ABT-199, a potent and selective BCL-2 inhibitor, achieves antitumor activity while sparing platelets.

Abstract:

:Proteins in the B cell CLL/lymphoma 2 (BCL-2) family are key regulators of the apoptotic process. This family comprises proapoptotic and prosurvival proteins, and shifting the balance toward the latter is an established mechanism whereby cancer cells evade apoptosis. The therapeutic potential of directly inhibiting prosurvival proteins was unveiled with the development of navitoclax, a selective inhibitor of both BCL-2 and BCL-2-like 1 (BCL-X(L)), which has shown clinical efficacy in some BCL-2-dependent hematological cancers. However, concomitant on-target thrombocytopenia caused by BCL-X(L) inhibition limits the efficacy achievable with this agent. Here we report the re-engineering of navitoclax to create a highly potent, orally bioavailable and BCL-2-selective inhibitor, ABT-199. This compound inhibits the growth of BCL-2-dependent tumors in vivo and spares human platelets. A single dose of ABT-199 in three patients with refractory chronic lymphocytic leukemia resulted in tumor lysis within 24 h. These data indicate that selective pharmacological inhibition of BCL-2 shows promise for the treatment of BCL-2-dependent hematological cancers.

journal_name

Nat Med

journal_title

Nature medicine

authors

Souers AJ,Leverson JD,Boghaert ER,Ackler SL,Catron ND,Chen J,Dayton BD,Ding H,Enschede SH,Fairbrother WJ,Huang DC,Hymowitz SG,Jin S,Khaw SL,Kovar PJ,Lam LT,Lee J,Maecker HL,Marsh KC,Mason KD,Mitten MJ,Nimmer PM

doi

10.1038/nm.3048

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

202-8

issue

2

eissn

1078-8956

issn

1546-170X

pii

nm.3048

journal_volume

19

pub_type

杂志文章
  • Deficiency of the hepatokine selenoprotein P increases responsiveness to exercise in mice through upregulation of reactive oxygen species and AMP-activated protein kinase in muscle.

    abstract::Exercise has numerous health-promoting effects in humans; however, individual responsiveness to exercise with regard to endurance or metabolic health differs markedly. This 'exercise resistance' is considered to be congenital, with no evident acquired causative factors. Here we show that the anti-oxidative hepatokine ...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm.4295

    authors: Misu H,Takayama H,Saito Y,Mita Y,Kikuchi A,Ishii KA,Chikamoto K,Kanamori T,Tajima N,Lan F,Takeshita Y,Honda M,Tanaka M,Kato S,Matsuyama N,Yoshioka Y,Iwayama K,Tokuyama K,Akazawa N,Maeda S,Takekoshi K,Matsugo S,

    更新日期:2017-04-01 00:00:00

  • A p53-dependent mechanism underlies macrocytic anemia in a mouse model of human 5q- syndrome.

    abstract::The identification of the genes associated with chromosomal translocation breakpoints has fundamentally changed understanding of the molecular basis of hematological malignancies. By contrast, the study of chromosomal deletions has been hampered by the large number of genes deleted and the complexity of their analysis...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm.2063

    authors: Barlow JL,Drynan LF,Hewett DR,Holmes LR,Lorenzo-Abalde S,Lane AL,Jolin HE,Pannell R,Middleton AJ,Wong SH,Warren AJ,Wainscoat JS,Boultwood J,McKenzie AN

    更新日期:2010-01-01 00:00:00

  • Tumor innate immunity primed by specific interferon-stimulated endogenous retroviruses.

    abstract::Mesenchymal tumor subpopulations secrete pro-tumorigenic cytokines and promote treatment resistance1-4. This phenomenon has been implicated in chemorefractory small cell lung cancer and resistance to targeted therapies5-8, but remains incompletely defined. Here, we identify a subclass of endogenous retroviruses (ERVs)...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/s41591-018-0116-5

    authors: Cañadas I,Thummalapalli R,Kim JW,Kitajima S,Jenkins RW,Christensen CL,Campisi M,Kuang Y,Zhang Y,Gjini E,Zhang G,Tian T,Sen DR,Miao D,Imamura Y,Thai T,Piel B,Terai H,Aref AR,Hagan T,Koyama S,Watanabe M,Baba H,

    更新日期:2018-08-01 00:00:00

  • Identification of a hormonal basis for gallbladder filling.

