RT Journal Article T1 miR-28-based combination therapy impairs aggressive B cell lymphoma growth by rewiring DNA replication A1 Fuertes, Teresa A1 Álvarez Corrales, Emigdio A1 Gómez Escolar, Carmen A1 Ubieto Capella, Patricia A1 Serrano Navarro, Álvaro A1 De Molina, Antonio A1 Méndez, Juan A1 Ramiro, Almudena A1 García-Yébenes Mena, Virginia Pilar A1 García-Yébes Mena, Virginia Pilar AB Diffuse large B cell lymphoma (DLBCL) is the most common aggressive B cell lymphoma and accounts for nearly 40% of cases of B cell non-Hodgkin lymphoma. DLBCL is generally treated with R-CHOP chemotherapy, but many patients do not respond or relapse after treatment. Here, we analyzed the therapeutic potential of the tumor suppressor microRNA-28 (miR-28) for DLBCL, alone and in combination with the Bruton’s tyrosine kinase inhibitor ibrutinib. Combination therapy with miR-28 plus ibrutinib potentiated the anti-tumor effects of monotherapy with either agent by inducing a specific transcriptional cell-cycle arrest program that impairs DNA replication. The molecular actions of miR-28 and ibrutinib synergistically impair DNA replication by simultaneous inhibition of origin activation and fork progression. Moreover, we found that downregulation of the miR-28-plus-ibrutinib gene signature correlates with better survival of ABC-DLBCL patients. These results provide evidence for the effectiveness of a new miRNA-based ibrutinib combination therapy for DLBCL and unveil the miR-28-plus-ibrutinib gene signature as a new predictor of outcome in ABC-DLBCL patients. PB Springer Nature SN 2041-4889 YR 2023 FD 2023¡ LK https://hdl.handle.net/20.500.14352/88881 UL https://hdl.handle.net/20.500.14352/88881 LA eng NO Fuertes, T., Álvarez-Corrales, E., Gómez-Escolar, C. et al. miR-28-based combination therapy impairs aggressive B cell lymphoma growth by rewiring DNA replication. Cell Death Dis 14, 687 (2023). https://doi.org/10.1038/s41419-023-06178-0 DS Docta Complutense RD 10 abr 2025