JAK/STAT blockade reverses the malignant phenotype of Hodgkin and Reed-Sternberg cells

Sara Fernández1, Jose L Solórzano2, Eva Díaz1

  • 1Translational Research Laboratory, MD Anderson Cancer Center Madrid, Madrid, Spain.

Blood Advances
|December 2, 2022
PubMed

Insights

Ruxolitinib inhibits the JAK/STAT pathway in classic Hodgkin lymphoma (cHL) cells, inducing apoptosis. This study identifies the G-CSF receptor (CSF3R) as a biomarker and reveals mechanisms of JAK/STAT blockade in cHL.

Area of Science:

  • Oncology
  • Molecular Biology
  • Immunology

Background:

  • Constitutive activation of the Janus kinase/signal transducer and activator of transcription (JAK/STAT) pathway is a hallmark of classic Hodgkin lymphoma (cHL).
  • Early-phase clinical trials are investigating the therapeutic potential of JAK/STAT pathway inhibitors in cHL.
  • Limited understanding exists regarding the intricate biological effects of blocking this pathway in cHL.

Purpose of the Study:

  • To investigate the biological consequences of JAK/STAT pathway inhibition in cHL cell models.
  • To evaluate the efficacy of ruxolitinib, a JAK 1/2 inhibitor, in cHL.
  • To identify potential biomarkers and elucidate the molecular mechanisms underlying JAK/STAT blockade in cHL.

Main Methods:

  • Utilized ruxolitinib, a JAK 1/2 inhibitor, on cHL cell models.
  • Employed whole-transcriptome analysis to identify gene expression changes.
  • Conducted longitudinal gene expression analyses to map pathway alterations.

Main Results:

  • Ruxolitinib demonstrated concentration- and time-dependent induction of apoptosis in cHL cells.
  • Upregulation of the G-CSF receptor (CSF3R) was identified as a potential biomarker for JAK/STAT pathway overactivation.
  • Gene expression analysis revealed distinct clusters of pathway modulation, including G2/M checkpoint and MHC-related genes, alongside downregulation of tumor-promoting inflammation signatures (JAK/STAT, IL-1, IL-4, IL-13, IL-17).

Conclusions:

  • JAK/STAT inhibitors hold therapeutic promise for cHL.
  • CSF3R emerges as a novel biomarker for JAK/STAT pathway activity in cHL.
  • This study provides genetic and mechanistic insights into the effects of JAK/STAT inhibition in cHL.