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Pharmacological restoration and therapeutic targeting of the B-cell phenotype in classical Hodgkin's lymphoma

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Item Type:Article
Title:Pharmacological restoration and therapeutic targeting of the B-cell phenotype in classical Hodgkin's lymphoma
Creators: Du, J., Neuenschwander, M. ORCID logoORCID: https://orcid.org/0000-0002-3114-7975, Yu, Y. ORCID logoORCID: https://orcid.org/0000-0003-1928-2514, Däbritz, J.H.M., Neuendorff, N.R., Schleich, K., Bittner, A. ORCID logoORCID: https://orcid.org/0000-0001-6434-0950, Milanovic, M. ORCID logoORCID: https://orcid.org/0000-0003-1860-6003, Beuster, G., Radetzki, S. ORCID logoORCID: https://orcid.org/0000-0003-2688-2868, Specker, E. ORCID logoORCID: https://orcid.org/0000-0002-9471-9520, Reimann, M. ORCID logoORCID: https://orcid.org/0000-0002-7876-0128, Rosenbauer, F. ORCID logoORCID: https://orcid.org/0000-0001-7977-9421, Mathas, S. ORCID logoORCID: https://orcid.org/0000-0001-9626-1413, Lohneis, P., Hummel, M., Dörken, B. ORCID logoORCID: https://orcid.org/0000-0001-7991-3643, von Kries, J.P. ORCID logoORCID: https://orcid.org/0000-0003-4716-4988, Lee, S. ORCID logoORCID: https://orcid.org/0000-0002-4614-2931 and Schmitt, C.A. ORCID logoORCID: https://orcid.org/0000-0002-4731-2226
Abstract:Classical Hodgkin's lymphoma (cHL), although originating from B-cells, is characterized by the virtual lack of gene products whose expression constitutes the B-cell phenotype. Epigenetic repression of B-cell-specific genes via promoter hypermethylation and histone deacetylation as well as compromised expression of B-cell-committed transcription factors were previously reported to contribute to the lost B-cell phenotype in cHL. Restoring the B-cell phenotype may not only correct a central malignant property, but render cHL susceptible to clinically established antibody therapies targeting B-cell surface receptors or small compounds interfering with B-cell receptor signaling. We conducted now a high-throughput pharmacological screening based on more than 28,000 compounds in cHL cell lines carrying a CD19 reporter to identify drugs that promote re-expression of the B-cell phenotype. Three chemicals were retrieved that robustly enhanced CD19 transcription. Subsequent chromatin immunoprecipitation-based analyses indicated that action of two of these compounds was associated with lowered levels of the transcriptionally repressive lysine 9-trimethylated histone H3 mark at the CD19 promoter. Moreover, the anti-leukemia agents all-trans retinoic acid and arsenic trioxide (ATO) were found to reconstitute the silenced B-cell transcriptional program and reduce viability of cHL cell lines. When applied in combination with a screening-identified chemical, ATO evoked re-expression of the CD20 antigen, which could be further therapeutically exploited by enabling CD20 antibody-mediated apoptosis of cHL cells. Furthermore, restoration of the B-cell phenotype also rendered cHL cells susceptible to the B-cell Non-Hodgkin's lymphoma-tailored small compound inhibitors Ibrutinib and Idelalisib. In essence, we report here a conceptually novel, re-differentiation-based treatment strategy for cHL.
Keywords:Antineoplastic Agents, B-Lymphocytes, CD20 Antigens, Cell Differentiation, Chromatin Immunoprecipitation, Cultured Tumor Cells, Flow Cytometry, High-Throughput Screening Assays, Hodgkin Disease, Phenotype, Polymerase Chain Reaction, Transcriptome
Source:Blood
ISSN:0006-4971
Publisher:American Society of Hematology
Volume:129
Number:1
Page Range:71-81
Date:5 January 2017
Additional Information:Copyright © 2017 by The American Society of Hematology
Official Publication:https://doi.org/10.1182/blood-2016-02-700773
PubMed:View item in PubMed

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