    abstract::The cycle of gallbladder filling and emptying controls the flow of bile into the intestine for digestion. Here we show that fibroblast growth factor-15, a hormone made by the distal small intestine in response to bile acids, is required for gallbladder filling. These studies demonstrate that gallbladder filling is act...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm1501

    authors: Choi M,Moschetta A,Bookout AL,Peng L,Umetani M,Holmstrom SR,Suino-Powell K,Xu HE,Richardson JA,Gerard RD,Mangelsdorf DJ,Kliewer SA

    更新日期:2006-11-01 00:00:00

  • A newly discovered human pneumovirus isolated from young children with respiratory tract disease.

    abstract::From 28 young children in the Netherlands, we isolated a paramyxovirus that was identified as a tentative new member of the Metapneumovirus genus based on virological data, sequence homology and gene constellation. Previously, avian pneumovirus was the sole member of this recently assigned genus, hence the provisional...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/89098

    authors: van den Hoogen BG,de Jong JC,Groen J,Kuiken T,de Groot R,Fouchier RA,Osterhaus AD

    更新日期:2001-06-01 00:00:00

  • Role of NMDA receptor-dependent activation of SREBP1 in excitotoxic and ischemic neuronal injuries.

    abstract::Excitotoxic neuronal damage caused by overactivation of N-methyl-D-aspartate glutamate receptors (NMDARs) is thought to be a principal cause of neuronal loss after stroke and brain trauma. Here we report that activation of sterol regulatory element binding protein-1 (SREBP-1) transcription factor in affected neurons i...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm.2064

    authors: Taghibiglou C,Martin HG,Lai TW,Cho T,Prasad S,Kojic L,Lu J,Liu Y,Lo E,Zhang S,Wu JZ,Li YP,Wen YH,Imm JH,Cynader MS,Wang YT

    更新日期:2009-12-01 00:00:00

  • Locoregional delivery of CAR T cells to the cerebrospinal fluid for treatment of metastatic medulloblastoma and ependymoma.

    abstract::Recurrent medulloblastoma and ependymoma are universally lethal, with no approved targeted therapies and few candidates presently under clinical evaluation. Nearly all recurrent medulloblastomas and posterior fossa group A (PFA) ependymomas are located adjacent to and bathed by the cerebrospinal fluid, presenting an o...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/s41591-020-0827-2

    authors: Donovan LK,Delaidelli A,Joseph SK,Bielamowicz K,Fousek K,Holgado BL,Manno A,Srikanthan D,Gad AZ,Van Ommeren R,Przelicki D,Richman C,Ramaswamy V,Daniels C,Pallota JG,Douglas T,Joynt ACM,Haapasalo J,Nor C,Vladoiu MC,

    更新日期:2020-05-01 00:00:00

  • In situ genetic analysis of cellular chimerism.

    abstract::Copy number variants are a recently discovered source of large-scale genomic diversity present in all individuals. We capitalize on these inherent genomic differences, focusing on deletion polymorphisms, to develop informative fluorescence in situ hybridization probes with the ability to unequivocally distinguish betw...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm.1862

    authors: Wu D,Vu Q,Nguyen A,Stone JR,Stubbs H,Kuhlmann G,Sholl LM,Iafrate AJ

    更新日期:2009-02-01 00:00:00

  • Notch3 signaling promotes the development of pulmonary arterial hypertension.

    abstract::Notch receptor signaling is implicated in controlling smooth muscle cell proliferation and in maintaining smooth muscle cells in an undifferentiated state. Pulmonary arterial hypertension is characterized by excessive vascular resistance, smooth muscle cell proliferation in small pulmonary arteries, leading to elevati...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm.2021

    authors: Li X,Zhang X,Leathers R,Makino A,Huang C,Parsa P,Macias J,Yuan JX,Jamieson SW,Thistlethwaite PA

    更新日期:2009-11-01 00:00:00

  • Autocrine angiogenic vascular prosthesis with bone marrow transplantation.

    abstract::Synthetic vascular prostheses are foreign bodies, so that blood coagulation can occur on their luminal surfaces, causing graft occlusion very frequently in prostheses of small diameter. A vascular prosthesis needs angiogenesis for endothelialization of the luminal surface, as endothelial cells have natural and permane...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm0196-90

    authors: Noishiki Y,Tomizawa Y,Yamane Y,Matsumoto A

    更新日期:1996-01-01 00:00:00

  • High plasma HDL concentrations associated with enhanced atherosclerosis in transgenic mice overexpressing lecithin-cholesteryl acyltransferase.

