Activation of mTORC1 signaling pathway in AIDS-related lymphomas

Mouna El-Salem1, Puthiyaveettil N Raghunath, Michal Marzec

  • 1University of Pennsylvania Medical Center, Department of Pathology and Laboratory Medicine, 3400 Spruce Street, 7.106 Founders Pavilion, Philadelphia, PA 19104, USA.

Insights

The mammalian target of rapamycin (mTORC)1 pathway is activated in AIDS-related lymphomas and HIV-associated lymphadenopathy. Inhibiting mTORC1 or its upstream activators may offer new treatments for these lymphomas.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • The mammalian target of rapamycin (mTORC)1 pathway plays a crucial role in cell growth and proliferation.
  • Dysregulation of mTORC1 signaling is implicated in various cancers, including lymphomas.
  • AIDS-related lymphomas are aggressive malignancies often associated with human immunodeficiency virus (HIV) infection.

Purpose of the Study:

  • To investigate the activation status of the mTORC1 pathway in AIDS-related lymphomas.
  • To explore the role of mTORC1 in HIV-associated lymphadenopathy.
  • To identify potential therapeutic targets by examining upstream activators of mTORC1 in lymphoma cell lines.

Main Methods:

  • Immunohistochemistry was used to detect activated phosphoserine residues of S6rp and 4E-binding protein 1.
  • Analysis included cases of non-Hodgkin lymphoma, classic Hodgkin lymphoma, and HIV-associated lymphadenopathy.
  • In vitro studies utilized B-cell lines representing various lymphoma subtypes to test the effects of pathway inhibitors.

Main Results:

  • mTORC1 pathway activation was identified in 29 cases of AIDS-related lymphoma across diverse histological subtypes.
  • Activated mTORC1 was also observed in hyperplastic follicles of HIV-associated lymphadenopathy, but not in involuted follicles.
  • Inhibition of Syk, MEK, and phosphoinositide 3 kinases, particularly in combination, suppressed mTORC1 activation in lymphoma cell lines.

Conclusions:

  • mTORC1 activation is a common feature in transformed lymphocytes, regardless of their reactive or malignant phenotype.
  • These findings suggest that AIDS-related lymphomas and similar B-cell lymphomas may respond to therapies targeting mTORC1.
  • Inhibitors of mTORC1 or its upstream activators represent a promising therapeutic strategy for AIDS-related lymphomas.

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