Simultaneous targeting of glycolysis and oxidative phosphorylation as a therapeutic strategy to treat diffuse large B-cell lymphoma

© 2022. The Author(s)..

BACKGROUND: We evaluated the therapeutic potential of combining the monocarboxylate transporter 1 (MCT1) inhibitor AZD3965 with the mitochondrial respiratory Complex I inhibitor IACS-010759, for the treatment of diffuse large B-cell lymphoma (DLBCL), a potential clinically actionable strategy to target tumour metabolism.

METHODS: AZD3965 and IACS-010759 sensitivity were determined in DLBCL cell lines and tumour xenograft models. Lactate concentrations, oxygen consumption rate and metabolomics were examined as mechanistic endpoints. In vivo plasma concentrations of IACS-010759 in mice were determined by LC-MS to select a dose that reflected clinically attainable concentrations.

RESULTS: In vitro, the combination of AZD3965 and IACS-010759 is synergistic and induces DLBCL cell death, whereas monotherapy treatments induce a cytostatic response. Significant anti-tumour activity was evident in Toledo and Farage models when the two inhibitors were administered concurrently despite limited or no effect on the growth of DLBCL xenografts as monotherapies.

CONCLUSIONS: This is the first study to examine a combination of two distinct approaches to targeting tumour metabolism in DLBCL xenografts. Whilst nanomolar concentrations of either AZD3965 or IACS-010759 monotherapy demonstrate anti-proliferative activity against DLBCL cell lines in vitro, appreciable clinical activity in DLBCL patients may only be realised through their combined use.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:127

Enthalten in:

British journal of cancer - 127(2022), 5 vom: 26. Sept., Seite 937-947

Sprache:

Englisch

Beteiligte Personen:

Noble, Richard A [VerfasserIn]
Thomas, Huw [VerfasserIn]
Zhao, Yan [VerfasserIn]
Herendi, Lili [VerfasserIn]
Howarth, Rachel [VerfasserIn]
Dragoni, Ilaria [VerfasserIn]
Keun, Hector C [VerfasserIn]
Vellano, Christopher P [VerfasserIn]
Marszalek, Joseph R [VerfasserIn]
Wedge, Stephen R [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Monocarboxylic Acid Transporters
Research Support, Non-U.S. Gov't
Symporters

Anmerkungen:

Date Completed 02.09.2022

Date Revised 13.11.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1038/s41416-022-01848-w

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM341411183