Transcriptomics

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The AKT inhibitiontor capivasertib potentiates the efficacy of the BTK inhibitor inhibitor and anti-CD20-based therapeutic regimens acalabrutinib in preclinical models of ABC-DLBCL


ABSTRACT: Relapsed and refractory diffuse large B-cell lymphoma (DLBCL) is an aggressive B-cell malignancy that has inadequate treatment options. BTK inhibitors such as acalabrutinib have demonstrated preclinical and clinical activity in the activated B-cell (ABC) DLBCL subset however tumour responses are modest resulting in short-term tumour control. To understand what limits BTK inhibits signaling mediated resistance was explored in vitro. BTK inhibition delivered through siRNA-mediated BTK down regulation or acalabrutinib treatment identified of AKT as a candidate resistance driver. In vitro combination of acalabrutinib with the AKT inhibitor capivasertib increased cell death in ABC-DLBCL cell lines, TMD8 and OCI-LY10. In vivo the combination benefit in resulted in tumor regressions in TMD8, OCI-LY10 tumor xenografts and stasis in an ABC-DLBCL PDX tumor which was associated with a reduction of S6 kinase phosphorylation and suppression of mTORC1 signaling gene expression. Notably RNA sequencing analysis of TMD8 cells and xenograft tumors revealed an enhancement of MS4A1 (CD20) gene expression following combination treatment in surviving cells. Adding rituximab to the combination further augmented in vivo efficacy driving to persistent tumor regressions of TMD8 tumours that were sustained following dosing cessation. In ABC-DLBCL targeting the BTK inhibitor induced feedback AKT reactivation can enhance efficacy, and furthermore, the combination of acalabrutinib and capivasertib primes tumor cells for CD20 targeted therapy with potential to deliver long-term durable responses in ABC-DLCBL.

ORGANISM(S): Homo sapiens

PROVIDER: GSE344915 | GEO | 2026/09/05

REPOSITORIES: GEO

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