Division of Hematology, Department of Medicine, Juntendo University School of Medicine, Tokyo, Japan.
Division of Hematology and Oncology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan.
Cancer Sci. 2020 Mar;111(3):807-816. doi: 10.1111/cas.14296. Epub 2020 Jan 31.
Activation-induced cell death (AICD) mediated by the Fas/Fas ligand (FasL) system plays a key role in regulating immune response. Although normal natural killer (NK) cells use this system for their homeostasis, malignant NK cells seem to disrupt the process. Extranodal NK/T-cell lymphoma, nasal type (ENKL) is a rare but fatal disease, for which novel therapeutic targets need to be identified. We confirmed that ENKL-derived NK cell lines NK-YS and Hank1, and primary lymphoma cells expressed procaspase-8/FADD-like interleukin-1β-converting enzyme (FLICE) modulator and cellular FLICE-inhibitory protein (c-FLIP), along with Fas and FasL. Compared with Fas-sensitive Jurkat cells, NK-YS and Hank1 showed resistance to Fas-mediated apoptosis in spite of the same expression levels of c-FLIP and the death-inducing signaling complex (DISC) formation. Unexpectedly, the long isoform of c-FLIP (c-FLIP ) was coimmunoprecipitated with Fas predominantly in both ENKL-derived NK cell lines after Fas ligation. Indeed, c-FLIP was more sufficiently recruited to the DISC in both ENKL-derived NK cell lines than in Jurkat cells after Fas ligation. Knockdown of c-FLIP per se enhanced autonomous cell death and restored the sensitivity to Fas in both NK-YS and Hank1 cells. Although ENKL cells are primed for AICD, they constitutively express and efficiently utilize c-FLIP , which prevents their Fas-mediated apoptosis. Our results show that c-FLIP could be a promising therapeutic target against ENKL.
激活诱导的细胞死亡 (AICD) 通过 Fas/Fas 配体 (FasL) 系统介导,在调节免疫反应中发挥关键作用。虽然正常的自然杀伤 (NK) 细胞利用该系统维持自身平衡,但恶性 NK 细胞似乎会破坏这一过程。结外 NK/T 细胞淋巴瘤,鼻型 (ENKL) 是一种罕见但致命的疾病,需要确定新的治疗靶点。我们证实,ENKL 来源的 NK 细胞系 NK-YS 和 Hank1 以及原代淋巴瘤细胞表达了前半胱天冬酶-8/FADD 样白细胞介素-1β 转换酶 (FLICE) 调节剂和细胞 FLICE 抑制蛋白 (c-FLIP),以及 Fas 和 FasL。与 Fas 敏感的 Jurkat 细胞相比,尽管 c-FLIP 和诱导死亡信号复合物 (DISC) 形成的表达水平相同,NK-YS 和 Hank1 对 Fas 介导的凋亡表现出抗性。出乎意料的是,在 Fas 交联后,c-FLIP 的长型 (c-FLIP ) 与 Fas 主要在两种 ENKL 来源的 NK 细胞系中共同免疫沉淀。事实上,在 Fas 交联后,c-FLIP 在两种 ENKL 来源的 NK 细胞系中比 Jurkat 细胞更充分地募集到 DISC。c-FLIP 的单独敲低本身增强了自主细胞死亡,并恢复了 NK-YS 和 Hank1 细胞对 Fas 的敏感性。尽管 ENKL 细胞被诱导发生 AICD,但它们持续表达并有效地利用 c-FLIP ,这阻止了它们 Fas 介导的凋亡。我们的结果表明,c-FLIP 可能是针对 ENKL 的有前途的治疗靶点。