Abstract

BackgroundBcl-2 family members play an important role in the development of malignant lymphoma and can induce drug resistance in anticancer treatment. The development of small molecules targeting Bcl-2 family proteins may be a new strategy for the treatment of malignant lymphoma. In this study, we investigate the antitumor effect and cellular mechanism of a novel Bcl-2/Bcl-xL dual inhibitor, BM-1197, in DCBCL and Burkitt lymphoma cells.MethodsThe CCK-8 assay was used to detect cell viability. Apoptosis was determined by Hoechst 33258 staining and flow cytometry. The activity of caspase-3/caspase-9 was determined using a caspase-3/caspase-9 activity kit. Western blotting analysis was performed to evaluate the changes in protein expression. Functional analysis was performed via immunoprecipitation and siRNA interference. Human malignant lymphoma xenograft models in nude mice were established for in vivo efficacy detection.ResultsWe find that BM-1197 exerts potent growth-inhibitory activity against lymphoma cells that harbor high expression of Bcl-2 and Bcl-xL in vitro and has a synergistic effect with chemotherapeutic drugs. Mechanistically, we see that the intrinsic apoptosis pathway is activated upon BM-1197 treatment. BM-1197 affects the protein interactions of Bak/Bcl-xl, Bim/Bcl-2, Bim/Bcl-xl, and PUMA/Bcl-2 and induces conformational changes in the Bax protein, which result in the activation of Bax and release of cytochrome c, activate caspase − 9, − 3, and − 7 and finally induce cell apoptosis. Furthermore, our data demonstrate that BM-1197 exhibits strong anti-tumor effects against established human malignant lymphoma xenograft models.ConclusionsOur study demonstrated BM-1197 exerts potent antitumor effects both in vitro and in vivo and provides promising preclinical data for the further development of BM-1197 in malignant lymphoma.

Highlights

  • Bcl-2 family members play an important role in the development of malignant lymphoma and can induce drug resistance in anticancer treatment

  • The prognostic role of isolated Bcl-2 overexpression has been diminished by the addition of rituximab [9], it remains significant in activated B-cell (ABC) subtype disease

  • High expression level of Bcl-2 predicts sensitivity to BM1197 The expression of Bcl-2 family proteins was examined in eight different B cell-derived lymphoma cell lines and one T-cell-derived acute T-cell leukemia cell line

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Summary

Introduction

Bcl-2 family members play an important role in the development of malignant lymphoma and can induce drug resistance in anticancer treatment. The development of small molecules targeting Bcl-2 family proteins may be a new strategy for the treatment of malignant lymphoma. Bcl-2 is upregulated by translocation or other mechanisms, including Bcl-2 gain/amplification, in approximately 50% of DLBCL [7]. The Bcl-2 protein promotes the survival of cancer cells by inhibiting apoptosis, and it induces resistance to chemotherapy. The prognostic role of isolated Bcl-2 overexpression has been diminished by the addition of rituximab [9], it remains significant in activated B-cell (ABC) subtype disease. ABC DLBCL is more commonly mediated by Bcl-2 gain amplification and is associated with inferior PFS [10]. Bcl-2 inhibition is an attractive therapeutic target for B cell lymphoma

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