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TRAIL receptor-selective mutants signal to apoptosis via TRAIL-R1 in primary lymphoid malignancies
Marion MacFarlane1, Susan L Kohlhaas, Michael J Sutcliffe
1Medical Research Council, Toxicology Unit, Hodgkin Building, University of Leicester, UK.
Abstract:
Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) and its agonistic antibodies, which are currently in early clinical trials for treating various malignancies, induce apoptosis through triggering of either TRAIL-R1 or TRAIL-R2. Based on studies using agonistic monoclonal antibodies, we recently proposed that primary chronic lymphocytic leukemic cells seem to signal apoptosis primarily through TRAIL-R1. We have now synthesized mutant forms of TRAIL specific for TRAIL-R1 or TRAIL-R2. The selectivity of these mutants to induce apoptosis in cell lines is due to selective binding to their cognate receptors resulting in apoptosis via formation of a death-inducing signaling complex. Using these mutants, we now unequivocally show that primary cells from patients with chronic lymphocytic leukemia and mantle cell lymphoma signal to apoptosis almost exclusively through TRAIL-R1. Thus, no significant therapeutic benefit can be anticipated from treating such patients with agents currently in clinical trials that signal predominantly through TRAIL-R2, such as HGS-ETR2 or Apo2L/TRAIL. Our study highlights the necessity to determine whether primary cells from a particular tumor signal via TRAIL-R1 or TRAIL-R2. Such information will provide a rational approach to optimize TRAIL therapy.
Insights
Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) therapy requires understanding cancer cell signaling. Chronic lymphocytic leukemia and mantle cell lymphoma cells primarily signal apoptosis via TRAIL-R1, not TRAIL-R2, impacting treatment strategies.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) and its agonistic antibodies are investigated for cancer therapy.
- TRAIL induces apoptosis by activating either TRAIL-R1 or TRAIL-R2.
- Previous studies suggested chronic lymphocytic leukemia (CLL) cells signal apoptosis mainly through TRAIL-R1.
Purpose of the Study:
- To synthesize TRAIL mutants selective for TRAIL-R1 or TRAIL-R2.
- To unequivocally determine the primary apoptotic signaling pathway in primary CLL and mantle cell lymphoma (MCL) cells.
- To inform the optimization of TRAIL-based cancer therapies.
Main Methods:
- Synthesis of mutant forms of TRAIL with specificity for TRAIL-R1 or TRAIL-R2.
- Assessment of apoptosis induction in cell lines and primary patient cells using TRAIL mutants.
- Analysis of receptor binding and death-inducing signaling complex formation.
Main Results:
- TRAIL mutants demonstrated selective binding and apoptosis induction via cognate receptors.
- Primary CLL and MCL cells were shown to signal apoptosis almost exclusively through TRAIL-R1.
- Agents signaling predominantly through TRAIL-R2 are unlikely to benefit these specific patient groups.
Conclusions:
- Apoptotic signaling in CLL and MCL is predominantly mediated by TRAIL-R1.
- Therapeutic strategies using TRAIL agonists must consider the specific receptor utilized by tumor cells.
- Determining TRAIL-R1 or TRAIL-R2 dependency is crucial for rational TRAIL therapy optimization.
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