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  • American Association for Cancer Research (AACR)  (3)
  • 2015-2019  (3)
  • 1
    In: Clinical Cancer Research, American Association for Cancer Research (AACR), Vol. 25, No. 8 ( 2019-04-15), p. 2483-2493
    Abstract: Biological explanation for discrepancies in patient-related response to chemotherapy depending on the underlying oncogenic events is a promising research area. TLX1- or TLX3-deregulated T-cell acute lymphoblastic leukemias (T-ALL; TLX1/3+) share an immature cortical phenotype and similar transcriptional signatures. However, their prognostic impacts differ, and inconsistent clinical outcome has been reported for TLX3. We therefore hypothesized that the overlapping transcriptional profiles of TLX1+ and TLX3+ T-ALLs would allow identification of candidate genes, which might determine their distinct clinical outcomes. Experimental Design: We compared TLX1+ and TLX3+ adult T-ALL outcome in the successive French national LALA-94 and GRAALL-2003/2005 multicentric trials and analyzed transcriptomic data to identify differentially expressed genes. Epigenetic regulation of asparagine synthetase (ASNS) and in vitro l-asparaginase sensitivity were evaluated for T-ALL cell lines and primary samples. Results: We show that TLX1+ patients expressed low levels of ASNS when compared with TLX3+ and TLX-negative patients, due to epigenetic silencing of ASNS by both DNA methylation and a decrease of active histone marks. Promoter methylation of the ASNS gene correlated with l-asparaginase sensitivity in both T-ALL cell lines and patient-derived xenografts. Finally, ASNS promoter methylation was an independent prognostic factor for both event-free survival [HR, 0.42; 95% confidence interval (CI), 0.24–0.71; P = 0.001] and overall survival (HR, 0.40; 95% CI, 0.23–0.70; P = 0.02) in 160 GRAALL-2003/2005 T-ALL patients and also in an independent series of 47 LL03-treated T lymphoblastic lymphomas (P = 0.012). Conclusions: We conclude that ASNS methylation status at diagnosis may allow individual adaptation of l-asparaginase dose.
    Type of Medium: Online Resource
    ISSN: 1078-0432 , 1557-3265
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2019
    detail.hit.zdb_id: 1225457-5
    detail.hit.zdb_id: 2036787-9
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 78, No. 13_Supplement ( 2018-07-01), p. 801-801
    Abstract: Background: NHWD870 (Ningbo Wenda Pharma, China) is a novel oral bromodomain and extraterminal (BET) protein family inhibitor. BET proteins are transcriptional co-activators that interact with multiple co-regulatory molecules at gene promoters and enhancers. BET inhibitors disrupt transcriptional regulatory complexes and have broad anticancer activity. The relation between the cellular pharmacokinetics (PK) and targeted-gene regulation governing the biological effects of BET inhibitors is still largely not understood. We analyzed cellular PK properties and CMYC and related genes modulation in NHWD870-sensitive and resistant leukemic cell lines. Materials and Methods. Established human cell lines from acute and chronic myeloid leukemia (HL-60, U937, K562), acute lymphoblastic leukemia (Jurkat, MOLT-3) and SET-2 a JAK2 V617F mutated-megakaryoblastic cell line were studied. Anti-proliferative effects of NHWD870 were assessed by MTT after 72h-exposure. For cellular PK studies, cells were seeded at 2.106cells/ml and exposed to 245.5 ng/ml (500nM) NHWD870 for 0, 3, 10, 30, 60, 120 and 180 min. At each time point, NHWD870 extracellular and intracellular concentrations were analyzed in cell supernatants and pellets respectively, using Ultra Performance Liquid Chromatography with tandem Mass Spectrometry (concentration range 0.1-100 ng/mL). In cell pellets, protein modulation was analyzed by Western blot using commercial antibodies. Results: IC50 values were between 20-600 nM in HL60, U937, SET-2 and Jurkat cells and were ≥ 1,000 nM for other cell lines. Cellular uptake of NHWD870 was rapid (3 min) in both sensitive and resistant leukemic cell