Targeting ubiquitin-activating enzyme induces ER stress-mediated apoptosis in B-cell lymphoma cells
Scott Best1, Taylor Hashiguchi1, Adam Kittai1
1Knight Cancer Institute, Oregon Health & Science University, Portland, OR; and.
Abstract:
Alterations in the ubiquitin proteasome system (UPS) leave malignant cells in heightened cellular stress, making them susceptible to proteasome inhibition. However, given the limited efficacy of proteasome inhibitors in non-Hodgkin lymphoma (NHL), novel approaches to target the UPS are needed. Here, we show that TAK-243, the first small-molecule inhibitor of the ubiquitin activating enzyme (UAE) to enter clinical development, disrupts all ubiquitin signaling and global protein ubiquitination in diffuse large B-cell lymphoma (DLBCL) cells, thereby inducing endoplasmic reticulum (ER) stress and the unfolded protein response (UPR). Activation of the ER stress response protein kinase R (PKR)-like ER kinase and phosphorylation of eukaryotic translation initiator factor 2α led to upregulation of the proapoptotic molecule C/EBP homologous protein and cell death across a panel of DLBCL cell lines independent of cell of origin. Concurrently, targeting UAE led to accumulation of Cdt1, a replication licensing factor, leading to DNA rereplication, checkpoint activation, and cell cycle arrest. MYC oncoprotein sensitized DLBCL cells to UAE inhibition; engineered expression of MYC enhanced while genetic MYC knockdown protected from TAK-243-induced apoptosis. UAE inhibition demonstrated enhanced ER stress and UPR and increased potency compared with bortezomib in DLBCL cell lines. In vivo treatment with TAK-243 restricted the growth of xenografted DLBCL tumors, accompanied by reduced cell proliferation and apoptosis. Finally, primary patient-derived DLBCL cells, including those expressing aberrant MYC, demonstrated susceptibility to UAE inhibition. In sum, targeting UAE may hold promise as a novel therapeutic approach in NHL.
Insights
TAK-243, a novel inhibitor of ubiquitin activating enzyme (UAE), effectively targets diffuse large B-cell lymphoma (DLBCL) by inducing cellular stress and apoptosis. This approach shows promise for treating non-Hodgkin lymphoma (NHL) where other treatments have limited efficacy.
Area of Science:
- Molecular Biology
- Oncology
- Drug Development
Background:
- The ubiquitin proteasome system (UPS) is crucial for cellular stress management in cancer.
- Existing proteasome inhibitors show limited efficacy in non-Hodgkin lymphoma (NHL).
- Novel strategies targeting the UPS are needed for NHL treatment.
Purpose of the Study:
- To investigate the efficacy of TAK-243, a ubiquitin activating enzyme (UAE) inhibitor, in diffuse large B-cell lymphoma (DLBCL).
- To elucidate the mechanisms of action of UAE inhibition in DLBCL cells.
- To evaluate TAK-243 as a potential therapeutic agent for NHL.
Main Methods:
- Treatment of DLBCL cell lines with TAK-243, a small-molecule UAE inhibitor.
- Assessment of ubiquitin signaling, protein ubiquitination, ER stress, and UPR.
- Analysis of Cdt1 accumulation, DNA rereplication, cell cycle arrest, and apoptosis.
- Evaluation of MYC oncoprotein's role in DLBCL sensitivity to TAK-243.
- In vivo studies using xenografted DLBCL tumors and analysis of patient-derived DLBCL cells.
Main Results:
- TAK-243 disrupted ubiquitin signaling and protein ubiquitination, inducing ER stress and UPR in DLBCL cells.
- UAE inhibition led to Cdt1 accumulation, DNA rereplication, cell cycle arrest, and apoptosis, independent of DLBCL cell of origin.
- MYC oncoprotein sensitized DLBCL cells to TAK-243; MYC knockdown conferred protection.
- TAK-243 demonstrated enhanced ER stress and UPR compared to bortezomib and inhibited xenograft tumor growth.
- Patient-derived DLBCL cells, including those with aberrant MYC, were susceptible to TAK-243.
Conclusions:
- Targeting UAE with TAK-243 is a promising therapeutic strategy for DLBCL and potentially other NHL subtypes.
- TAK-243 induces cell death through ER stress, UPR, and DNA rereplication.
- The findings support further clinical development of UAE inhibitors for NHL treatment.
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