KV11.1 (hERG1)-centered macromolecular membrane complexes regulate proliferation in B cell lymphomas and constitute

Cesare Sala1, Jessica Iorio1, Claudia Duranti1

  • 1Department of Experimental and Clinical Medicine, University of Florence, Florence I‑50134, Italy.

Pharmacological Research
|October 13, 2025
PubMed

Insights

The hERG1-β1 integrin complex promotes lymphoma proliferation. Targeting this complex with agents like clarithromycin may offer a new therapeutic strategy for diffuse large B cell lymphoma (DLBCL).

Area of Science:

  • Molecular biology and immunology
  • Cancer research
  • Ion channel function

Background:

  • Potassium (K+) channel activity is crucial for T and B lymphocyte activation.
  • K+ channel expression is altered in cancer, influencing neoplastic progression.
  • Diffuse large B cell lymphoma (DLBCL) exhibits altered K+ channel profiles.

Purpose of the Study:

  • To investigate K+ channel expression in DLBCL cell lines and EBV-infected lymphocytes.
  • To identify specific K+ channels involved in lymphoma cell proliferation.
  • To explore the therapeutic potential of targeting the hERG1-β1 integrin complex.

Main Methods:

  • Functional expression analysis of K+ channels (KV1.3, KCa3.1, KV11.1/hERG1, KV12.2/hELK2) in DLBCL cell lines.
  • Investigation of the hERG1-β1 integrin complex formation upon cell adhesion to fibronectin.
  • Assessment of proliferation reduction by disrupting the hERG1-β1 complex using a bispecific antibody and clarithromycin.
  • Clinical correlation analysis in MALT lymphoma patients treated with clarithromycin.

Main Results:

  • DLBCL cells express KV1.3, KCa3.1, hERG1, and hELK2 channels.
  • hERG1 and KCa3.1 channels tend to be substituted by EAG channels, particularly hERG1, in DLBCL compared to normal lymphocytes.
  • Cell adhesion stimulates the formation of a cancer-specific hERG1-β1 integrin complex in DLBCL.
  • Disruption of the hERG1-β1 complex significantly reduced lymphoma proliferation.
  • A trend towards improved survival was observed in MALT lymphoma patients expressing the hERG1-β1 complex treated with clarithromycin.

Conclusions:

  • The hERG1-β1 integrin complex plays a role in promoting lymphoma cell proliferation.
  • Targeting the hERG1-β1 integrin complex represents a potential novel therapeutic strategy for lymphomas.
  • Clarithromycin demonstrates potential as a therapeutic agent by disrupting this complex.

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