Department of Hematology and Immunology, Myeloma Center Brussels, Vrije Universiteit Brussel, Brussels, Belgium.
Department of Pathology, UZ Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
Br J Cancer. 2019 Jun;120(12):1137-1146. doi: 10.1038/s41416-019-0471-0. Epub 2019 May 15.
The aggressive B-cell non-Hodgkin lymphomas diffuse large B-cell lymphoma (DLBCL) and mantle cell lymphoma (MCL) are characterised by a high proliferation rate. The anaphase-promoting complex/cyclosome (APC/C) and its co-activators Cdc20 and Cdh1 represent an important checkpoint in mitosis. Here, the role of the APC/C and its co-activators is examined in DLBCL and MCL.
The expression and prognostic value of Cdc20 and Cdh1 was investigated using GEP data and immunohistochemistry. Moreover, the therapeutic potential of APC/C targeting was evaluated using the small-molecule inhibitor proTAME and the underlying mechanisms of action were investigated by western blot.
We demonstrated that Cdc20 is highly expressed in DLBCL and aggressive MCL, correlating with a poor prognosis in DLBCL. ProTAME induced a prolonged metaphase, resulting in accumulation of the APC/C-Cdc20 substrate cyclin B1, inactivation/degradation of Bcl-2 and Bcl-xL and caspase-dependent apoptosis. In addition, proTAME strongly enhanced the anti-lymphoma effect of the clinically relevant agents doxorubicin and venetoclax.
We identified for the first time APC/C as a new, promising target in DLBCL and MCL. Moreover, we provide evidence that Cdc20 might be a novel, independent prognostic factor in DLBCL and MCL.
侵袭性 B 细胞非霍奇金淋巴瘤弥漫性大 B 细胞淋巴瘤(DLBCL)和套细胞淋巴瘤(MCL)的特点是增殖率高。后期促进复合物/细胞周期蛋白(APC/C)及其共激活因子 Cdc20 和 Cdh1 代表有丝分裂中的一个重要检查点。在这里,研究了 APC/C 及其共激活因子在 DLBCL 和 MCL 中的作用。
使用 GEP 数据和免疫组织化学研究了 Cdc20 和 Cdh1 的表达及其预后价值。此外,还使用小分子抑制剂 proTAME 评估了 APC/C 靶向的治疗潜力,并通过 Western blot 研究了其作用机制。
我们证明 Cdc20 在 DLBCL 和侵袭性 MCL 中高度表达,与 DLBCL 的预后不良相关。ProTAME 诱导中期延长,导致 APC/C-Cdc20 底物细胞周期蛋白 B1 的积累、Bcl-2 和 Bcl-xL 的失活/降解以及 caspase 依赖性凋亡。此外,proTAME 还显著增强了临床相关药物阿霉素和 venetoclax 的抗淋巴瘤作用。
我们首次将 APC/C 确定为 DLBCL 和 MCL 的一个新的有前途的靶点。此外,我们提供的证据表明,Cdc20 可能是 DLBCL 和 MCL 中的一个新的独立预后因素。