Longitudinal omics data and preclinical treatment suggest the proteasome inhibitor carfilzomib as therapy for ibrutinib-resistant CLL

Abstract Chronic lymphocytic leukemia is a malignant lymphoproliferative disorder for which primary or acquired drug resistance represents a major challenge. To investigate the underlying molecular mechanisms, we generate a mouse model of ibrutinib resistance, in which, after initial treatment respo...

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Main Authors: Lavinia Arseni, Gianluca Sigismondo, Haniyeh Yazdanparast, Johanne U. Hermansen, Norman Mack, Sibylle Ohl, Verena Kalter, Murat Iskar, Mathias Kalxdorf, Dennis Friedel, Mandy Rettel, Yashna Paul, Ingo Ringshausen, Eric Eldering, Julie Dubois, Arnon P. Kater, Marc Zapatka, Philipp M. Roessner, Eugen Tausch, Stephan Stilgenbauer, Sascha Dietrich, Mikhail M. Savitski, Sigrid S. Skånland, Jeroen Krijgsveld, Peter Lichter, Martina Seiffert
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-025-56318-7
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author Lavinia Arseni
Gianluca Sigismondo
Haniyeh Yazdanparast
Johanne U. Hermansen
Norman Mack
Sibylle Ohl
Verena Kalter
Murat Iskar
Mathias Kalxdorf
Dennis Friedel
Mandy Rettel
Yashna Paul
Ingo Ringshausen
Eric Eldering
Julie Dubois
Arnon P. Kater
Marc Zapatka
Philipp M. Roessner
Eugen Tausch
Stephan Stilgenbauer
Sascha Dietrich
Mikhail M. Savitski
Sigrid S. Skånland
Jeroen Krijgsveld
Peter Lichter
Martina Seiffert
author_facet Lavinia Arseni
Gianluca Sigismondo
Haniyeh Yazdanparast
Johanne U. Hermansen
Norman Mack
Sibylle Ohl
Verena Kalter
Murat Iskar
Mathias Kalxdorf
Dennis Friedel
Mandy Rettel
Yashna Paul
Ingo Ringshausen
Eric Eldering
Julie Dubois
Arnon P. Kater
Marc Zapatka
Philipp M. Roessner
Eugen Tausch
Stephan Stilgenbauer
Sascha Dietrich
Mikhail M. Savitski
Sigrid S. Skånland
Jeroen Krijgsveld
Peter Lichter
Martina Seiffert
author_sort Lavinia Arseni
collection DOAJ
description Abstract Chronic lymphocytic leukemia is a malignant lymphoproliferative disorder for which primary or acquired drug resistance represents a major challenge. To investigate the underlying molecular mechanisms, we generate a mouse model of ibrutinib resistance, in which, after initial treatment response, relapse under therapy occurrs with an aggressive outgrowth of malignant cells, resembling observations in patients. A comparative analysis of exome, transcriptome and proteome of sorted leukemic murine cells during treatment and after relapse suggests alterations in the proteasome activity as a driver of ibrutinib resistance. Preclinical treatment with the irreversible proteasome inhibitor carfilzomib administered upon ibrutinib resistance prolongs survival of mice. Longitudinal proteomic analysis of ibrutinib-resistant patients identifies deregulation in protein post-translational modifications. Additionally, cells from ibrutinib-resistant patients effectively respond to several proteasome inhibitors in co-culture assays. Altogether, our results from orthogonal omics approaches identify proteasome inhibition as potentially attractive treatment for chronic lymphocytic leukemia patients resistant or refractory to ibrutinib.