    abstract::A subset of patients with high plasma HDL concentrations have enhanced rather than reduced atherosclerosis. We have developed a new transgenic mouse model overexpressing human lecithin-cholesteryl acyltransferase (LCAT) that has elevated HDL and increased diet-induced atherosclerosis. LCAT transgenic mouse HDLs are ab...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm0797-744

    authors: Bérard AM,Föger B,Remaley A,Shamburek R,Vaisman BL,Talley G,Paigen B,Hoyt RF Jr,Marcovina S,Brewer HB Jr,Santamarina-Fojo S

    更新日期:1997-07-01 00:00:00

  • Author Correction: Neoadjuvant immune checkpoint blockade in high-risk resectable melanoma.

    abstract::In the version of this article originally published, there was an error in Fig. 2b. RECIST ORR and pCR were both listed as 25%. RECIST ORR was actually 73%, and pCR was 45%. Also, an author's name was incorrect in the author list. Danny K. Wells should have been listed as Daniel K. Wells. The errors have been correcte...

    journal_title:Nature medicine

    pub_type: 已发布勘误

    doi:10.1038/s41591-018-0251-z

    authors: Amaria RN,Reddy SM,Tawbi HA,Davies MA,Ross MI,Glitza IC,Cormier JN,Lewis C,Hwu WJ,Hanna E,Diab A,Wong MK,Royal R,Gross N,Weber R,Lai SY,Ehlers R,Blando J,Milton DR,Woodman S,Kageyama R,Wells DK,Hwu P,Patel S

    更新日期:2018-12-01 00:00:00

  • Modulation of T-cell-mediated immunity in tumor and graft-versus-host disease models through the LIGHT co-stimulatory pathway.

    abstract::LIGHT was recently described as a member of the tumor necrosis factor (TNF) 'superfamily'. We have isolated a mouse homolog of human LIGHT and investigated its immunoregulatory functions in vitro and in vivo. LIGHT has potent, CD28-independent co-stimulatory activity leading to T-cell growth and secretion of gamma int...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/73136

    authors: Tamada K,Shimozaki K,Chapoval AI,Zhu G,Sica G,Flies D,Boone T,Hsu H,Fu YX,Nagata S,Ni J,Chen L

    更新日期:2000-03-01 00:00:00

  • Wearable sensor data and self-reported symptoms for COVID-19 detection.

    abstract::Traditional screening for COVID-19 typically includes survey questions about symptoms and travel history, as well as temperature measurements. Here, we explore whether personal sensor data collected over time may help identify subtle changes indicating an infection, such as in patients with COVID-19. We have developed...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/s41591-020-1123-x

    authors: Quer G,Radin JM,Gadaleta M,Baca-Motes K,Ariniello L,Ramos E,Kheterpal V,Topol EJ,Steinhubl SR

    更新日期:2021-01-01 00:00:00

  • Persistence of HIV-1 receptor-positive cells after HSV-2 reactivation is a potential mechanism for increased HIV-1 acquisition.

    abstract::To explore the mechanism by which herpes simplex virus (HSV)-2 infection is related to HIV-1 acquisition, we conducted in situ analysis of the cellular infiltrate from sequential biopsies of HSV-2 lesions from patients on and off antiviral therapy. CD4(+) and CD8(+) T cells and a mixed population of plasmacytoid and m...

    journal_title:Nature medicine

    pub_type: 临床试验,杂志文章

    doi:10.1038/nm.2006

    authors: Zhu J,Hladik F,Woodward A,Klock A,Peng T,Johnston C,Remington M,Magaret A,Koelle DM,Wald A,Corey L

    更新日期:2009-08-01 00:00:00

  • Serum insulin-like growth factor I regulates brain amyloid-beta levels.

    abstract::Levels of insulin-like growth factor I (IGF-I), a neuroprotective hormone, decrease in serum during aging, whereas amyloid-beta (Abeta), which is involved in the pathogenesis of Alzheimer disease, accumulates in the brain. High brain Abeta levels are found at an early age in mutant mice with low circulating IGF-I, and...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm1202-793

    authors: Carro E,Trejo JL,Gomez-Isla T,LeRoith D,Torres-Aleman I

    更新日期:2002-12-01 00:00:00

  • A victory for genes.

    abstract::The ability to patent human genes has been costly to researchers and patients, and has restricted competition in the biotech marketplace. The recent US Supreme Court decision making isolated human genes unpatentable will bring freedom of choice to the patient, and level the playing field for research and development. ...

    journal_title:Nature medicine

    pub_type: 社论

    doi:10.1038/nm.3279

    authors:

    更新日期:2013-07-01 00:00:00

  • T cells require TRAIL for optimal graft-versus-tumor activity.

