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Identification of Mediators of T-cell Receptor Signaling via the Screening of Chemical Inhibitor Libraries
Published on: January 22, 2019
BET inhibitors induce NF-κB and E2F downregulation in Hodgkin and Reed-Sternberg cells
Sara Fernández1, Eva Díaz1, Claudia G Rita2
1Translational Research Laboratory, MD Anderson Cancer Center Madrid, Spain.
Abstract:
The prognosis of patients with relapsed and/or refractory classic Hodgkin lymphoma (cHL) continues to be poor. Therefore, there is a continuing need to develop novel therapies and to rationalize the use of target combinations. In recent years there has been growing interest in epigenetic targets for hematological malignancies under the rationale of the presence of common alterations in epigenetic transcriptional regulation. Since Hodgkin and Reed-Sternberg (HRS) cells have frequent inactivating mutations of the CREBBP and EP300 acetyltransferases, bromodomain and extra-terminal (BET) inhibitors can be a rational therapy for cHL. Here we aimed to confirm the efficacy of BET inhibitors (iBETs) using representative cell models and functional experiments, and to further explore biological mechanisms under iBET treatment using whole-transcriptome analyses. Our results reveal cytostatic rather than cytotoxic activity through the induction of G1/S and G2/M cell-cycle arrest, in addition to variable MYC downregulation. Additionally, massive changes in the transcriptome induced by the treatment include downregulation of relevant pathways in cHL disease: NF-kB and E2F, among others. Our findings support the therapeutic use of iBETs in selected cHL patients and reveal previously unknown biological mechanisms and consequences of pan-BET inhibition.
Insights
Bromodomain and extra-terminal (BET) inhibitors show promise for treating classic Hodgkin lymphoma (cHL). These epigenetic therapies induce cell-cycle arrest and downregulate key pathways, supporting their use in select cHL patients.
Area of Science:
- Oncology
- Epigenetics
- Hematology
Background:
- Classic Hodgkin lymphoma (cHL) has a poor prognosis in relapsed/refractory settings, necessitating novel therapeutic strategies.
- Epigenetic dysregulation is common in hematological malignancies, making epigenetic targets a rational approach.
- Hodgkin and Reed-Sternberg (HRS) cells frequently exhibit mutations in CREBBP and EP300 acetyltransferases, suggesting sensitivity to bromodomain and extra-terminal (BET) inhibitors.
Purpose of the Study:
- To confirm the efficacy of BET inhibitors (iBETs) in classic Hodgkin lymphoma (cHL) using cell models.
- To explore the biological mechanisms underlying iBET treatment in cHL through whole-transcriptome analysis.
Main Methods:
- Utilized representative cell models and functional experiments to assess iBET efficacy.
- Conducted whole-transcriptome analyses to investigate molecular changes induced by iBETs.
Main Results:
- BET inhibitors demonstrated cytostatic activity, inducing G1/S and G2/M cell-cycle arrest.
- Observed variable downregulation of MYC.
- Identified significant downregulation of critical pathways in cHL, including NF-kB and E2F, following iBET treatment.
Conclusions:
- Findings support the therapeutic application of BET inhibitors (iBETs) in specific patient cohorts with classic Hodgkin lymphoma (cHL).
- Revealed novel biological mechanisms and consequences of pan-BET inhibition in cHL.
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