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CORRESPONDENCE A unique feature of Hodgkin disease (HD) is the small
number of malignant Hodgkin and Reed-Sternberg (HRS) cells in diseased tissue. Growth of HD-involved lymph nodes is mostly the result of an
infiltration of benign T cells. Because of their scarcity, HRS cells
are not easily isolated from the vast number of surrounding T cells,
and this explains why functional data from single HRS cells are
difficult to obtain. HRS cells, which originate from germinal center B cells,
frequently contain crippling somatic mutations within
rearranged immunoglobulin heavy chain genes.1
Because such crippling mutations trigger apoptosis in germinal center B
cells, their detection in HRS tumor cells has supported the view that
the lack of surface immunoglobulin-mediated protection from apoptosis
must be compensated through expression of surrogate survival factors.
Since receptor activator of nuclear factor In a recent report, Fiumara et al examined the expression of RANK
in 4 HD-derived cell lines,2 assuming that these cell lines retained the molecular signature of the founder HRS tumor cells
from which the lines originated. RANK expression was clearly demonstrated in 2 HD cell lines (HDLM-2 and L-428 cells). The other
2 HD cell lines (HD-MYZ and KM-H2) did not express significant amounts of RANK. Among all HD cell lines tested, RANK ligand
(RANKL)-mediated activation of nuclear factor Fiumara et al further examined whether exogenous RANKL would affect the
proliferation of HD-MYZ, HDLM-2, L428, and KM-H2 cells, thereby testing
a possible role for RANK in regulating cell growth of HD tumor lines.
The authors found that proliferation rates remained completely
unaffected by the addition of RANKL. This result casts further doubt on
the significance of RANK expression in HD cell lines. The problems associated with the use of tumor cell lines as a model for
HD are demonstrated by the expression of the interleukin-3 receptor
(IL-3R). IL-3R rescues cells from apoptosis3 and, like
RANK, is expressed in some but not all HD cell lines. As shown in Table
1, whether HD cell lines express
IL-3R depends, to a large extent, on the types of cell lines examined.
More uncertainty about the possible role of IL-3R in HD arises from the
fact that none of the IL-3R-expressing HD cell lines show IL-3
dependency.
The study by Fiumara et al is interesting in that it addresses the important issue of tumor-cell survival in HD. A possible role for RANK in promoting survival of HRS tumor cells, however, remains to be determined.
Herbert Bosshart
References 1. Kuppers R, Rajewsky K. The origin of Hodgkin and Reed/Sternberg cells in Hodgkin's disease. Annu Rev Immunol. 1998;16:471-493[CrossRef][Medline] [Order article via Infotrieve].
2.
Fiumara P, Snell V, Li Y, et al.
Functional expression of receptor activator of nuclear factor 3. Williams GT, Smith CA, Spooncer E, et al. Haemopoietic colony stimulating factors promote cell survival by suppressing apoptosis. Nature. 1990;343:76-79[CrossRef][Medline] [Order article via Infotrieve].
Response:
Receptor activator of nuclear factor-
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Because these cell lines constitutively express high levels of
NF-
B,2,3 it is not surprising that RANK activation did not result in further increase in NF-
B activation above the high baseline level in all Hodgkin cell lines. However, RANK may also induce
some of its biologic functions through other signaling pathways. In
fact, RANK can activate all 3 major mitogen-activated protein kinases
(MAPK) pathways: ERK, p38, and JNK (Figures 1B-E). When the HD-LM2
cells were treated with RANKL for different times, MAPKK was
strongly activated, causing ERK phosphorylation within 10 minutes and
peaking at 60 minutes (Figure 1B, upper panel). This activation was not
due to increased protein expression because ERK total protein level did
not change with RANK activation (Figure 1B, lower panel). Similarly,
RANKL phosphorylated the p38 MAPK within 5 minutes of RANKL treatment,
reached maximum at 10 minutes, and declined after 20 minutes (Figure
1C, upper panel). During the same time points, total p38 level did not
change, indicating that the increased phosphorylated state was not due
to an increase in protein level (Figure 1C, lower panel). Finally,
RANKL activated jun kinase (JNK), causing phosphorylation of c-jun in a
time- and dose-dependent manner. JNK was activated within 5 minutes, reaching maximum activation between 15 and 30 minutes (Figure 1D). The
activation of JNK was also dose-dependent, reaching 2.2-fold at 0.01 nM
RANKL and 21-fold at 10 nM RANKL (Figure 1E).
In our original study, we reported that RANKL failed to stimulate the
growth of HD cell lines.1 However, because these cell
lines have a high doubling time, it is difficult to show a significant
increase in the proliferative rate above the baseline level. Studying
the effect of RANKL on primary Hodgkin and Reed-Sternberg cells may
yield more valuable information. However, the ability of RANKL to
activate survival pathways such as NF-
B and MAPK suggest
that RANK may indeed be involved in providing survival signals to the
malignant cells.
Asok Mukhopadhyay, Paolo Fiumara, Yang Li, Bryant G. Darnay, Bharat Aggarwal, and Anas Younes
Correspondence: Anas Younes, Dept of Lymphoma/Myeloma,
The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd, Houston, Texas 77030; e-mail:
ayounes{at}mdanderson.org or Bharat Aggarwal at baggarwal{at}mdanderson.org
References
1.
Fiumara P, Snell V, Li Y, et al.
Functional expression of receptor activator of nuclear factor
B in Hodgkin disease cell lines.
Blood.
2001;98:2784-2790.
2.
Hinz M, Loser P, Mathas S, Krappmann D, Dorken B, Scheidereit C.
Constitutive NF-
B maintains high expression of a characteristic gene network, including CD40, CD86, and a set of antiapoptotic genes in Hodgkin/Reed-Sternberg cells.
Blood.
2001;97:2798-2807
3.
Staudt LM.
The molecular and cellular origins of Hodgkin's disease.
J Exp Med.
2000;191:207-212
4. Kumar A, Aggarwal BB. Assay for redox-sensitive kinases. Methods Enzymol. 1999;300:339-345[CrossRef][Medline] [Order article via Infotrieve]
Related Article in Blood Online:
B in Hodgkin disease cell lines
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H. Bosshart, D. Aldinucci, and V. Gattei Interleukin-3 Receptors in Hodgkin's Disease Am. J. Pathol., January 1, 2003; 162(1): 355 - 357. [Full Text] [PDF] |
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