Cytotoxicity of bendamustine, alone and in combination with novel agents, toward adult T-cell leukemia cells
Adult T-cell leukemia/lymphoma (ATL) develops from the infection of T cells with human T lymphotropic virus type 1 (HTLV-1). There are an estimated 5-20 million HTLV-1 carriers worldwide and the patients are frequently observed in subtropical Africa, the Caribbean, Middle East, South America, and So...
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description | Adult T-cell leukemia/lymphoma (ATL) develops from the infection of T cells with human T lymphotropic virus type 1 (HTLV-1). There are an estimated 5-20 million HTLV-1 carriers worldwide and the patients are frequently observed in subtropical Africa, the Caribbean, Middle East, South America, and South West Japan. The prognosis of ATL remains dismal due to rapid acquired resistance to treatment with cytotoxic chemotherapeutic agents. In particular, the development of novel therapies for relapsed or refractory (R/R) ATL is an unmet need. Previous clinical trials revealed that bendamustine (BDM) was effective as the first-line treatment for indolent lymphoma and R/R cases of diffuse large B-cell lymphoma. Its major advantage is that it has few side effects such as hair loss and peripheral neuropathy, and does not impair the quality of life. However, its efficacy has not been verified for ATL in pre-clinical or clinical studies. In this study, we have shown the cytotoxicity of BDM alone and in combination with novel agents including the histone deacetylase (HDAC) inhibitor tucidinostat, the enhancer of zeste homolog 1/2 (EZH1/2) dual inhibitor valemetostat, and the Bcl2 family inhibitor ABT-737. The combined in vitro effects of BDM and tucidinostat were reproduced in a murine model without any obvious hematological toxicity. Our present results suggest that the combination of tucidinostat and BDM could additively prolong the survival of patients with R/R progressive ATL. The efficacy and safety of this combination are thus worthy of investigation in clinical settings. |
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There are an estimated 5-20 million HTLV-1 carriers worldwide and the patients are frequently observed in subtropical Africa, the Caribbean, Middle East, South America, and South West Japan. The prognosis of ATL remains dismal due to rapid acquired resistance to treatment with cytotoxic chemotherapeutic agents. In particular, the development of novel therapies for relapsed or refractory (R/R) ATL is an unmet need. Previous clinical trials revealed that bendamustine (BDM) was effective as the first-line treatment for indolent lymphoma and R/R cases of diffuse large B-cell lymphoma. Its major advantage is that it has few side effects such as hair loss and peripheral neuropathy, and does not impair the quality of life. However, its efficacy has not been verified for ATL in pre-clinical or clinical studies. In this study, we have shown the cytotoxicity of BDM alone and in combination with novel agents including the histone deacetylase (HDAC) inhibitor tucidinostat, the enhancer of zeste homolog 1/2 (EZH1/2) dual inhibitor valemetostat, and the Bcl2 family inhibitor ABT-737. The combined in vitro effects of BDM and tucidinostat were reproduced in a murine model without any obvious hematological toxicity. Our present results suggest that the combination of tucidinostat and BDM could additively prolong the survival of patients with R/R progressive ATL. The efficacy and safety of this combination are thus worthy of investigation in clinical settings.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0309533</identifier><identifier>PMID: 39348376</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Animal models ; Animals ; Antibodies ; Antineoplastic Combined Chemotherapy Protocols - pharmacology ; Antineoplastic Combined Chemotherapy Protocols - therapeutic use ; Antineoplastic drugs ; Apoptosis - drug effects ; Bcl-2 protein ; Bendamustine ; Bendamustine Hydrochloride - pharmacology ; Bendamustine Hydrochloride - therapeutic use ; Biology and Life Sciences ; Care and treatment ; Cell growth ; Cell Line, Tumor ; Chemotherapy ; Clinical trials ; Complications and side effects ; Cytotoxicity ; Diagnosis ; Disease resistance ; DNA damage ; Effectiveness ; Histone deacetylase ; Histone Deacetylase Inhibitors - pharmacology ; Histone Deacetylase Inhibitors - therapeutic use ; Humans ; Inhibitors ; Laboratory animals ; Leukemia ; Leukemia-Lymphoma, Adult T-Cell - drug therapy ; Leukemia-Lymphoma, Adult T-Cell - pathology ; Lymphocytes ; Lymphocytes B ; Lymphocytes T ; Lymphoma ; Medical prognosis ; Medicine and Health Sciences ; Mice ; Multiple myeloma ; Patient outcomes ; Patients ; People and Places ; Peripheral neuropathy ; Physical Sciences ; Quality of life ; Research and Analysis Methods ; Side effects ; T cell lymphoma ; Toxicity ; Tumors ; Xenograft Model Antitumor Assays</subject><ispartof>PloS one, 2024-09, Vol.19 (9), p.e0309533</ispartof><rights>Copyright: © 2024 Osada et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2024 Public Library of Science</rights><rights>2024 Osada et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 Osada et al 2024 Osada et al</rights><rights>2024 Osada et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c506t-29c9755417aa85355d498c5de53cc752103360f2d913c8cca0695647b9482713</cites><orcidid>0009-0004-8791-3263</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11441677/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11441677/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,886,2929,23871,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39348376$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Pilotti, Elisabetta</contributor><creatorcontrib>Osada, Naoki</creatorcontrib><creatorcontrib>Kikuchi, Jiro</creatorcontrib><creatorcontrib>Okada, Yosuke</creatorcontrib><creatorcontrib>Matsuoka, Sae</creatorcontrib><creatorcontrib>Morishita, Kazuhiro</creatorcontrib><creatorcontrib>Nakasone, Hideki</creatorcontrib><creatorcontrib>Furukawa, Yusuke</creatorcontrib><title>Cytotoxicity of bendamustine, alone and in combination with novel agents, toward adult T-cell leukemia cells</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Adult T-cell leukemia/lymphoma (ATL) develops from the infection of T cells with human T lymphotropic virus type 1 (HTLV-1). 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There are an estimated 5-20 million HTLV-1 carriers worldwide and the patients are frequently observed in subtropical Africa, the Caribbean, Middle East, South America, and South West Japan. The prognosis of ATL remains dismal due to rapid acquired resistance to treatment with cytotoxic chemotherapeutic agents. In particular, the development of novel therapies for relapsed or refractory (R/R) ATL is an unmet need. Previous clinical trials revealed that bendamustine (BDM) was effective as the first-line treatment for indolent lymphoma and R/R cases of diffuse large B-cell lymphoma. Its major advantage is that it has few side effects such as hair loss and peripheral neuropathy, and does not impair the quality of life. However, its efficacy has not been verified for ATL in pre-clinical or clinical studies. In this study, we have shown the cytotoxicity of BDM alone and in combination with novel agents including the histone deacetylase (HDAC) inhibitor tucidinostat, the enhancer of zeste homolog 1/2 (EZH1/2) dual inhibitor valemetostat, and the Bcl2 family inhibitor ABT-737. The combined in vitro effects of BDM and tucidinostat were reproduced in a murine model without any obvious hematological toxicity. Our present results suggest that the combination of tucidinostat and BDM could additively prolong the survival of patients with R/R progressive ATL. The efficacy and safety of this combination are thus worthy of investigation in clinical settings.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>39348376</pmid><doi>10.1371/journal.pone.0309533</doi><tpages>e0309533</tpages><orcidid>https://orcid.org/0009-0004-8791-3263</orcidid><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
subjects | Animal models Animals Antibodies Antineoplastic Combined Chemotherapy Protocols - pharmacology Antineoplastic Combined Chemotherapy Protocols - therapeutic use Antineoplastic drugs Apoptosis - drug effects Bcl-2 protein Bendamustine Bendamustine Hydrochloride - pharmacology Bendamustine Hydrochloride - therapeutic use Biology and Life Sciences Care and treatment Cell growth Cell Line, Tumor Chemotherapy Clinical trials Complications and side effects Cytotoxicity Diagnosis Disease resistance DNA damage Effectiveness Histone deacetylase Histone Deacetylase Inhibitors - pharmacology Histone Deacetylase Inhibitors - therapeutic use Humans Inhibitors Laboratory animals Leukemia Leukemia-Lymphoma, Adult T-Cell - drug therapy Leukemia-Lymphoma, Adult T-Cell - pathology Lymphocytes Lymphocytes B Lymphocytes T Lymphoma Medical prognosis Medicine and Health Sciences Mice Multiple myeloma Patient outcomes Patients People and Places Peripheral neuropathy Physical Sciences Quality of life Research and Analysis Methods Side effects T cell lymphoma Toxicity Tumors Xenograft Model Antitumor Assays |
title | Cytotoxicity of bendamustine, alone and in combination with novel agents, toward adult T-cell leukemia cells |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-13T13%3A04%3A41IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Cytotoxicity%20of%20bendamustine,%20alone%20and%20in%20combination%20with%20novel%20agents,%20toward%20adult%20T-cell%20leukemia%20cells&rft.jtitle=PloS%20one&rft.au=Osada,%20Naoki&rft.date=2024-09-30&rft.volume=19&rft.issue=9&rft.spage=e0309533&rft.pages=e0309533-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0309533&rft_dat=%3Cgale_plos_%3EA810663221%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3111459110&rft_id=info:pmid/39348376&rft_galeid=A810663221&rfr_iscdi=true |