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A Chromatin Immunoprecipitation Assay to Identify Novel NFAT2 Target Genes in Chronic Lymphocytic Leukemia
Published on: December 4, 2018
Role of NFAT in Chronic Lymphocytic Leukemia and Other B-Cell Malignancies
Ilenia Sana1, Maria Elena Mantione1, Piera Angelillo1,2
1Division of Experimental Oncology, San Raffaele Hospital IRCCS, Milano, Italy.
Abstract:
In recent years significant progress has been made in the clinical management of chronic lymphocytic leukemia (CLL) as well as other B-cell malignancies; targeting proximal B-cell receptor signaling molecules such as Bruton Tyrosine Kinase (BTK) and Phosphoinositide 3-kinase (PI3Kδ) has emerged as a successful treatment strategy. Unfortunately, a proportion of patients are still not cured with available therapeutic options, thus efforts devoted to studying and identifying new potential druggable targets are warranted. B-cell receptor stimulation triggers a complex cascade of signaling events that eventually drives the activation of downstream transcription factors including Nuclear Factor of Activated T cells (NFAT). In this review, we summarize the literature on the expression and function of NFAT family members in CLL where NFAT is not only overexpressed but also constitutively activated; NFAT controls B-cell anergy and targeting this molecule using specific inhibitors impacts on CLL cell viability. Next, we extend our analysis on other mature B-cell lymphomas where a distinct pattern of expression and activation of NFAT is reported. We discuss the therapeutic potential of strategies aimed at targeting NFAT in B-cell malignancies not overlooking the fact that NFAT may play additional roles regulating the inflammatory microenvironment.
Insights
Nuclear Factor of Activated T cells (NFAT) is overexpressed and activated in chronic lymphocytic leukemia (CLL), offering a new therapeutic target. Inhibiting NFAT impacts CLL cell viability and may benefit other B-cell malignancies.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Advances in B-cell malignancy treatment include targeting Bruton Tyrosine Kinase (BTK) and Phosphoinositide 3-kinase (PI3Kδ).
- Despite progress, some patients remain uncured, necessitating the identification of novel therapeutic targets.
- B-cell receptor signaling activates downstream transcription factors, including Nuclear Factor of Activated T cells (NFAT).
Purpose of the Study:
- To review the role of NFAT family members in chronic lymphocytic leukemia (CLL).
- To explore NFAT expression and activation patterns in other mature B-cell lymphomas.
- To discuss the therapeutic potential of targeting NFAT in B-cell malignancies.
Main Methods:
- Literature review on NFAT expression and function in CLL and other B-cell lymphomas.
- Analysis of NFAT's role in B-cell receptor signaling pathways.
- Discussion of potential therapeutic strategies targeting NFAT.
Main Results:
- NFAT is overexpressed and constitutively activated in CLL, controlling B-cell anergy.
- Targeting NFAT with inhibitors affects CLL cell viability.
- Distinct NFAT expression and activation patterns are observed in other mature B-cell lymphomas.
Conclusions:
- NFAT represents a promising therapeutic target for CLL and potentially other B-cell malignancies.
- Targeting NFAT may impact cancer cell viability and the inflammatory microenvironment.
- Further research into NFAT's role could lead to improved treatment strategies for B-cell cancers.
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