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Published on: January 7, 2019
BTK kinase activity is dispensable for the survival of diffuse large B-cell lymphoma
Hongwei Yuan1, Yutong Zhu2, Yalong Cheng1
1College of Life Sciences, Beijing Normal University, Beijing, China; National Institute of Biological Sciences, Beijing, China.
Abstract:
Inhibitors targeting Bruton's tyrosine kinase (BTK) have revolutionized the treatment for various B-cell malignancies but are limited by acquired resistance after prolonged treatment as a result of mutations in BTK. Here, by a combination of structural modeling, in vitro assays, and deep phospho-tyrosine proteomics, we demonstrated that four clinically observed BTK mutations-C481F, C481Y, C481R, and L528W-inactivated BTK kinase activity both in vitro and in diffused large B-cell lymphoma (DLBCL) cells. Paradoxically, we found that DLBCL cells harboring kinase-inactive BTK exhibited intact B cell receptor (BCR) signaling, unperturbed transcription, and optimal cellular growth. Moreover, we determined that DLBCL cells with kinase-inactive BTK remained addicted to BCR signaling and were thus sensitive to targeted BTK degradation by the proteolysis-targeting chimera. By performing parallel genome-wide CRISPR-Cas9 screening in DLBCL cells with WT or kinase-inactive BTK, we discovered that DLBCL cells with kinase-inactive BTK displayed increased dependence on Toll-like receptor 9 (TLR9) for their growth and/or survival. Our study demonstrates that the kinase activity of BTK is not essential for oncogenic BCR signaling and suggests that BTK's noncatalytic function is sufficient to sustain the survival of DLBCL.
Insights
Bruton's tyrosine kinase (BTK) mutations inactivate its kinase activity but B-cell malignancies remain dependent on BTK's noncatalytic functions for survival, suggesting new therapeutic strategies targeting BTK degradation.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Bruton's tyrosine kinase (BTK) inhibitors are effective treatments for B-cell malignancies.
- Acquired resistance due to BTK mutations limits long-term efficacy.
- Understanding resistance mechanisms is crucial for developing novel therapeutic approaches.
Purpose of the Study:
- To investigate the functional consequences of clinically observed BTK mutations.
- To explore alternative therapeutic strategies for BTK inhibitor-resistant B-cell malignancies.
- To identify new dependencies in cancer cells with kinase-inactive BTK.
Main Methods:
- Structural modeling
- In vitro kinase assays
- Deep phospho-tyrosine proteomics
- CRISPR-Cas9 screening
- Cellular assays
Main Results:
- Four clinical BTK mutations (C481F, C481Y, C481R, L528W) inactivate BTK kinase activity.
- Kinase-inactive BTK does not impair B cell receptor (BCR) signaling, transcription, or cell growth in diffuse large B-cell lymphoma (DLBCL).
- DLBCL cells with kinase-inactive BTK are sensitive to BTK degradation and show increased dependence on Toll-like receptor 9 (TLR9).
Conclusions:
- BTK kinase activity is not essential for oncogenic BCR signaling in DLBCL.
- BTK's noncatalytic function is sufficient to sustain DLBCL survival.
- Targeting BTK degradation and exploring pathways like TLR9 may overcome resistance in B-cell malignancies.
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