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.

Frontiers in Oncology
|April 19, 2021
PubMed

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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