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Blood, 20 August 2009, Vol. 114, No. 8, pp. 1585-1595.
Prepublished online as a Blood First Edition Paper on June 16, 2009; DOI 10.1182/blood-2009-02-204735.


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LYMPHOID NEOPLASIA

The proteomic signature of NPM/ALK reveals deregulation of multiple cellular pathways

Megan S. Lim1, Mary L. Carlson2, David K. Crockett3, G. Chris Fillmore2, David R. Abbott2, Olaotan F. Elenitoba-Johnson3, Sheryl R. Tripp3, George Z. Rassidakis4, L. Jeffrey Medeiros4, Philippe Szankasi3, and Kojo S. J. Elenitoba-Johnson1

1 Department of Pathology, University of Michigan, Ann Arbor; 2 University of Utah Health Sciences Center, Salt Lake City; 3 ARUP Institute for Clinical and Experimental Pathology, Salt Lake City, UT; and 4 Department of Hematopathology, University of Texas M. D. Anderson Cancer Center, Houston

Constitutive expression of the chimeric NPM/ALK fusion protein encoded by the t(2;5)(p32;q35) is a key oncogenic event in the pathogenesis of most anaplastic large cell lymphomas (ALCLs). The proteomic network alterations produced by this aberration remain largely uncharacterized. Using a mass spectrometry (MS)–driven approach to identify changes in protein expression caused by the NPM/ALK fusion, we identified diverse NPM/ALK-induced changes affecting cell proliferation, ribosome synthesis, survival, apoptosis evasion, angiogenesis, and cytoarchitectural organization. MS-based findings were confirmed using Western blotting and/or immunostaining of NPM/ALK-transfected cells and ALK-deregulated lymphomas. A subset of the proteins distinguished NPM/ALK-positive ALCLs from NPM/ALK-negative ALCLs and Hodgkin lymphoma. The multiple NPM/ALK-deregulated pathways identified by MS analysis also predicted novel biologic effects of NPM/ALK expression. In this regard, we showed loss of cell adhesion as a consequence of NPM/ALK expression in a kinase-dependent manner, and sensitivity of NPM/ALK-positive ALCLs to inhibition of the RAS, p42/44ERK, and FRAP/mTOR signaling pathways. These findings reveal that the NPM/ALK alteration affects diverse cellular pathways, and provide novel insights into NPM/ALK-positive ALCL pathobiology. Our studies carry important implications for the use of MS-driven approaches for the elucidation of neoplastic pathobiology, the identification of novel diagnostic biomarkers, and pathogenetically relevant therapeutic targets.


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