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Blood, 15 October 2000, Vol. 96, No. 8, pp. 2841-2848
NEOPLASIA
Hodgkin disease: pharmacologic intervention of the CD40-NF B
pathway by a protease inhibitor
Christina M. Annunziata,
Yassamin J. Safiran,
Steven G. Irving,
Usha N. Kasid, and
Jeffrey Cossman
From Georgetown University Medical Center, Washington,
DC.
The malignant Reed-Sternberg cell of Hodgkin disease is an aberrant
B cell that persists in an immunolgically mediated inflammatory infiltrate. Despite its nonproductive immunoglobulin genes, the Reed-Sternberg cell avoids the usual apoptotic fate of defective immune
cells through an unknown mechanism. A likely candidate is the surface
receptor, CD40, consistently expressed by Reed-Sternberg cells, and the
first link in the pathway to NF- B activation, the central regulator
of cytokine production and apoptosis. CD40 signaling in B lymphocytes
coordinates the immune response, including immunoglobulin isotype
switch and Fas-mediated apoptosis. CD40-induced NF- B activation is
mediated by adapter proteins, the TNF receptor (TNFR)-associated
factors (TRAFs), especially TRAFs 2, 3, and 5. Using a Hodgkin cell
line, this study demonstrates that CD40 activation of NF- B is
mediated by proteolysis of TRAF3. Results further demonstrate that the
pathway can be blocked by treatment with pharmacologic doses of a
specific protease inhibitor, pepstatin-A, even in the presence of a
mutated NF- B inhibitor, I- B . The stability of TRAF3 regulates
CD40/NF- B-mediated control of the immune response, which is central
to the biologic activity of the Reed-Sternberg cell. Prevention of
TRAF3 proteolysis may be an entry point for design of novel
pharmaceuticals to treat Hodgkin disease and immune system disorders.

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