    abstract::Tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL) is a member of the TNF superfamily that exhibits specific tumoricidal activity against a variety of tumors. It is expressed on different cells of the immune system and plays a role in natural killer cell-mediated tumor surveillance. In allogeneic he...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm1202-797

    authors: Schmaltz C,Alpdogan O,Kappel BJ,Muriglan SJ,Rotolo JA,Ongchin J,Willis LM,Greenberg AS,Eng JM,Crawford JM,Murphy GF,Yagita H,Walczak H,Peschon JJ,van den Brink MR

    更新日期:2002-12-01 00:00:00

  • Urinary bladder-urethral sphincter dysfunction in mice with targeted disruption of neuronal nitric oxide synthase models idiopathic voiding disorders in humans.

    abstract::Idiopathic voiding disorders affect up to 10-15% of men and women. We describe bladder abnormalities in mice with targeted deletion of the gene for neuronal nitric oxide synthase which model the clinical disorders. The mice possess hypertrophic dilated bladders and dysfunctional urinary outlets which do not relax in r...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm0597-571

    authors: Burnett AL,Calvin DC,Chamness SL,Liu JX,Nelson RJ,Klein SL,Dawson VL,Dawson TM,Snyder SH

    更新日期:1997-05-01 00:00:00

  • Enhanced insulin sensitivity, energy expenditure and thermogenesis in adipose-specific Pten suppression in mice.

    abstract::Pten is an important phosphatase, suppressing the phosphatidylinositol-3 kinase/Akt pathway. Here, we generated adipose-specific Pten-deficient (AdipoPten-KO) mice, using newly generated Acdc promoter-driven Cre transgenic mice. AdipoPten-KO mice showed lower body and adipose tissue weights despite hyperphagia and enh...

    journal_title:Nature medicine

    pub_type: 杂志文章,收录出版

    doi:10.1038/nm1117

    authors: Komazawa N,Matsuda M,Kondoh G,Mizunoya W,Iwaki M,Takagi T,Sumikawa Y,Inoue K,Suzuki A,Mak TW,Nakano T,Fushiki T,Takeda J,Shimomura I

    更新日期:2004-11-01 00:00:00

  • Limited CD4+ T-cell renewal in early HIV-1 infection: effect of highly active antiretroviral therapy.

    abstract::We show that the fraction of proliferating CD4+ lymphocytes is similar in HIV-infected subjects in the early stage of disease and in HIV-negative subjects, whereas the fraction of proliferating CD8+ lymphocytes is increased 6.8-fold in HIV-infected subjects. After initiation of antiviral therapy, there is a late incre...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm0798-794

    authors: Fleury S,de Boer RJ,Rizzardi GP,Wolthers KC,Otto SA,Welbon CC,Graziosi C,Knabenhans C,Soudeyns H,Bart PA,Gallant S,Corpataux JM,Gillet M,Meylan P,Schnyder P,Meuwly JY,Spreen W,Glauser MP,Miedema F,Pantaleo G

    更新日期:1998-07-01 00:00:00

  • The activated conformation of integrin β7 is a novel multiple myeloma-specific target for CAR T cell therapy.

    abstract::Cancer-specific cell-surface antigens are ideal targets for monoclonal antibody (mAb)-based immunotherapy but are likely to have previously been identified in transcriptome or proteome analyses. Here, we show that the active conformer of an integrin can serve as a specific therapeutic target for multiple myeloma (MM)....

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm.4431

    authors: Hosen N,Matsunaga Y,Hasegawa K,Matsuno H,Nakamura Y,Makita M,Watanabe K,Yoshida M,Satoh K,Morimoto S,Fujiki F,Nakajima H,Nakata J,Nishida S,Tsuboi A,Oka Y,Manabe M,Ichihara H,Aoyama Y,Mugitani A,Nakao T,Hino M,

    更新日期:2017-12-01 00:00:00

  • Inducible nitric oxide synthase gene expression in the brain during systemic inflammation.

    abstract::Inducible nitric oxide synthase (iNOS) is a transcriptionally regulated enzyme that synthesizes nitric oxide from L-arginine that has a key role in the pathophysiology of systemic inflammation and sepsis. Transgenic animals with a null mutation for the iNOS gene are resistant to hypotension and death caused by Escheri...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm0596-581

    authors: Wong ML,Rettori V,al-Shekhlee A,Bongiorno PB,Canteros G,McCann SM,Gold PW,Licinio J

    更新日期:1996-05-01 00:00:00

  • Publisher Correction: Gut microbiota-bile acid-interleukin-22 axis orchestrates polycystic ovary syndrome.

