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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Veröffentlicht in:PloS one 2024-09, Vol.19 (9), p.e0309533
Hauptverfasser: Osada, Naoki, Kikuchi, Jiro, Okada, Yosuke, Matsuoka, Sae, Morishita, Kazuhiro, Nakasone, Hideki, Furukawa, Yusuke
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container_issue 9
container_start_page e0309533
container_title PloS one
container_volume 19
creator Osada, Naoki
Kikuchi, Jiro
Okada, Yosuke
Matsuoka, Sae
Morishita, Kazuhiro
Nakasone, Hideki
Furukawa, Yusuke
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.
doi_str_mv 10.1371/journal.pone.0309533
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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. 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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