Off-targeting oft-targeted CD20 in cHL

Robert H. Lurie Comprehensive Cancer Center.
Blood (Impact Factor: 10.45). 05/2012; 119(18):4095-6. DOI: 10.1182/blood-2012-03-413146
Source: PubMed

ABSTRACT LMP1 and LMP2A mimic CD40 and Ig receptors in B cells. The C-terminal cytoplasmic domain of LMP1 contains 2 domains that associate with TNF receptor associated factors (TRAF), TNFR1-associated death domain (TRADD) and receptor interacting protein (RIP) without propagating a death signal inducing canonical and non-canonical NF-kappa B signaling. LMP2A activates B cell signaling by binding the Src family tyrosine kinase Lyn leading to constitutive phosphorylation of LMP2A and the recruitment of the Syk tyrosine kinase to a phosphorylated ITAM where it becomes activated resulting in the activation of the PI3K and Akt pathway. LMP2A also binds E3 ubiquitin ligases in the Nedd4 family.

8 Reads
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The cytoplasmic C-terminus of Epstein-Barr virus (EBV) latent infection membrane protein 1 (LMP1) is essential for B lymphocyte growth transformation and is now shown to interact with a novel human protein (LMP1-associated protein 1 [LAP1]). LAP1 is homologous to a murine protein, tumor necrosis factor receptor-associated factor 2 (TRAF2), implicated in growth signaling from the p80 TNFR. A second novel protein (EBI6), induced by EBV infection, is the human homolog of a second murine TNFR-associated protein (TRAF1). LMP1 expression causes LAP1 and EBI6 to localize to LMP1 clusters in lymphoblast plasma membranes, and LMP1 coimmunoprecipitates with these proteins. LAP1 binds to the p80 TNFR, CD40, and the lymphotoxin-beta receptor, while EBI6 associates with the p80 TNFR. The interaction of LMP1 with these TNFR family-associated proteins is further evidence for their role in signaling and links LMP1-mediated transformation to signal transduction from the TNFR family.
    Cell 03/1995; 80(3):389-99. · 32.24 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: In classical Hodgkin lymphoma, circulating clonotypic malignant cells express CD20, which potentially explains the observed activity of rituximab. This multicenter phase 2 study investigated the combination of rituximab-ABVD (doxorubicin, bleomycin, vinblastine, dacarbazine) for stage II-IV untreated classical Hodgkin lymphoma. A goal was to assess the behavior of circulating clonotypic B cells clinically. Of 49 evaluable patients, 69% had stage IIB-IV disease; 8% had CD20(+) Hodgkin and Reed-Sternberg cells. Rituximab-ABVD was generally well tolerated. Delivered relative dose intensity was 94% for AVD and 79% for bleomycin. After 6 cycles, 81% of patients were in complete remission. Only 8% received radiation therapy. The actuarial 3-year event-free and overall survival rates were 83% and 98%, respectively. EBV copy number in plasma fell dramatically during cycle 1 in patients with EBV(+) tumors. Persistence of detectable circulating clonotypic B cells was associated with a greater relapse frequency (P < .05). Rituximab-ABVD and clonotypic B cells warrant additional study in classical Hodgkin lymphoma.
    Blood 02/2012; 119(18):4129-32. DOI:10.1182/blood-2012-01-402792 · 10.45 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Although Hodgkin and Reed-Sternberg (HRS) cells are B lymphoid cells, they are unlike any normal cells of that lineage. Moreover, the limited proliferative potential of HRS cells belies the clinical aggressiveness of Hodgkin lymphoma (HL). More than 20 years ago, the L428 HL cell line was reported to contain a small population of phenotypic B cells that appeared responsible for the continued generation of HRS cells. This observation, however, has never been corroborated, and such clonotypic B cells have never been documented in HL patients. We found that both the L428 and KM-H2 HL cell lines contained rare B-cell subpopulations responsible for the generation and maintenance of the predominant HRS cell population. The B cells within the HL cell lines expressed immunoglobulin light chain, the memory B-cell antigen CD27, and the stem cell marker aldehyde dehydrogenase (ALDH). Clonal CD27(+)ALDH(high) B cells, sharing immunoglobulin gene rearrangements with lymph node HRS cells, were also detected in the blood of most newly diagnosed HL patients regardless of stage. Although the clinical significance of circulating clonotypic B cells in HL remains unclear, these data suggest they may be the initiating cells for HL.
    Blood 03/2009; 113(23):5920-6. DOI:10.1182/blood-2008-11-189688 · 10.45 Impact Factor
Show more