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Updated: Oct 18, 2025

Subcellular Fractionation of Primary Chronic Lymphocytic Leukemia Cells to Monitor Nuclear/Cytoplasmic Protein Trafficking
Published on: October 23, 2019
The PKN1- TRAF1 signaling axis as a potential new target for chronic lymphocytic leukemia
Maria I Edilova1, Jaclyn C Law1, Safoura Zangiabadi2
1Department of Immunology, University of Toronto, Toronto, ON, Canada.
Abstract:
TRAF1 is a pro-survival adaptor molecule in TNFR superfamily (TNFRSF) signaling. TRAF1 is overexpressed in many B cell cancers including refractory chronic lymphocytic leukemia (CLL). Little has been done to assess the role of TRAF1 in human cancer. Here we show that the protein kinase C related kinase Protein Kinase N1 (PKN1) is required to protect TRAF1 from cIAP-mediated degradation during constitutive CD40 signaling in lymphoma. We show that the active phospho-Thr774 form of PKN1 is constitutively expressed in CLL but minimally detected in unstimulated healthy donor B cells. Through a screen of 700 kinase inhibitors, we identified two inhibitors, OTSSP167, and XL-228, that inhibited PKN1 in the nanomolar range and induced dose-dependent loss of TRAF1 in RAJI cells. OTSSP167 or XL-228 treatment of primary patient CLL samples led to a reduction in TRAF1, pNF-κB p65, pS6, pERK, Mcl-1 and Bcl-2 proteins, and induction of activated caspase-3. OTSSP167 synergized with venetoclax in inducing CLL death, correlating with loss of TRAF1, Mcl-1, and Bcl-2. Although correlative, these findings suggest the PKN1-TRAF1 signaling axis as a potential new target for CLL. These findings also suggest the use of the orally available inhibitor OTSSP167 in combination treatment with venetoclax for TRAF1 overexpressing CLL.
Insights
The protein kinase N1 (PKN1) pathway protects TRAF1 in chronic lymphocytic leukemia (CLL). Inhibiting PKN1 with OTSSP167 reduces TRAF1 and induces CLL cell death, suggesting a new therapeutic target.
Area of Science:
- Oncology
- Molecular Biology
- Signal Transduction
Background:
- TRAF1 is a pro-survival protein overexpressed in B cell cancers like chronic lymphocytic leukemia (CLL).
- The role of TRAF1 in human cancer and its regulation remain underexplored.
- Constitutive CD40 signaling in lymphoma involves TRAF1, but its protective mechanisms are not fully understood.
Purpose of the Study:
- To investigate the role of protein kinase N1 (PKN1) in regulating TRAF1 stability.
- To identify PKN1 inhibitors and evaluate their efficacy in CLL models.
- To explore the PKN1-TRAF1 signaling axis as a potential therapeutic target in CLL.
Main Methods:
- Assessed PKN1 expression in CLL patient samples.
- Screened kinase inhibitors to identify PKN1 inhibitors.
- Treated CLL cells and RAJI cells with identified inhibitors (OTSSP167, XL-228).
- Analyzed protein levels (TRAF1, pNF-κB p65, pS6, pERK, Mcl-1, Bcl-2, cleaved caspase-3) and assessed drug synergy.
Main Results:
- Active phospho-Thr774 PKN1 is constitutively expressed in CLL but not in healthy B cells.
- PKN1 inhibition by OTSSP167 or XL-228 reduced TRAF1 levels in RAJI cells.
- Treatment of primary CLL samples with OTSSP167 or XL-228 decreased TRAF1, Mcl-1, Bcl-2, and signaling proteins, while increasing cleaved caspase-3.
- OTSSP167 synergized with venetoclax to induce CLL cell death.
Conclusions:
- PKN1 protects TRAF1 from degradation during CD40 signaling, and this axis is active in CLL.
- PKN1 inhibitors like OTSSP167 effectively reduce TRAF1 and induce apoptosis in CLL cells.
- The PKN1-TRAF1 pathway represents a promising new therapeutic target for CLL, with OTSSP167 a potential combination therapy with venetoclax.
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