Okazaki Il-mi, Kotani Ai, Honjo Tasuku
Department of Immunology and Genomic Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Adv Immunol. 2007;94:245-73. doi: 10.1016/S0065-2776(06)94008-5.
A hallmark of mature B-cell lymphomas is reciprocal chromosomal translocations involving the Ig locus and a proto-oncogene, which usually result in the deregulated, constitutive expression of the translocated gene. In addition to such translocations, proto-oncogenes are frequently hypermutated in germinal center (GC)-derived B-cell lymphomas. Although aberrant, mistargeted class switch recombination (CSR) and somatic hypermutation (SHM) events have long been suspected of causing chromosomal translocations and mutations in oncogenes, and thus of playing a critical role in the pathogenesis of most B-cell lymphomas, the molecular basis for such deregulation of CSR and SHM is only beginning to be elucidated by recent genetic approaches. The tumorigenic ability of activation-induced cytidine deaminase (AID), a key enzyme that initiates CSR and SHM, was revealed in studies on AID transgenic mice. In addition, experiments with AID-deficient mice clearly showed that AID is required not only for the c-myc/IgH translocation but also for the malignant progression of translocation-bearing lymphoma precursor cells, probably by introducing additional genetic hits. Normally, AID expression is only transiently and specifically induced in activated B cells in GCs. However, recent studies indicate that AID can be induced directly in B cells outside the GCs by various pathogens, including transforming viruses associated with human malignancies. Indeed, AID expression is not restricted to GC-derived B-cell lymphomas, but is also found in other types of B-cell lymphoma and even in nonlymphoid tumors, suggesting that ectopically expressed AID is involved in tumorigenesis and disease progression in a wide variety of cell types.
成熟B细胞淋巴瘤的一个标志是涉及免疫球蛋白(Ig)基因座和原癌基因的相互染色体易位,这通常导致易位基因的失调性、组成性表达。除了此类易位外,原癌基因在生发中心(GC)来源的B细胞淋巴瘤中也经常发生高度突变。尽管异常的、靶向错误的类别转换重组(CSR)和体细胞高频突变(SHM)事件长期以来一直被怀疑会导致染色体易位和癌基因突变,从而在大多数B细胞淋巴瘤的发病机制中起关键作用,但CSR和SHM这种失调的分子基础才刚刚开始通过最近的遗传学方法得以阐明。激活诱导的胞苷脱氨酶(AID)是启动CSR和SHM的关键酶,对AID转基因小鼠的研究揭示了其致瘤能力。此外,对AID缺陷小鼠的实验清楚地表明,AID不仅是c-myc/IgH易位所必需的,而且可能通过引入额外的基因损伤,对携带易位的淋巴瘤前体细胞的恶性进展也是必需的。正常情况下,AID表达仅在GC中活化的B细胞中短暂且特异性地诱导。然而,最近的研究表明,各种病原体,包括与人类恶性肿瘤相关的转化病毒,可直接在GC外的B细胞中诱导AID。事实上,AID表达不仅限于GC来源的B细胞淋巴瘤,在其他类型的B细胞淋巴瘤甚至非淋巴肿瘤中也有发现,这表明异位表达的AID参与了多种细胞类型的肿瘤发生和疾病进展。