Division of Hematology, Department of Medicine, Jewish General Hospital, McGill University, Montreal, QC H3T 1E2, Canada.
Department of Pathology, Jewish General Hospital, McGill University, Montreal, QC H3T 1E2, Canada.
Cells. 2024 Oct 23;13(21):1748. doi: 10.3390/cells13211748.
The bi- or multinucleated Reed-Sternberg cell (RS) is the diagnostic cornerstone of Epstein-Barr Virus (EBV)-positive and EBV-negative classical Hodgkin lymphoma (cHL). cHL is a germinal center (GC)-derived B-cell disease. Hodgkin cells (H) are the mononuclear precursors of RS. An experimental model has to fulfill three conditions to qualify as common pathogenic denominator: (i) to be of GC-derived B-cell origin, (ii) to be EBV-negative to avoid EBV latency III expression and (iii) to support permanent EBV-encoded oncogenic latent membrane protein (LMP1) expression upon induction. These conditions are unified in the EBV-, diffuse large B-Cell lymphoma (DLBCL) cell line BJAB-tTA-LMP1. 3D reconstructive nanotechnology revealed spatial, quantitative and qualitative disturbance of telomere/shelterin interactions in mononuclear H-like cells, with further progression during transition to RS-like cells, including progressive complexity of the karyotype with every mitotic cycle, due to BBF (breakage/bridge/fusion) events. The findings of this model were confirmed in diagnostic patient samples and correlate with clinical outcomes. Moreover, in vitro, significant disturbance of the lamin AC/telomere interaction progressively occurred. In summary, our research over the past three decades identified cHL as the first lymphoid malignancy driven by a disturbed telomere/shelterin/lamin AC interaction, generating the diagnostic RS. Our findings may act as trailblazer for tailored therapies in refractory cHL.
双核或多核 Reed-Sternberg 细胞(RS)是 EBV 阳性和 EBV 阴性经典霍奇金淋巴瘤(cHL)的诊断基石。cHL 是生发中心(GC)衍生的 B 细胞疾病。霍奇金细胞(H)是 RS 的单核前体。一个实验模型要符合三个条件才能成为共同的致病因素:(i)GC 衍生的 B 细胞来源,(ii)EBV 阴性以避免 EBV 潜伏期 III 表达,(iii)支持永久性 EBV 编码的致癌潜伏膜蛋白(LMP1)表达诱导。这些条件在 EBV-、弥漫性大 B 细胞淋巴瘤(DLBCL)细胞系 BJAB-tTA-LMP1 中得到统一。3D 重建纳米技术揭示了单核 H 样细胞中端粒/庇护体相互作用的空间、定量和定性紊乱,随着向 RS 样细胞的进一步进展,包括每一次有丝分裂周期中核型的复杂性不断增加,这是由于 BBF(断裂/桥/融合)事件。该模型的发现得到了诊断性患者样本的证实,并与临床结果相关。此外,在体外,lamin AC/端粒相互作用也发生了显著紊乱。总之,我们过去三十年的研究将 cHL 确定为第一个受端粒/庇护体/lamin AC 相互作用紊乱驱动的淋巴恶性肿瘤,产生了诊断性 RS。我们的发现可能为难治性 cHL 的靶向治疗开辟道路。
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