不适合移植的大 B 细胞淋巴瘤二线使用 axicabtagene ciloleucel:ALYCANTE 最终分析
Second-line axicabtagene ciloleucel in large B-cell lymphoma ineligible for transplantation: ALYCANTE final analysis.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:A role for the protease MALT1 in EBV-mediated B-cell transformation by Latent Membrane Proteins 1 and 2.
A role for the protease MALT1 in EBV-mediated B-cell transformation by Latent Membrane Proteins 1 and 2.
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Epstein-Barr病毒(EBV)是一种人类疱疹病毒,可引起多种血液系统恶性肿瘤,尤其是B细胞、T细胞和NK细胞淋巴瘤。该病毒的潜伏期蛋白通过激活转录因子NF-κB促进淋巴瘤发生,然而EBV驱动NF-κB激活的分子机制仍不完全清楚。
本研究表明,EBV潜伏膜蛋白LMP1和LMP2A或LMP2B协同激活蛋白酶MALT1,后者是NF-κB介导的淋巴细胞增殖的关键驱动因子。共表达LMP1和LMP2蛋白的EBV阳性B细胞系表现出组成性MALT1活性,使用MALT1抑制剂处理或沉默潜伏膜蛋白-1(LMP1)或LMP2可削弱MALT1依赖性底物切割。LMP1与MALT1结合伴侣BCL10发生物理相互作用,而LMP2A和LMP2B与MALT1相互作用。LMP1还与LMP2在点状结构中共定位,提示LMP1和LMP2通过协调形成LMP-BCL10-MALT1(LBM)复合物发挥协同作用。
最后,MALT1蛋白酶抑制导致一组NF-κB驱动基因表达降低,并在EBV阳性淋巴瘤异种移植模型中减少肿瘤生长。这些发现确立了蛋白酶MALT1在LMP1/2介导的、NF-κB驱动的细胞转化中的关键作用,并为抑制MALT1治疗共表达LMP1和LMP2的EBV阳性B细胞淋巴瘤提供了依据。
Epstein-Barr virus (EBV) is a human herpesvirus that causes a variety of hematological malignancies, in particular B-, T- and NK-cell lymphomas. Latency proteins of the virus contribute to lymphomagenesis by activating the transcription factor NF- B, however, the molecular mechanism underlying EBV-driven NF- B activation remains incompletely understood.
Here we show that EBV latent membrane proteins LMP1 and LMP2A or LMP2B synergize to activate the protease MALT1, a key driver of NF- B-mediated lymphocyte proliferation. EBV-positive B-cell lines co-expressing LMP1 and LMP2 proteins exhibited constitutive MALT1 activity, and treatment with a MALT1 inhibitor or silencing of latent membrane protein-1 (LMP1) or LMP2 impaired MALT1-dependent substrate cleavage.
LMP1 physically interacted with the MALT1-binding partner BCL10, while LMP2A and LMP2B interacted with MALT1. LMP1 also colocalized with LMP2 in dotted structures, suggesting that LMP1 and LMP2 synergize via the coordinated formation of LMP-BCL10-MALT1 (LBM) complexes.
Finally, MALT1 protease inhibition led to reduced expression of a set of NF- B-driven genes, and reduced tumor growth in an EBV-positive lymphoma xenograft model.
These findings establish a key role for the protease MALT1 in LMP1/2-mediated, NF- B-driven cellular transformation and provide a rationale for inhibiting MALT1 to treat EBV-positive B-cell lymphomas that co-express LMP1 and LMP2.
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