Ciprian Jitaru, Mareike Cathrina Peters, Lovisha Aggarwal, Anamaria Bancos, Adrian Bogdan Tigu, Diana Cenariu, Cristina Selicean, Sergiu Pasca, Vlad Moisoiu, Petra Rotariu, Maria Santa, Sabina Iluta, Rares Drula, David Kegyes, Aranka Kurtus, Mihnea Zdrenghea, Lukasz Gondek, Ciprian Tomuleasa, Gabriel Ghiaur
<p>The introduction of the combination therapy hypomethylating agents (HMA) with venetoclax established a new standard of care for patients with de novo AML who are unfit for intensive cytotoxic treatment.<span><sup>1</sup></span> Standard dose HMA (pulse-cycled administration for 5–7 days every 4 weeks) used as a single agent or in combination exerts indiscriminate cytotoxic effects on both tumour cells and healthy haematopoietic tissue<span><sup>2, 3</sup></span> Historically, the dosing schedule of HMA treatments was initially established based on the maximum tolerated dose (decitabine [DEC]: 1500–2500 mg/m<sup>2</sup>), proving impractical in AML patients due to prolonged myelosuppression.<span><sup>4</sup></span> Empiric down titration yielded clinically effective doses of HMAs with acceptable side effects (DEC: 20 mg/kg/day).<span><sup>5, 6</sup></span> As an epigenetic modulator at non-cytotoxic doses (0.1–0.2 mg/kg/day), DEC incorporates into newly synthesized DNA and depletes the chromatin-modifying enzyme DNA methyltransferase 1 (DNMT1). Hypomethylation of tumour cell-specific dysregulated DNA methylation patterns leads to changes in gene expression, restoring cell differentiation in favour of cell proliferation.<span><sup>7</sup></span> Simultaneously, normal haematopoietic stem cells are stimulated to self-renew,<span><sup>8</sup></span> while committed progenitors are prompted to differentiate, thus limiting toxic effects on healthy haematopoietic cells.<span><sup>8</sup></span> Higher frequency administrations of HMAs at lower concentrations might decrease treatment-related complications, thereby providing a reasonable treatment strategy for extremely unfit patients with AML.</p><p>For in vitro studies, seven AML cell lines were used (MV4-11, TF-1, THP1, MOLM-14, OCI-AML3, OCI-AML5 and UCSD-AML1). Cells were cultured in RPMI Medium 1640 (Gibco) supplemented with 10% heat-inactivated fetal bovine serum, 2 mM L-glutamine (Gibco) and 100 units/mL Pen/Strep (Gibco) at 37°C, 5% CO2. Cell viability post-drug treatment was evaluated using the CellTiter 96 AQueous One Solution kit (Promega). Cells were seeded in 96-well plates and treated with 0.5 μM DEC and venetoclax (VEN) starting from 10 μM up to eight 10-fold dilutions, or DEC alone, using seven ten-fold dilutions starting from 5 μM. In all drug experiments, corresponding cell-free reactions were established for background correction. Triplicate measurements were conducted for all dose–response experiments. The absorbance values were read using CLARIOstar Plus Microplate Reader. Data were analysed using MS Excel and visualized using GraphPad Prism. The combination index was calculated using the Bliss independence formula to assess drug synergism.<span><sup>13</sup></span></p><p>Patients were deemed ‘unfit for intensive therapy’ clinically by the treating physician. The study protocol was approved by the ethics committee of the Oncology Institute ‘Prof. Dr. Ion Chiricuţă’ Cluj-Napoca, R
DK、CT、BT 和 RD 由罗马尼亚科学家学院 (Academia Oamenilor de Stiinta din Romania) 2023-2024 年度国家基金资助。MCP 由罗马尼亚骨髓移植协会(Nr. 2/01.03.2022)的国家基金和 Iuliu Hatieganu 医药大学医学院的内部基金资助。DK 的部分资金来自 Iuliu Hatieganu 大学医学院的拨款,以及罗马尼亚国家研究、创新和数字化部的两项拨款:项目 539PED (PN-III-P2-2.1-PED-2019-3640)、项目 PD 122 (PN-III-P1-1.1.-PD-2019-0805),以及罗马尼亚和冰岛欧洲经济空间 2021-2023 年国际合作赠款:"三级研究教育领域知识转让、国际化和课程创新合作战略-AURORA"。GG 项目由罗马尼亚国家研究、创新和数字化部提供资助:Project PN-III-P4-ID-PCE-2020-1118.CT 还得到了罗马尼亚国家研究、创新和数字化部的三项基金支持:PN-III-P4-ID-PCCF-2016-0112(PNCDI III)项目、PN-III-P1-1.1-TE-2019-0271(PN-III-P1-1.1-TE-2019-0271 for Young Research Teams 2020-2022)项目和 13-BM/2020 (PN-III-CEI-BIM-PBE-2020-0016) (PN-III-CEI-BIM-PBE-2020-0016)项目。
