三氧化二砷联合普纳替尼对白血病细胞KG-1的抑制效应研究
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1.常州市第二人民医院;2.常州市第三人民医院

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常州市卫健委重大科技项目(编号ZD202213)


Effects of the arsenic trioxide and ponatinib against human leukemic KG-1 cells
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    摘要:

    目的: 探讨小分子酪氨酸激酶抑制剂普纳替尼联合三氧化二砷(ATO,AS2O3)对人急性髓系白血病细胞株KG-1细胞的影响及可能的作用机制。方法: CCK-8法检测普纳替尼及ATO对KG-1细胞增殖的影响;流式细胞术 Annexin Ⅴ/PI双重染色法检测对细胞凋亡的影响;实时荧光定量PCR检测细胞凋亡相关基因的表达;Western blot法检测凋亡相关蛋白、FGFR1蛋白及信号通路分子磷酸化水平的表达变化。 结果: ① ATO及普纳替尼对KG-1细胞的增殖抑制作用呈剂量依赖性,两药联合作用较单药作用组具有更强的增殖抑制率、更少的集落形成及更多的细胞凋亡,差异均有统计学意义。②与DMSO组相比, 在基因及蛋白水平上,ATO或普纳替尼单药均能显著下调BCL-2表达,上调Bax及Caspase-3表达(P均<0.05);与单药组相比,联合用药组均更加显著的促进Bax及Caspase-3基因表达(P均<0.001);与普纳替尼单独作用相比,ATO的加入能进一步上调Cleaved-Caspase-3蛋白表达(P均<0.001)。③普纳替尼单药能显著抑制FGFR1基因及蛋白的表达(P均<0.01),但ATO的加入并未使FGFR1表达进一步下降;信号通路研究显示,ATO可以显著抑制m-TOR和MAPK、STAT5磷酸化水平(P均<0.001),但对PI3K/AKT、STAT3及FGFR1蛋白表达无明显影响。普纳替尼可以显著抑制FGFR1蛋白表达及STAT3、STAT5磷酸化水平(P均<0.001),但对PI3K/AKT及MAPK磷酸化表达无明显作用。两药联合后,STAT3的磷酸化水平较ATO或普纳替尼单药组进一步下调(P均<0.01)。 结论: 普纳替尼及ATO可以通过不同机制抑制KG-1细胞增殖及集落形成并诱导细胞凋亡;两药联合可进一步增强对KG-1细胞株的抑制效应。

    Abstract:

    Objective: To explore the effects and possible mechanisms of the arsenic trioxide (ATO, AS2O3) and FGFR inhibitor ponatinb on KG-1 cells in vitro. Methods: Effects of ATO and ponatinib on cells proliferation were detected by [基金项目:常州市卫健委重大科技项目(编号ZD202213) *通讯作者(Corresponding author),E-mail:848021532@qq.com.] CCK-8, the apoptosis was assessed by Annexin V-FITC. Reverse transcriptionquantitative polymerase chain reaction (q-PCR) analysis was used to detect the expression of B cell lymphoma-2 (Bcl-2) , Bax,caspase-3 and FGR1. Western blotting analysis was performed to explore the proteins expression levels of Bcl-2,Bax,Cleaved- caspase-3,FGR1 and the expression of p-PI3K/AKT/mTOR, p-MAPK, p-STAT3/5 and FGFR1. Results; ①ATO and ponatinib effectively inhibited cell proliferation by dose dependent manners. ATO combined with ponatinib synergistically inhibitted the viability of KG-1 cells, more significantly reduced the colony formation and induced apoptosis as compared to the single drug treatment. ②Treatment with either ATO or ponatinib at 1/2 IC50 led to significant increases in the expression levels of Bax, caspase-3, and decreases in the expression of Bcl-2(P<0.05). ATO combined with ponatinib synergistically increased Bax and caspase-3 mRNA expression as compared to the single drug treatment(P<0.001). The combination treatment also more significantly promoted the expression of Cleaved-Caspase-3 protein(P<0.001). ③Ponatinib markedly down-regulated the phosphorylation of STAT3/5, and FGFR1 expression(P<0.001), but not p-PI3K/AKT and p-MAPK. ATO significantly down-regulated p-MAPK, m-TOR, and p-STAT5, but not p-PI3K/AKT, p-STAT3and FGFR1. However, ATO enhanced the effect of ponatinib which decreased the phosphorylation of p-STAT3(P<0.01). Conclusion: ATO and ponatinib can inhibit KG-1 cell proliferation, colony formation and induce cell apotosis through different mechanism. The combination can further enhance the inhibitory on KG-1 cells.

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  • 收稿日期:2022-10-21
  • 最后修改日期:2024-06-30
  • 录用日期:2024-10-10
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