The promyelocytic leukemia (PML)/retinoic acid receptor (RAR) alpha fusion protein (PMLRAR?) is at the center of regulation of receptor signaling, nuclear transcription, and cancer development. PMLRAR? has been implicated in regulating death receptor signaling and apoptosis through dominant-negative effects on nuclear transcription. PML is a tumor suppressor known to stimulate apoptosis and is one of the most commonly defective (>60%) in cancers. Thus, restoration of PML function in cancer would be an effective therapy. If direct effects of PMLRAR? and PML on Fas death receptor-mediated apoptosis were to be established, this would represent a breakthrough in understanding apoptosis regulation and may open new possibilities for cancer therapy. We screened hematopoietic cancer cells for potential Fas binding inhibitors and identified PML as such a protein. Given the pro-apoptotic role of PML and pro-survival role of PMLRAR?, we tested whether PMLRAR? blocked Fas-mediated apoptosis. In preliminary studies, PMLRAR? blocked apoptosis induced by Fas ligand (FasL). PMLRAR? interacted with Fas in acute promyelocytic leukemia cells isolated directly from patients. PMLRAR? -expressing U937/PR9 cells bound cFLIP and excluded procaspase 8 in the death-induced signaling complex (DISC);thus, activation of caspase 8 was blocked. Also, knockdown of PMLRAR? in NB4 cells sensitized these cells to Fas-mediated apoptosis. Our hypothesis is that PMLRAR? diverts Fas signaling to a non-apoptosis endpoint. The results of the proposed studies will have significant implications for all cancers because PMLRAR? counters the effects of PML in apoptosis regulation. By demonstrating a direct interaction of PML and PMLRAR? with Fas, we will reveal a new target for apoptosis regulation that can be exploited for preventing and treating the many cancers that have defective PML function.

Public Health Relevance

The Fas system is an important cell elimination system that has several established functions, including the elimination of autoreactive lymphocytes, infected and defective cells, and cells damaged by chemotherapy and irradiation. We have identified promyelocytic leukemia protein-retinoic acid receptor as a Fas-binding protein and potential key regulator of Fas signaling. This project will characterize the binding of PML with Fas and demonstrate how Fas is regulated in acute promyelocytic leukemia cells and in mice;thus, by showing the pivotal site of regulation, we will be able to identify a therapeutic approach for the vast majority of cancers that have defective promyelocytic leukemia protein and restore apoptosis signaling.

National Institute of Health (NIH)
National Cancer Institute (NCI)
Exploratory/Developmental Grants (R21)
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Special Emphasis Panel (ZRG1-OBT-A (50))
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Wali, Anil
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University of Texas MD Anderson Cancer Center
Internal Medicine/Medicine
Other Domestic Higher Education
United States
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Mathur, Rohit; Sehgal, Lalit; Havranek, Ondrej et al. (2017) Inhibition of demethylase KDM6B sensitizes diffuse large B-cell lymphoma to chemotherapeutic drugs. Haematologica 102:373-380
Wang, Xin; Sehgal, Lalit; Jain, Neeraj et al. (2016) LncRNA MALAT1 promotes development of mantle cell lymphoma by associating with EZH2. J Transl Med 14:346
Mathur, Rohit; Sehgal, Lalit; Braun, Frank K et al. (2015) Targeting Wnt pathway in mantle cell lymphoma-initiating cells. J Hematol Oncol 8:63
Zhu, Haifeng; Berkova, Zuzana; Mathur, Rohit et al. (2015) HuR Suppresses Fas Expression and Correlates with Patient Outcome in Liver Cancer. Mol Cancer Res 13:809-18
Sehgal, L; Mathur, R; Braun, F K et al. (2014) FAS-antisense 1 lncRNA and production of soluble versus membrane Fas in B-cell lymphoma. Leukemia 28:2376-87
Berkova, Zuzana; Wang, Shu; Ao, Xue et al. (2014) CD74 interferes with the expression of fas receptor on the surface of lymphoma cells. J Exp Clin Cancer Res 33:80
Wise, Jillian F; Berkova, Zuzana; Mathur, Rohit et al. (2013) Nucleolin inhibits Fas ligand binding and suppresses Fas-mediated apoptosis in vivo via a surface nucleolin-Fas complex. Blood 121:4729-39
Daniluk, Urszula; Kerros, Celine; Tao, Rong-Hua et al. (2012) The peptide derived from the Ig-like domain of human herpesvirus 8 K1 protein induces death in hematological cancer cells. J Exp Clin Cancer Res 31:69
Tao, Rong-Hua; Berkova, Zuzana; Wise, Jillian F et al. (2011) PMLRAR? binds to Fas and suppresses Fas-mediated apoptosis through recruiting c-FLIP in vivo. Blood 118:3107-18