通过BH3模拟物分析评估扁桃体和白血病B细胞亚群中BCL-2成员之间的功能差异。
Functional disparities among BCL-2 members in tonsillar and leukemic B-cell subsets assessed by BH3-mimetic profiling.
作者信息
Peperzak Victor, Slinger Erik, Ter Burg Johanna, Eldering Eric
机构信息
Department of Experimental Immunology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Department of Hematology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
出版信息
Cell Death Differ. 2017 Jan;24(1):111-119. doi: 10.1038/cdd.2016.105. Epub 2016 Sep 30.
For successful treatment of malignant B-cells it is crucial to understand intrinsic survival requirements in relation to their normal progenitors. Long-lived humoral immunity as well as most B-cell malignancies, originate in the germinal center (GC). Murine GC B-cells depend on pro-survival protein MCL-1, but not BCL-XL. In contrast, naive and memory B-cells depend on BCL-2, but not BCL-XL or MCL-1. For human B-cell subsets, the functional relationships among BCL-2 members are unclear, and also if and how they shift after malignant transformation. We here dissect these aspects in human tonsil and primary leukemia (CLL) cells by single and combined treatment with novel, highly specific BH3-mimetics. We found that MCL-1 expression in GC B-cells is regulated post-translationally and its importance is highlighted by preferential binding to pro-apoptotic BIM. In contrast, BCL-XL is transcriptionally induced and binds solely to weak sensitizer BIK, potentially explaining why BCL-XL is not required for GC B-cell survival. Using novel BH3-mimetics, we found that naive and memory B-cells depend on BCL-2, GC cells predominantly on MCL-1, whereas plasma cells need both BCL-XL and MCL-1 for survival. CLL cells switch from highly sensitive for BCL-2 inhibition to resistant after CD40-stimulation. However, combined inhibition of BCL-2, plus BCL-XL or MCL-1 effectively kills these cells, thus exposing a weakness that may be therapeutically useful. These general principles offer important clues for designing treatment strategies for B-cell malignancies.
要成功治疗恶性B细胞,关键在于了解其与正常祖细胞相关的内在生存需求。长期的体液免疫以及大多数B细胞恶性肿瘤都起源于生发中心(GC)。小鼠GC B细胞依赖促生存蛋白MCL-1,而非BCL-XL。相比之下,幼稚和记忆B细胞依赖BCL-2,而非BCL-XL或MCL-1。对于人类B细胞亚群,BCL-2家族成员之间的功能关系尚不清楚,恶性转化后它们是否以及如何发生变化也不清楚。我们在此通过用新型、高度特异性的BH3模拟物进行单一和联合处理,剖析人类扁桃体和原发性白血病(CLL)细胞中的这些方面。我们发现,GC B细胞中MCL-1的表达在翻译后受到调控,其重要性通过与促凋亡蛋白BIM的优先结合得以凸显。相比之下,BCL-XL是转录诱导的,且仅与弱敏化剂BIK结合,这可能解释了为什么GC B细胞的存活不需要BCL-XL。使用新型BH3模拟物,我们发现幼稚和记忆B细胞依赖BCL-2,GC细胞主要依赖MCL-1,而浆细胞的存活需要BCL-XL和MCL-1两者。CLL细胞在CD40刺激后从对BCL-2抑制高度敏感转变为耐药。然而,联合抑制BCL-2以及BCL-XL或MCL-1可有效杀死这些细胞,从而揭示出一个可能具有治疗用途的弱点。这些一般原则为设计B细胞恶性肿瘤的治疗策略提供了重要线索。