, and induced a 60-200% increase in caspase activity (p<0.05). Basal Rac1 expression was elevated compared with healthy murine lymph node controls, showing a 30-60% increase across cell lines (p<0.05). Consistently, basal phosphorylated PAK 1-3 levels, an indicator of Rac1 pathway activation, were significantly higher in most lines, except for HuT78 and Karpas299, the most resistant cells to Rac1 inhibition. To further validate the therapeutic potential of Rac1 targeting, we used a syngeneic mouse model bearing subcutaneous EL4 tumors. Daily intraperitoneal injections of 1A-116 (20 mg/kg) for nine consecutive days significantly reduced tumor growth, showing an average 80% reduction in tumor area under the curve (p=0.0071) and a 79% decrease in final tumor volume (p=0.0175), with no overt signs of toxicity. Finally, analysis of three independent TCL RNA-seq datasets (GSE113113, GSE168508, GSE58445) showed that increased expression of Rac1 activators such as VAV1 and TIAM2, and downstream effectors such as PAK2 and GSK3 correlates with advanced disease and poorer survival (p<0.05). In line with these findings, Rac1 immunostaining in 14 TCL biopsies revealed positive expression in all cases, underscoring the clinical relevance of Rac1 signaling in TCL. Together, these results identify Rac1 as a key molecular driver in TCL and establish its pharmacological inhibition as a promising and translationally relevant therapeutic strategy. Our study provides a strong rationale for further evaluation of Rac1 inhibitors, either alone or in combination regimens, to improve treatment outcomes in patients with T-cell lymphomas. Overall, these data identify Rac1 signaling as a promising target that may expand the currently limited treatment landscape for these aggressive malignancies.
利益披露 Disclosure
L. Alvarado, None..
M. M. Debernardi, None..
G. Gonzalez, None..
H. A. Sterle, None..
V. G. Sanchez, None..
S. Palmer, None..
S. Rivarola, None..
J. Real, None..
B. Julio, None..
G. A. Cardama, None..
F. Cayrol, None.