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Updated: Jun 27, 2026

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Published on: February 22, 2020
Cell death by bortezomib-induced mitotic catastrophe in natural killer lymphoma cells
Lijun Shen1, Wing-Yan Au, Kai-Yau Wong
1Department of Pathology, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong, People's Republic of China.
Abstract:
The proteasome inhibitor bortezomib (PS-341/Velcade) is used for the treatment of relapsed and refractory multiple myeloma and mantle-cell lymphoma. We recently reported its therapeutic potential against natural killer (NK)-cell neoplasms. Here, we investigated the molecular mechanisms of bortezomib-induced cell death in NK lymphoma cells. NK lymphoma cell lines (SNK-6 and NK-YS) and primary cultures of NK lymphomas treated with bortezomib were examined for alterations in cell viability, apoptosis, cellular senescence, and cell cycle status. Bortezomib primarily induced mitochondrial apoptosis in NK-YS cells and in primary lymphoma cells at the same concentration as reported in myeloma cells. Unexpectedly, SNK-6 cells required a significantly higher median inhibitory concentration of bortezomib (23 nmol/L) than NK-YS and primary lymphoma cells (6-13 nmol/L). Apoptosis was limited in SNK-6 cells due to the extensively delayed turnover of Bcl-2 family members. These cells were killed by bortezomib, albeit at higher pharmacologic concentrations, via mitotic catastrophe-a mitotic cell death associated with M-phase arrest, cyclin B1 accumulation, and increased CDC2/CDK1 activity. Our results suggest that, in addition to cell death by apoptosis at lower bortezomib concentrations, NK lymphoma cells resistant to bortezomib-induced apoptosis can be killed via mitotic catastrophe, an alternative cell death mechanism, at higher pharmacologic concentrations of bortezomib. Hence, activating mitotic catastrophe by bortezomib may provide a novel therapeutic approach for treating apoptosis-resistant NK-cell malignancies and other cancers.
Insights
Bortezomib induces cell death in natural killer (NK) lymphoma cells through apoptosis and mitotic catastrophe. Resistance to apoptosis can be overcome by higher bortezomib concentrations, activating mitotic catastrophe for potential cancer therapies.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Bortezomib (PS-341/Velcade) is a proteasome inhibitor used for multiple myeloma and mantle-cell lymphoma.
- Previous research indicated bortezomib's therapeutic potential in natural killer (NK)-cell neoplasms.
- Understanding bortezomib's mechanism of action in NK lymphoma is crucial for optimizing its use.
Purpose of the Study:
- To investigate the molecular mechanisms of bortezomib-induced cell death in NK lymphoma cells.
- To compare the sensitivity of different NK lymphoma cell lines and primary cultures to bortezomib.
- To identify alternative cell death pathways activated by bortezomib in resistant cells.
Main Methods:
- Treatment of NK lymphoma cell lines (SNK-6, NK-YS) and primary NK lymphoma cultures with bortezomib.
- Assessment of cell viability, apoptosis, cellular senescence, and cell cycle status.
- Analysis of Bcl-2 family member turnover, M-phase arrest, cyclin B1 accumulation, and CDC2/CDK1 activity.
Main Results:
- Bortezomib induced mitochondrial apoptosis in NK-YS and primary NK lymphoma cells at low concentrations.
- SNK-6 cells exhibited resistance to apoptosis, requiring higher bortezomib concentrations (23 nmol/L) due to delayed Bcl-2 family member turnover.
- At higher concentrations, bortezomib induced mitotic catastrophe in resistant SNK-6 cells, characterized by M-phase arrest and altered cell cycle regulation.
Conclusions:
- Bortezomib induces cell death in NK lymphoma via both apoptosis and mitotic catastrophe.
- Mitotic catastrophe serves as an alternative cell death mechanism in bortezomib-resistant NK lymphoma cells.
- Targeting mitotic catastrophe with bortezomib may offer a novel therapeutic strategy for apoptosis-resistant NK-cell malignancies and other cancers.
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