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Chronic lymphocytic leukemic cells exhibit apoptotic signaling via TRAIL-R1
M MacFarlane1, S Inoue, S L Kohlhaas
1MRC Toxicology Unit, Hodgkin Building, University of Leicester, Lancaster Road, Leicester, UK.
Abstract:
Clinical trials have been initiated with Apo2L/TRAIL (Genentech) and agonistic mAbs to TRAIL receptors, -R1 and -R2 (Human Genome Sciences). The apoptosis-inducing ability of these mAbs and different TRAIL preparations, in the presence or absence of histone deacetylase inhibitors (HDACi), varied markedly against primary chronic lymphocytic leukaemia (CLL) cells and various tumor cell lines, demonstrating an unanticipated preferential apoptotic signaling via either TRAIL-R1 or -R2. Contrary to literature reports that TRAIL-induced apoptosis occurs primarily via signaling through TRAIL-R2, CLL cells, in the presence of HDACi, undergo predominantly TRAIL-R1-mediated apoptosis. Consequently, Apo2L/TRAIL, which signals primarily through TRAIL-R2, is virtually devoid of activity against CLL cells. To maximize therapeutic benefit, it is essential to ascertain whether a primary tumor signals via TRAIL-R1/-R2, prior to initiating therapy. Thus combination of an agonistic TRAIL-R1 Ab and an HDACi, such as the anticonvulsant sodium valproate, could be of value in treating CLL.
Insights
Histone deacetylase inhibitors (HDACi) shift apoptosis signaling in chronic lymphocytic leukemia (CLL) cells from TRAIL-R2 to TRAIL-R1. This finding suggests combining TRAIL-R1 agonistic antibodies with HDACi may improve CLL treatment efficacy.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) and its receptors (TRAIL-R1, TRAIL-R2) are targets for cancer therapy.
- Histone deacetylase inhibitors (HDACi) can modulate apoptosis signaling pathways.
Purpose of the Study:
- To investigate the differential apoptotic signaling of TRAIL and agonistic antibodies targeting TRAIL-R1 and TRAIL-R2 in chronic lymphocytic leukemia (CLL) cells.
- To determine the effect of HDAC inhibitors on TRAIL-mediated apoptosis in CLL cells.
Main Methods:
- Treatment of primary CLL cells and tumor cell lines with Apo2L/TRAIL and agonistic monoclonal antibodies (mAbs) against TRAIL-R1 and TRAIL-R2.
- Assessment of apoptosis induction in the presence or absence of HDAC inhibitors (HDACi).
Main Results:
- Apoptosis induction varied significantly between TRAIL preparations, mAbs, and cell types.
- Contrary to existing literature, CLL cells treated with HDACi showed predominantly TRAIL-R1-mediated apoptosis.
- Apo2L/TRAIL, which signals mainly through TRAIL-R2, demonstrated minimal activity against CLL cells, especially when combined with HDACi.
Conclusions:
- The choice of TRAIL-R1 or TRAIL-R2 as the primary signaling pathway is crucial for therapeutic efficacy in CLL.
- Combining agonistic TRAIL-R1 antibodies with HDAC inhibitors, like sodium valproate, may represent a promising therapeutic strategy for CLL.
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