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publishDate 2025-01-01
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record_format Article
series Nature Communications
spelling doaj-art-9891b66aa9924ab9b1b6560bd4a79c0e2025-01-26T12:41:28ZengNature PortfolioNature Communications2041-17232025-01-0116111610.1038/s41467-025-56318-7Longitudinal omics data and preclinical treatment suggest the proteasome inhibitor carfilzomib as therapy for ibrutinib-resistant CLLLavinia Arseni0Gianluca Sigismondo1Haniyeh Yazdanparast2Johanne U. Hermansen3Norman Mack4Sibylle Ohl5Verena Kalter6Murat Iskar7Mathias Kalxdorf8Dennis Friedel9Mandy Rettel10Yashna Paul11Ingo Ringshausen12Eric Eldering13Julie Dubois14Arnon P. Kater15Marc Zapatka16Philipp M. Roessner17Eugen Tausch18Stephan Stilgenbauer19Sascha Dietrich20Mikhail M. Savitski21Sigrid S. Skånland22Jeroen Krijgsveld23Peter Lichter24Martina Seiffert25Division of Molecular Genetics, German Cancer Research Center (DKFZ)Division of Proteomics of Stem Cells and Cancer, German Cancer Research CenterDivision of Molecular Genetics, German Cancer Research Center (DKFZ)Department of Cancer Immunology, Institute for Cancer Research, Oslo University HospitalDivision of Molecular Genetics, German Cancer Research Center (DKFZ)Division of Molecular Genetics, German Cancer Research Center (DKFZ)Division of Molecular Genetics, German Cancer Research Center (DKFZ)Division of Molecular Genetics, German Cancer Research Center (DKFZ)Cellzome, a GSK CompanyDivision of Neuropathology, German Cancer Research Center (DKFZ)EMBL, Proteomics Core FacilityDivision of Molecular Genetics, German Cancer Research Center (DKFZ)Department of Haematology, Jeffrey Cheah Biomedical Centre, University of CambridgeDepartment of Experimental Immunology, Cancer Center Amsterdam, Amsterdam Institute for Infection and Immunity, Amsterdam University Medical Centers, University of AmsterdamDepartment of Hematology, Cancer Center Amsterdam, Amsterdam Institute for Infection and Immunity, Lymphoma and Myeloma Center Amsterdam, Amsterdam University Medical Centers, University of AmsterdamDepartment of Hematology, Cancer Center Amsterdam, Amsterdam Institute for Infection and Immunity, Lymphoma and Myeloma Center Amsterdam, Amsterdam University Medical Centers, University of AmsterdamDivision of Molecular Genetics, German Cancer Research Center (DKFZ)Division of Molecular Genetics, German Cancer Research Center (DKFZ)Division of CLL, Department of Internal Medicine III, Ulm UniversityDivision of CLL, Department of Internal Medicine III, Ulm UniversityHeidelberg University, Department of HematologyEMBL, Proteomics Core FacilityDepartment of Cancer Immunology, Institute for Cancer Research, Oslo University HospitalDivision of Proteomics of Stem Cells and Cancer, German Cancer Research CenterDivision of Molecular Genetics, German Cancer Research Center (DKFZ)Division of Molecular Genetics, German Cancer Research Center (DKFZ)Abstract Chronic lymphocytic leukemia is a malignant lymphoproliferative disorder for which primary or acquired drug resistance represents a major challenge. To investigate the underlying molecular mechanisms, we generate a mouse model of ibrutinib resistance, in which, after initial treatment response, relapse under therapy occurrs with an aggressive outgrowth of malignant cells, resembling observations in patients. A comparative analysis of exome, transcriptome and proteome of sorted leukemic murine cells during treatment and after relapse suggests alterations in the proteasome activity as a driver of ibrutinib resistance. Preclinical treatment with the irreversible proteasome inhibitor carfilzomib administered upon ibrutinib resistance prolongs survival of mice. Longitudinal proteomic analysis of ibrutinib-resistant patients identifies deregulation in protein post-translational modifications. Additionally, cells from ibrutinib-resistant patients effectively respond to several proteasome inhibitors in co-culture assays. Altogether, our results from orthogonal omics approaches identify proteasome inhibition as potentially attractive treatment for chronic lymphocytic leukemia patients resistant or refractory to ibrutinib.https://doi.org/10.1038/s41467-025-56318-7
spellingShingle Lavinia Arseni
Gianluca Sigismondo
Haniyeh Yazdanparast
Johanne U. Hermansen
Norman Mack
Sibylle Ohl
Verena Kalter
Murat Iskar
Mathias Kalxdorf
Dennis Friedel
Mandy Rettel
Yashna Paul
Ingo Ringshausen
Eric Eldering
Julie Dubois
Arnon P. Kater
Marc Zapatka
Philipp M. Roessner
Eugen Tausch
Stephan Stilgenbauer
Sascha Dietrich
Mikhail M. Savitski
Sigrid S. Skånland
Jeroen Krijgsveld
Peter Lichter
Martina Seiffert
Longitudinal omics data and preclinical treatment suggest the proteasome inhibitor carfilzomib as therapy for ibrutinib-resistant CLL
Nature Communications
title Longitudinal omics data and preclinical treatment suggest the proteasome inhibitor carfilzomib as therapy for ibrutinib-resistant CLL
title_full Longitudinal omics data and preclinical treatment suggest the proteasome inhibitor carfilzomib as therapy for ibrutinib-resistant CLL
title_fullStr Longitudinal omics data and preclinical treatment suggest the proteasome inhibitor carfilzomib as therapy for ibrutinib-resistant CLL
title_full_unstemmed Longitudinal omics data and preclinical treatment suggest the proteasome inhibitor carfilzomib as therapy for ibrutinib-resistant CLL
title_short Longitudinal omics data and preclinical treatment suggest the proteasome inhibitor carfilzomib as therapy for ibrutinib-resistant CLL
title_sort longitudinal omics data and preclinical treatment suggest the proteasome inhibitor carfilzomib as therapy for ibrutinib resistant cll
url https://doi.org/10.1038/s41467-025-56318-7
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