IRF4 modulates the response to BCR activation in chronic lymphocytic leukemia regulating IKAROS and SYK

Rossana Maffei1,2, Stefania Fiorcari3, Stefania Benatti3

  • 1Hematology Unit, Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena, Italy. rossana.maffei@unimore.it.

Leukemia
|February 24, 2021
PubMed

Insights

Interferon regulatory factor 4 (IRF4) dampens B-cell receptor (BCR) signaling in chronic lymphocytic leukemia (CLL). Lowering IRF4 enhances BCR signaling, impacting key proteins like SYK and IKAROS, offering therapeutic insights.

Area of Science:

  • Immunology
  • Molecular Biology
  • Oncology

Background:

  • Interferon regulatory factor 4 (IRF4) is a key regulator in immune development and function.
  • B-cell receptor (BCR) signaling plays a critical role in chronic lymphocytic leukemia (CLL) pathogenesis.

Purpose of the Study:

  • To investigate the role of IRF4 in modulating BCR signaling responsiveness in CLL cells.
  • To elucidate the molecular mechanisms by which IRF4 influences BCR signaling pathways.

Main Methods:

  • IRF4 levels were modulated in CLL cells using transfection and small-interfering RNAs.
  • Protein levels of spleen tyrosine kinase (SYK) and IKAROS were assessed.
  • Pharmacological treatments including lenalidomide, avadomide (IMIDs), and ibrutinib were utilized.

Main Results:

  • Elevated IRF4 levels attenuated BCR signaling, reducing AKT, ERK phosphorylation, and calcium release.
  • IRF4 reduction enhanced BCR signaling strength, correlating with increased SYK and IKAROS.
  • IRF4 negatively regulates SYK and IKAROS expression; IKAROS promotes BCR signaling by downregulating SHIP1.
  • IMIDs increased IRF4, decreased IKAROS, and impaired BCR-mediated survival, even with ibrutinib.

Conclusions:

  • IRF4 acts as a negative regulator of BCR signaling in CLL.
  • Low IRF4 levels facilitate efficient BCR signal transmission via SYK and IKAROS accumulation.
  • Targeting IRF4 and IKAROS pathways, potentially with IMIDs and ibrutinib, may offer therapeutic strategies for CLL.

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