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Blood, 1 January 2008, Vol. 111, No. 1, pp. 285-291.
Prepublished online as a Blood First Edition Paper on September 12, 2007; DOI 10.1182/blood-2007-04-085092.
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NEOPLASIA
PKC –mTOR pathway: a new target for rituximab therapy in follicular lymphoma
Ludivine Leseux1,
Guy Laurent1,2,
Camille Laurent3,
Maxime Rigo1,
Amandine Blanc1,
Daniel Olive4, and
Christine Bezombes1
1 INSERM, Unite 563, Centre de Physiopathologie de Toulouse Purpan, Université Toulouse III Paul-Sabatier, Toulouse;
2 Service d'hématologie, Centre Hospitalier Universitaire (CHU) Purpan, Toulouse;
3 Service d'anatomie et cytologie pathologiques, CHU Purpan, Toulouse; and
4 Immunologie des Tumeurs, Institut Paoli-Calmettes, Faculté de Médecine de Marseille, Université de la Méditerranée, Marseille, France
Previous studies have documented that, in malignant B cells, rituximab elicits a complex and not yet totally understood signaling network contributing to its antitumor effect. In this context, we investigated the role of protein kinase C (PKC ), an atypical PKC isoform, in the cellular response to rituximab. We found that follicular lymphoma cells displayed an increase in PKC expression and activity levels, compared with nonmalignant B cells, and that this enzyme was a critical regulator of the classical MAPK module by stimulating Raf-1 kinase activity. PKC appeared to be a significant contributor of abnormal mTOR regulation in follicular lymphoma cells through a MAPK-dependent mechanism. Rituximab was found to inhibit the PKC /MAPK/mTOR module in these cells but not in other B-cell lymphomas. Importantly, the expression of a constitutively active form of PKC resulted in an efficient protection of these cells toward rituximab. Altogether, our study describes a new regulatory component of mTOR pathway in follicular cell lymphoma and demonstrates that PKC is a target for rituximab. Therefore, PKC could represent an important parameter for rituximab efficacy and a promising target for future targeted therapy in follicular lymphoma.

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