lines, with a mean concentration of ~5.0 ng/106 cells (3-8.5 ng/106cells) and ~3.1 ng/106 cells (2.8-3.5 ng /106cells) for HL60 and K562 cell line respectively, whereas extracellular levels of NHWD870 were stable with up to 3h exposure. In the resistant cell line, K562, we observed CMYC mRNA downregulation after 2h exposure, even though NHWD870 intracellular levels were detected after 5 min exposure. A rapid downregulation of CMYC and P21 proteins were observed in the sensitive cell lines, HL60, U937, SET-2 and Jurkat, whereas other BET-targeted genes, such as HEXIM and BCL2 levels were modulated after longer exposure time points in sensitive cell lines. Conclusions: NHWD870 intracellular accumulation occurred to a similar extent and timing in NHWD870 sensitive and resistant leukemic cell lines. Rapid modulation of NHWD870-target genes was observed at the protein levels only in sensitive cell lines. Citation Format: Maria E. Riveiro, Samuel Huguet, Marie-francoise Gauzan, Mohamed Bekradda, Nenghui Wang, François Lokiec, Olivier Madar, Keyvan Rezai. Cellular pharmacokinetics and molecular pharmacodynamics studies of a novel BET inhibitor NHWD870 in sensitive and resistant leukemic cell lines [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2018; 2018 Apr 14-18; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2018;78(13 Suppl):Abstract nr 801.
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
    RVK:
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2018
    detail.hit.zdb_id: 2036785-5
    detail.hit.zdb_id: 1432-1
    detail.hit.zdb_id: 410466-3
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  • 3
    In: Clinical Cancer Research, American Association for Cancer Research (AACR), Vol. 25, No. 22 ( 2019-11-15), p. 6606-6613
    Abstract: Tyrosine kinase inhibitor (TKI) discontinuation is an emerging goal in chronic myelogenous leukemia (CML) management and several studies have demonstrated the feasibility of safely stopping imatinib. A sustained deep molecular response on long-term TKI is critical prior to attempting treatment-free remission. Reproducible results from several studies reported recently, failed to identify robust and reproducible predictive factors for the selection of the best candidates for successful TKI cessation. Patients and Methods: We conducted a prospective national phase II study evaluating the cessation of imatinib after at least 2 years of MR4.5 obtained on imatinib first-line in patients with chronic phase CML. Results: A total of 218 patients with de novo chronic phase CML were involved in the study. The median follow-up after imatinib cessation was 23.5 (1–64) months, 2 patients died from unrelated causes, and 107 experienced a confirmed increase in BCR-ABL1 levels defined as molecular recurrence. The molecular recurrence-free survival was 52% [95% confidence interval (CI), 45%–59%] at 6 months, and 50% (95% CI, 43%–57%) at 24 months. Droplet digital PCR (ddPCR) was used to evaluate more accurately low levels of BCR-ABL1 in 175 of 218 patients at imatinib cessation. To apply positive BCR-ABL1/ABL1 ratios on the international scale (IS), a conversion factor was calculated for ddPCR and the significant cut-off point was established at 0.0023%IS. In a multivariate analysis, the duration of TKI (≥74.8 months) and ddPCR (≥0.0023%IS) were the two identified predictive factors of molecular recurrence, with P = 0.0366 (HR, 0.635; 95% CI, 0.415–0.972] and P = 0.008 (HR, 0.556; 95% CI, 0.360–0.858), respectively. Conclusions: We conclude that the duration of TKI and residual leukemic cell load as determined by ddPCR are key factors for predicting successful treatment-free remission for patients with de novo chronic phase CML. See related commentary by Yan et al., p. 6561
    Type of Medium: Online Resource
    ISSN: 1078-0432 , 1557-3265
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2019
    detail.hit.zdb_id: 1225457-5
    detail.hit.zdb_id: 2036787-9
    Library Location Call Number Volume/Issue/Year Availability
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