    abstract::An amendment to this paper has been published and can be accessed via a link at the top of the paper. ...

    journal_title:Nature medicine

    pub_type: 已发布勘误

    doi:10.1038/s41591-019-0562-8

    authors: Qi X,Yun C,Sun L,Xia J,Wu Q,Wang Y,Wang L,Zhang Y,Liang X,Wang L,Gonzalez FJ,Patterson AD,Liu H,Mu L,Zhou Z,Zhao Y,Li R,Liu P,Zhong C,Pang Y,Jiang C,Qiao J

    更新日期:2019-09-01 00:00:00

  • A new activity for SAMHD1 in HIV restriction.

    abstract::Restriction factors are host cell proteins that inhibit retroviral infection. A new study using mutants of human HIV-1 restriction factor SAMHD1 suggests that it inhibits infection through degradation of viral RNA rather than through its dNTPase activity as previously suggested. ...

    journal_title:Nature medicine

    pub_type: 评论,杂志文章

    doi:10.1038/nm.3657

    authors: Yang Z,Greene WC

    更新日期:2014-08-01 00:00:00

  • Intravenous immunoglobulin ameliorates ITP via activating Fc gamma receptors on dendritic cells.

    abstract::Despite a more than 20-year experience of therapeutic benefit, the relevant molecular and cellular targets of intravenous immunoglobulin (IVIg) in autoimmune disease remain unclear. Contrary to the prevailing theories of IVIg action in autoimmunity, we show that IVIg drives signaling through activating Fc gamma recept...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm1416

    authors: Siragam V,Crow AR,Brinc D,Song S,Freedman J,Lazarus AH

    更新日期:2006-06-01 00:00:00

  • An approach to suppress the evolution of resistance in BRAFV600E-mutant cancer.

    abstract::The principles that govern the evolution of tumors exposed to targeted therapy are poorly understood. Here we modeled the selection and propagation of an amplification in the BRAF oncogene (BRAFamp) in patient-derived tumor xenografts (PDXs) that were treated with a direct inhibitor of the kinase ERK, either alone or ...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm.4369

    authors: Xue Y,Martelotto L,Baslan T,Vides A,Solomon M,Mai TT,Chaudhary N,Riely GJ,Li BT,Scott K,Cechhi F,Stierner U,Chadalavada K,de Stanchina E,Schwartz S,Hembrough T,Nanjangud G,Berger MF,Nilsson J,Lowe SW,Reis-Filho JS

    更新日期:2017-08-01 00:00:00

  • A combination of fluorescent NFAT and H2B sensors uncovers dynamics of T cell activation in real time during CNS autoimmunity.

    abstract::Multiple sclerosis is an autoimmune disease of the central nervous system (CNS) that is initiated when self-reactive T cells enter the brain and become locally activated after encountering their specific nervous antigens. When and where the disease-relevant antigen encounters occur is unclear. Here we combined fluores...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm.3182

    authors: Lodygin D,Odoardi F,Schläger C,Körner H,Kitz A,Nosov M,van den Brandt J,Reichardt HM,Haberl M,Flügel A

    更新日期:2013-06-01 00:00:00

  • Human and porcine early kidney precursors as a new source for transplantation.

    abstract::Kidney transplantation has been one of the major medical advances of the past 30 years. However, tissue availability remains a major obstacle. This can potentially be overcome by the use of undifferentiated or partially developed kidney precursor cells derived from early embryos and fetal tissue. Here, transplantation...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm812

    authors: Dekel B,Burakova T,Arditti FD,Reich-Zeliger S,Milstein O,Aviel-Ronen S,Rechavi G,Friedman N,Kaminski N,Passwell JH,Reisner Y

    更新日期:2003-01-01 00:00:00

  • Encephalitogenic potential of the myelin basic protein peptide (amino acids 83-99) in multiple sclerosis: results of a phase II clinical trial with an altered peptide ligand.

    abstract::Myelin-specific T lymphocytes are considered essential in the pathogenesis of multiple sclerosis. The myelin basic protein peptide (a.a. 83-99) represents one candidate antigen; therefore, it was chosen to design an altered peptide ligand, CGP77116, for specific immunotherapy of multiple sclerosis. A magnetic resonanc...

    journal_title:Nature medicine

    pub_type: 临床试验,杂志文章

    doi:10.1038/80516

    authors: Bielekova B,Goodwin B,Richert N,Cortese I,Kondo T,Afshar G,Gran B,Eaton J,Antel J,Frank JA,McFarland HF,Martin R

    更新日期:2000-10-01 00:00:00