{"title":"Single low-dose decitabine as frontline therapy of acute myeloid leukaemia, with venetoclax salvage","authors":"Ciprian Jitaru, Mareike Cathrina Peters, Lovisha Aggarwal, Anamaria Bancos, Adrian Bogdan Tigu, Diana Cenariu, Cristina Selicean, Sergiu Pasca, Vlad Moisoiu, Petra Rotariu, Maria Santa, Sabina Iluta, Rares Drula, David Kegyes, Aranka Kurtus, Mihnea Zdrenghea, Lukasz Gondek, Ciprian Tomuleasa, Gabriel Ghiaur","doi":"10.1111/jcmm.18592","DOIUrl":"10.1111/jcmm.18592","url":null,"abstract":"<p>The introduction of the combination therapy hypomethylating agents (HMA) with venetoclax established a new standard of care for patients with de novo AML who are unfit for intensive cytotoxic treatment.<span><sup>1</sup></span> Standard dose HMA (pulse-cycled administration for 5–7 days every 4 weeks) used as a single agent or in combination exerts indiscriminate cytotoxic effects on both tumour cells and healthy haematopoietic tissue<span><sup>2, 3</sup></span> Historically, the dosing schedule of HMA treatments was initially established based on the maximum tolerated dose (decitabine [DEC]: 1500–2500 mg/m<sup>2</sup>), proving impractical in AML patients due to prolonged myelosuppression.<span><sup>4</sup></span> Empiric down titration yielded clinically effective doses of HMAs with acceptable side effects (DEC: 20 mg/kg/day).<span><sup>5, 6</sup></span> As an epigenetic modulator at non-cytotoxic doses (0.1–0.2 mg/kg/day), DEC incorporates into newly synthesized DNA and depletes the chromatin-modifying enzyme DNA methyltransferase 1 (DNMT1). Hypomethylation of tumour cell-specific dysregulated DNA methylation patterns leads to changes in gene expression, restoring cell differentiation in favour of cell proliferation.<span><sup>7</sup></span> Simultaneously, normal haematopoietic stem cells are stimulated to self-renew,<span><sup>8</sup></span> while committed progenitors are prompted to differentiate, thus limiting toxic effects on healthy haematopoietic cells.<span><sup>8</sup></span> Higher frequency administrations of HMAs at lower concentrations might decrease treatment-related complications, thereby providing a reasonable treatment strategy for extremely unfit patients with AML.</p><p>For in vitro studies, seven AML cell lines were used (MV4-11, TF-1, THP1, MOLM-14, OCI-AML3, OCI-AML5 and UCSD-AML1). Cells were cultured in RPMI Medium 1640 (Gibco) supplemented with 10% heat-inactivated fetal bovine serum, 2 mM L-glutamine (Gibco) and 100 units/mL Pen/Strep (Gibco) at 37°C, 5% CO2. Cell viability post-drug treatment was evaluated using the CellTiter 96 AQueous One Solution kit (Promega). Cells were seeded in 96-well plates and treated with 0.5 μM DEC and venetoclax (VEN) starting from 10 μM up to eight 10-fold dilutions, or DEC alone, using seven ten-fold dilutions starting from 5 μM. In all drug experiments, corresponding cell-free reactions were established for background correction. Triplicate measurements were conducted for all dose–response experiments. The absorbance values were read using CLARIOstar Plus Microplate Reader. Data were analysed using MS Excel and visualized using GraphPad Prism. The combination index was calculated using the Bliss independence formula to assess drug synergism.