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Simultaneous Inhibition of CXCR4 and VLA-4 Exhibits Combinatorial Effect in Overcoming Stroma-Mediated Chemotherapy Resistance in Mantle Cell Lymphoma Cells

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초록

There is growing evidence that crosstalk between mantle celllymphoma (MCL) cells and stromal microenvironments, suchas bone marrow and secondary lymphoid tissues, promotestumor progression by enhancing survival and growth as wellas drug resistance of MCL cells. Recent advances in the understandingof lymphoma microenvironment have led to theidentification of crucial factors involved in the crosstalk andsubsequent generation of their targeted agents. In the presentstudy, we evaluated the combinatory effect of blockingantibodies (Ab) targeting CXCR4 and VLA-4, both of whichwere known to play significant roles in the induction of environment-mediated drug resistance (EMDR) in MCL cell line,Jeko-1. Simultaneous treatment with anti-CXCR4 and anti-VLA-4 Ab not only reduced the migration of Jeko-1 cells intothe protective stromal cells, but also enhanced sensitivityof Jeko-1 to a chemotherapeutic agent to a greater degreethan with either Ab alone. These combinatorial effects wereassociated with decreased phosphorylation of ERK1/2, AKTand NF-κB. Importantly, drug resistance could not be overcomeonce the adhesion of Jeko-1 to the stromal occurreddespite the combined use of Abs, suggesting that the effortsto mitigate migration of MCLs should be attempted as muchas possible. Our results provide a basis for a future developmentof therapeutic strategies targeting both CXCR4 andVLA-4, such as Ab combinations or bispecific antibodies, toimprove treatment outcomes of MCL with grave prognosis.

Abstract

There is growing evidence that crosstalk between mantle celllymphoma (MCL) cells and stromal microenvironments, suchas bone marrow and secondary lymphoid tissues, promotestumor progression by enhancing survival and growth as wellas drug resistance of MCL cells. Recent advances in the understandingof lymphoma microenvironment have led to theidentification of crucial factors involved in the crosstalk andsubsequent generation of their targeted agents. In the presentstudy, we evaluated the combinatory effect of blockingantibodies (Ab) targeting CXCR4 and VLA-4, both of whichwere known to play significant roles in the induction of environment-mediated drug resistance (EMDR) in MCL cell line,Jeko-1. Simultaneous treatment with anti-CXCR4 and anti-VLA-4 Ab not only reduced the migration of Jeko-1 cells intothe protective stromal cells, but also enhanced sensitivityof Jeko-1 to a chemotherapeutic agent to a greater degreethan with either Ab alone. These combinatorial effects wereassociated with decreased phosphorylation of ERK1/2, AKTand NF-κB. Importantly, drug resistance could not be overcomeonce the adhesion of Jeko-1 to the stromal occurreddespite the combined use of Abs, suggesting that the effortsto mitigate migration of MCLs should be attempted as muchas possible. Our results provide a basis for a future developmentof therapeutic strategies targeting both CXCR4 andVLA-4, such as Ab combinations or bispecific antibodies, toimprove treatment outcomes of MCL with grave prognosis.

참고문헌 (25)

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