Nucleophosmin/anaplastic lymphoma kinase (NPM/ALK) oncoprotein induces the T regulatory cell phenotype by activating STAT3
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Published on: June 6, 2025
Monika Kasprzycka1, Michal Marzec, Xiaobin Liu
1Department of Pathology and Laboratory Medicine, University of Pennsylvania School of Medicine, 3400 Spruce Street, Philadelphia, PA 19104-4283, USA.
Abstract:
The mechanisms of malignant cell transformation mediated by the oncogenic, chimeric nucleophosmin/anaplastic lymphoma kinase (NPM/ALK) tyrosine kinase remain only partially understood. Here we report that the NPM/ALK-carrying T cell lymphoma (ALK+TCL) cells secrete IL-10 and TGF-beta and express FoxP3, indicating their T regulatory (Treg) cell phenotype. The secreted IL-10 suppresses proliferation of normal immune, CD3/CD28-stimulated peripheral blood mononuclear cells and enhances viability of the ALK+TCL cells. The Treg phenotype of the affected cells is strictly dependent on NPM/ALK expression and function as demonstrated by transfection of the kinase into BaF3 cells and inhibition of its enzymatic activity and expression in ALK+TCL cells. NPM/ALK, in turn, induces the phenotype through activation of its key signal transmitter, signal transducer and activator of transcription 3 (STAT3). These findings identify a mechanism of NPM/ALK-mediated oncogenesis based on induction of the Treg phenotype of the transformed CD4(+) T cells. These results also provide an additional rationale to therapeutically target the chimeric kinase and/or STAT3 in ALK+TCL.
Insights
Oncogenic NPM/ALK drives T cell lymphoma by inducing a regulatory T cell (Treg) phenotype. This mechanism involves IL-10 secretion and STAT3 activation, offering new therapeutic targets for ALK+TCL.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- The oncogenic nucleophosmin/anaplastic lymphoma kinase (NPM/ALK) tyrosine kinase drives T cell lymphoma (TCL) but its transformation mechanisms are not fully understood.
- Understanding NPM/ALK's role is crucial for developing targeted therapies against ALK-positive TCL (ALK+TCL).
Purpose of the Study:
- To elucidate the mechanisms by which NPM/ALK mediates malignant cell transformation in T cell lymphoma.
- To investigate the role of NPM/ALK in inducing a specific immune cell phenotype within ALK+TCL cells.
Main Methods:
- Analysis of cytokine secretion (IL-10, TGF-beta) and transcription factor expression (FoxP3) in ALK+TCL cells.
- Functional assays involving transfection of NPM/ALK into BaF3 cells and inhibition of NPM/ALK activity in ALK+TCL cells.
- Investigation of signaling pathways, specifically the role of signal transducer and activator of transcription 3 (STAT3).
Main Results:
- NPM/ALK-carrying ALK+TCL cells exhibit a T regulatory (Treg) cell phenotype, secreting IL-10 and TGF-beta and expressing FoxP3.
- Secreted IL-10 suppresses normal immune cell proliferation while enhancing ALK+TCL cell viability.
- The Treg phenotype is dependent on NPM/ALK expression and function, mediated via STAT3 activation.
Conclusions:
- NPM/ALK oncogenesis involves inducing a Treg phenotype in transformed CD4(+) T cells.
- Targeting NPM/ALK and/or STAT3 presents a potential therapeutic strategy for ALK+TCL.
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