<span><sup>13</sup></span></p><p>Patients were deemed ‘unfit for intensive therapy’ clinically by the treating physician. The study protocol was approved by the ethics committee of the Oncology Institute ‘Prof. Dr. Ion Chiricuţă’ Cluj-Napoca, R","PeriodicalId":101321,"journal":{"name":"JOURNAL OF CELLULAR AND MOLECULAR MEDICINE","volume":"28 20","pages":""},"PeriodicalIF":5.3,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11494484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142466368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G protein-coupled receptor (GPCR) kinase 2 (GRK2) is an integrative node in many signalling network cascades. An emerging study indicates that GRK2 can interact with GPCRs and non-GPCR substrates in both kinase-dependent and -independent modes. Alterations in the functional levels of GRK2 have been found in a variety of renal diseases, such as hypertension-related kidney injury, sepsis-associated acute kidney injury (S-AKI), cardiorenal syndrome (CRS), acute kidney injury (AKI), age-related kidney injury or hyperglycemia-related kidney injury. Abnormal GRK2 expression contribute to the development of renal diseases, making them promising molecular targets for treating renal diseases. Blocking the prostaglandin E2 (PGE2)-EP1-Gaq-Ca2+ signal pathway in glomerular mesangial cells (GMCs) by internalizing prostaglandin E2 receptor 1 (EP1) with GRK2 may be a potential treatment for diabetic nephropathy (DN). In addition, GRK2 inhibition may have therapeutic effects in a variety of renal diseases, such as SLE-related kidney injury, DN, age-related kidney injury, hypertension-related kidney injury, and CRS. However, there is still a long way to go for the large-scale application of GRK2 inhibition in the field of renal diseases. In this review, we discuss recent updates in understanding the role of GRK2 in kidney dysfunction. Furthermore, we explore the potential of GRK2 as a possible therapeutic target for renal pathologies. We believe it will shed light on the future development of small-molecule inhibitors of GRK, as well as the clinical applications in renal diseases.
{"title":"The roles of G protein-coupled receptor kinase 2 in renal diseases","authors":"Jiayin Du, Xiaoyan Wu, Lihua Ni","doi":"10.1111/jcmm.70154","DOIUrl":"10.1111/jcmm.70154","url":null,"abstract":"<p>G protein-coupled receptor (GPCR) kinase 2 (GRK2) is an integrative node in many signalling network cascades. An emerging study indicates that GRK2 can interact with GPCRs and non-GPCR substrates in both kinase-dependent and -independent modes. Alterations in the functional levels of GRK2 have been found in a variety of renal diseases, such as hypertension-related kidney injury, sepsis-associated acute kidney injury (S-AKI), cardiorenal syndrome (CRS), acute kidney injury (AKI), age-related kidney injury or hyperglycemia-related kidney injury. Abnormal GRK2 expression contribute to the development of renal diseases, making them promising molecular targets for treating renal diseases. Blocking the prostaglandin E<sub>2</sub> (PGE<sub>2</sub>)-EP1-Gaq-Ca<sup>2+</sup> signal pathway in glomerular mesangial cells (GMCs) by internalizing prostaglandin E<sub>2</sub> receptor 1 (EP1) with GRK2 may be a potential treatment for diabetic nephropathy (DN). In addition, GRK2 inhibition may have therapeutic effects in a variety of renal diseases, such as SLE-related kidney injury, DN, age-related kidney injury, hypertension-related kidney injury, and CRS. However, there is still a long way to go for the large-scale application of GRK2 inhibition in the field of renal diseases. In this review, we discuss recent updates in understanding the role of GRK2 in kidney dysfunction. Furthermore, we explore the potential of GRK2 as a possible therapeutic target for renal pathologies. We believe it will shed light on the future development of small-molecule inhibitors of GRK, as well as the clinical applications in renal diseases.</p>","PeriodicalId":101321,"journal":{"name":"JOURNAL OF CELLULAR AND MOLECULAR MEDICINE","volume":"28 20","pages":""},"PeriodicalIF":5.3,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11495970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142501111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}