ERK1/2 pro-survival signalling is suppressed by pirtobrutinib in ibrutinib-resistant MYD88-mutated lymphoma cells Journal Article


Authors: Munshi, M.; Liu, X.; Kofides, A.; Tsakmaklis, N.; Hunter, Z. R.; Guerrera, M. L.; Canning, A.; Gustine, J. N.; Liu, S.; Hatcher, J. M.; Chen, J.; Meid, K.; Sarosiek, S.; Flynn, C. A.; Branagan, A. R.; von Keudell, G.; Palomba, L. M.; Castillo, J. J.; Yang, G.; Treon, S. P.
Article Title: ERK1/2 pro-survival signalling is suppressed by pirtobrutinib in ibrutinib-resistant MYD88-mutated lymphoma cells
Abstract: Covalent Bruton's tyrosine kinase-inhibitors (cBTK-i) are highly active in MYD88-mutated (MYD88Mut) Waldenstrom's macroglobulinaemia and suppress nuclear factor kappa-light-chain-enhancer of activated B cells and extracellular signal-regulated kinases-1/2 (ERK1/2)-related signalling. BTKCys481 mutations are associated with cBTK-i acquired resistance and are accompanied by reactivation of ERK1/2 that promotes inflammatory cytokine secretion and paracrine-mediated resistance of BTK wild-type (BTKWT) tumour cells. Pirtobrutinib is a non-covalent BTK-inhibitor that binds at non-BTKCys481 sites. We show that pirtobrutinib blocked p-ERK1/2, ERK1/2-driven inflammatory cytokines, and overcame paracrine-mediated resistance in MYD88Mut lymphoma cells expressing mutated BTKCys481. Our results provide important mechanistic insights for the activity of pirtobrutinib in MYD88Mut lymphomas carrying BTKCys481 mutations. © 2024 British Society for Haematology and John Wiley & Sons Ltd.
Keywords: genetics; mutation; metabolism; cell survival; map kinase signaling system; protein kinase inhibitor; waldenstroem macroglobulinemia; drug effect; drug resistance; drug resistance, neoplasm; cell line, tumor; pyrimidines; protein kinase inhibitors; pyrazole derivative; pyrazoles; tumor cell line; piperidines; drug therapy; pyrimidine derivative; myeloid differentiation factor 88; adenine; piperidine derivative; mapk signaling; bruton tyrosine kinase; waldenstrom macroglobulinemia; myd88; ibrutinib; humans; human; btk; agammaglobulinaemia tyrosine kinase; myd88 protein, human; erk1/2; pirtobrutinib; btk protein, human; abc dlbcl; waldenstrom's macroglobulinaemia
Journal Title: British Journal of Haematology
Volume: 205
Issue: 5
ISSN: 0007-1048
Publisher: John Wiley & Sons  
Date Published: 2024-11-01
Start Page: 1866
End Page: 1872
Language: English
DOI: 10.1111/bjh.19756
PUBMED: 39295138
PROVIDER: scopus
DOI/URL:
Notes: Article -- Source: Scopus
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Maria Lia Palomba
    415 Palomba