Ibrutinib interferes with the cell-mediated anti-tumor activities of therapeutic CD20 antibodies: implications for combination therapy

Autor: Martino Introna, Paul W. H. I. Parren, Fabio Da Roit, Alessandro Rambaldi, Ronald P. Taylor, Giuseppe Gritti, Josée Golay, Frank J. Beurskens, Esther C.W. Breij, Patrick J. Engelberts
Rok vydání: 2014
Předmět:
Pyrazoles/pharmacology
Neutrophils
Chronic lymphocytic leukemia
Fluorescent Antibody Technique
Lymphoma
B-Cell/drug therapy

Apoptosis
Pharmacology
Complement Activation/drug effects
Cell Proliferation/drug effects
chemistry.chemical_compound
Piperidines
Obinutuzumab
hemic and lymphatic diseases
Antineoplastic Combined Chemotherapy Protocols
Pyrimidines/pharmacology
Complement Activation
Cells
Cultured

Killer Cells
Natural/drug effects

CD20
biology
Neutrophils/cytology
Antibodies
Monoclonal

Articles
Hematology
Flow Cytometry
Quinazolinones/pharmacology
Killer Cells
Natural

Leukemia
Ibrutinib
Idelalisib
Purines/pharmacology
Lymphoma
B-Cell

Phagocytosis/drug effects
Blotting
Western

Ofatumumab
Phagocytosis
medicine
Humans
Bruton's tyrosine kinase
Cell Proliferation
Quinazolinones
Adenine
Macrophages
Apoptosis/drug effects
Antibody-Dependent Cell Cytotoxicity
Macrophages/cytology
Leukemia
Lymphocytic
Chronic
B-Cell/drug therapy

Antigens
CD20

medicine.disease
Leukemia
Lymphocytic
Chronic
B-Cell

Antibodies
Monoclonal/pharmacology

Pyrimidines
chemistry
Purines
Case-Control Studies
biology.protein
Pyrazoles
Antigens
CD20/immunology
Zdroj: Da Roit, F, Engelberts, P J, Taylor, R P, Breij, E C, Gritti, G, Rambaldi, A, Introna, M, Parren, P W, Beurskens, F J & Golay, J 2015, ' Ibrutinib interferes with the cell-mediated anti-tumor activities of therapeutic CD20 antibodies: implications for combination therapy ', Haematologica, vol. 100, no. 1, pp. 77-86 . https://doi.org/10.3324/haematol.2014.107011
ISSN: 1592-8721
0390-6078
DOI: 10.3324/haematol.2014.107011
Popis: The novel Bruton tyrosine kinase inhibitor ibrutinib and phosphatidyl-4-5-biphosphate 3-kinase-δ inhibitor idelalisib are promising drugs for the treatment of chronic lymphocytic leukemia and B-cell non-Hodgkin lymphoma, either alone or in combination with anti-CD20 antibodies. We investigated the possible positive or negative impact of these drugs on all known mechanisms of action of both type I and type II anti-CD20 antibodies. Pretreatment with ibrutinib for 1 hour did not increase direct cell death of cell lines or chronic lymphocytic leukemia samples mediated by anti-CD20 antibodies. Pre-treatment with ibrutinib did not inhibit complement activation or complement-mediated lysis. In contrast, ibrutinib strongly inhibited all cell-mediated mechanisms induced by anti- CD20 antibodies rituximab, ofatumumab or obinutuzumab, either in purified systems or whole blood assays. Activation of natural killer cells, and antibody-dependent cellular cytotoxicity by these cells, as well as phagocytosis by macrophages or neutrophils were inhibited by ibrutinib with a half maximal effective concentration of 0.3-3 μM. Analysis of anti-CD20 mediated activation of natural killer cells isolated from patients on continued oral ibrutinib treatment suggested that repeated drug dosing inhibits these cells in vivo. Finally we show that the phosphatidyl- 4-5-biphosphate 3-kinase-δ inhibitor idelalisib similarly inhibited the immune cell-mediated mechanisms induced by anti-CD20 antibodies, although the effects of this drug at 10 μM were weaker than those observed with ibrutinib at the same concentration. We conclude that the design of combined treatment schedules of anti- CD20 antibodies with these kinase inhibitors should consider the multiple negative interactions between these two classes of drugs.
Databáze: OpenAIRE