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.

Oncoimmunology
|September 30, 2021
PubMed

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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