NYMC Faculty Publications
Ibrutinib Significantly Inhibited Bruton's Tyrosine Kinase (BTK) Phosphorylation, In-Vitro Proliferation and Enhanced Overall Survival in a Preclinical Burkitt Lymphoma (BL) Model
DOI
10.1080/2162402X.2018.1512455
Journal Title
Oncoimmunology
First Page
e1512455
Document Type
Article
Publication Date
October 2018
Department
Pediatrics
Abstract
Pediatric and adult patients with recurrent/refractory Burkitt lymphoma (BL) continue to have poor outcomes, emphasizing the need for newer therapeutic agents. Bruton's tyrosine kinase (BTK) is activated following B-cell receptor stimulation and in part regulates normal B-cell development. Ibrutinib, a selective and irreversible BTK inhibitor, has been efficacious in chronic lymphocytic leukemia (CLL), mantle cell lymphoma (MCL), Waldenstrom's macroglobulinemia, and marginal zone lymphoma. In this study, we investigated the efficacy of ibrutinib alone and in selective adjuvant combinations against BL in-vitro and in a human BL xenografted immune-deficient NOD.Cg-Prkdc(scid)Il2rg(tm1Wjl)/SzJ (NSG) mouse model. Our data demonstrated that phospho-BTK level was significantly reduced in BL cells treated with ibrutinib (p<0.001). Moreover, we observed a significant decrease in cell proliferation as well as significant decrease in IC50 of ibrutinib in combination with dexamethasone, rituximab, obinutuzumab, carfilzomib, and doxorubicin (p<0.001). In-vivo studies demonstrated ibrutinib treated mice had a significantly prolonged survival with median survival of mice following ibrutinib treatment (32 days) (24 days) (p<0.02). In conclusion, our findings demonstrate the significant in-vitro and preclinical in-vivo effects of ibrutinib in BL. Based on our preclinical results in this investigation, there is an on-going clinical trial comparing overall survival in children and adolescents with relapsed/refractory BL treated with chemoimmunotherapy with or without ibrutinib (NCT02703272).
Recommended Citation
Chu, Y., Lee, S., Shah, T., Yin, C., Ayello, J., Van de Ven, C., Cairo, M. S., Perkins, S., & Cairo, M. (2018). Ibrutinib Significantly Inhibited Bruton's Tyrosine Kinase (BTK) Phosphorylation, In-Vitro Proliferation and Enhanced Overall Survival in a Preclinical Burkitt Lymphoma (BL) Model. Oncoimmunology, 8 (1), e1512455. https://doi.org/10.1080/2162402X.2018.1512455
Comments
Please see the work itself for the complete list of authors.