费城染色体阳性(Ph)白血病是一种致命的血液恶性肿瘤。尽管使用酪氨酸激酶抑制剂(TKIs)的标准治疗在延长患者生存期方面取得了显著成功,不容忍,复发,对于Ph+白血病患者,TKI耐药仍然是严重的问题。这里,我们报道了一个新的白血病发生过程,其中RAPSYN和BCR-ABL共同出现在Ph+白血病中,和RAPSKYN介导BCR-ABL的neddylation。因此,NeddylatedBCR-ABL通过竞争其c-CBL介导的降解来增强稳定性。此外,SRC磷酸化RAPSYN以激活其NEDD8E3连接酶活性,促进BCR-ABL稳定和疾病进展。此外,与基于PROTAC的降解剂的体内无效相反,RAPPYN表达的缺失,或其连接酶活性降低BCR-ABL稳定性,反过来,抑制肿瘤的形成和生长。总的来说,这些发现代表了癌蛋白和白血病细胞的酪氨酸激酶活性的替代方法,并为靶向RAPSYN介导的BCR-ABLneddylation治疗Ph+白血病提供了理论基础.
慢性粒细胞白血病(简称CML)约占美国成年人诊断的所有血癌的15%。该病症的特征在于不成熟免疫细胞的过度产生,其干扰适当的血液功能。它与基因重组(一种突变)有关,该基因重组导致白细胞产生异常的“BCR-ABL”酶,该酶始终处于打开状态。反过来,这种过度活跃的蛋白质会导致细胞活得更长,分裂不受控制。目前可用于控制疾病的一些最有效的药物通过阻断BCR-ABL的活性起作用。然而,随着时间的推移,某些患者可能会对这些治疗产生抗药性,导致他们复发。因此,需要其他方法来控制这种疾病;特别是,一个有希望的研究途径在于探索是否有可能减少患病细胞中存在的酶的量。作为这项努力的一部分,赵,戴,Li,张等人。专注于RAPPYN,CML细胞中以前未知的支架蛋白。在其他组织中,它最近被证明参与neddylation-一种过程,蛋白质接受某些化学“标签”,从而改变它们的行为方式。实验表明,与健康志愿者相比,RAPSYN在CML患者的白细胞中以高得多的水平存在。通过实验降低CML细胞中RAPSYN的含量导致这些细胞的分裂速度降低-无论是在培养皿中还是在小鼠体内注射时,同时也与BCR-ABL水平降低有关。其他生化实验表明,RAPSYN坚持与BCR-ABL添加化学“标签”,保护异常蛋白质免受降解,提高其总体水平。最后,团队展示了SRC,一种在新出现的癌症中经常失调的酶,可以激活RAPSYN进行Neddylation的能力;这种机制可以促进BCR-ABL稳定,反过来,疾病进展。一起来看,这些实验表明了一种控制BCR-ABL水平的新方法。未来的研究应该调查RAPSYN是否也能稳定白血病对现有药物耐药的患者的BCR-ABL。最终,RAPSYN可能为克服CML患者的耐药性提供新的靶点。
Philadelphia chromosome-positive (Ph+) leukemia is a fatal hematological malignancy. Although standard treatments with tyrosine kinase inhibitors (TKIs) have achieved remarkable success in prolonging patient survival, intolerance, relapse, and TKI resistance remain serious issues for patients with Ph+ leukemia. Here, we report a new leukemogenic process in which RAPSYN and BCR-ABL co-occur in Ph+ leukemia, and RAPSYN mediates the neddylation of BCR-ABL. Consequently, neddylated BCR-ABL enhances the stability by competing its c-CBL-mediated degradation. Furthermore, SRC phosphorylates RAPSYN to activate its NEDD8 E3 ligase activity, promoting BCR-ABL stabilization and disease progression. Moreover, in contrast to in vivo ineffectiveness of PROTAC-based degraders, depletion of RAPSYN expression, or its ligase activity decreased BCR-ABL stability and, in turn, inhibited tumor formation and growth. Collectively, these findings represent an alternative to tyrosine kinase activity for the oncoprotein and leukemogenic cells and generate a rationale of targeting RAPSYN-mediated BCR-ABL neddylation for the treatment of Ph+ leukemia.
Chronic myeloid leukemia (CML for short) accounts for about 15% of all blood cancers diagnosed in adults in the United States. The condition is characterized by the overproduction of immature immune cells that interfere with proper blood function. It is linked to a gene recombination (a type of mutation) that leads to white blood cells producing an abnormal ‘BCR-ABL’ enzyme which is always switched on. In turn, this overactive protein causes the cells to live longer and divide uncontrollably. Some of the most effective drugs available to control the disease today work by blocking the activity of BCR-ABL. Yet certain patients can become resistant to these treatments over time, causing them to relapse. Other approaches are therefore needed to manage this disease; in particular, a promising avenue of research consists in exploring whether it is possible to reduce the amount of the enzyme present in diseased cells. As part of this effort, Zhao, Dai, Li, Zhang et al. focused on RAPSYN, a scaffolding protein previously unknown in CML cells. In other tissues, it has recently been shown to participate in neddylation – a process by which proteins receive certain chemical ‘tags’ that change the way they behave. The experiments revealed that, compared to healthy volunteers, RAPSYN was present at much higher levels in the white blood cells of CML patients. Experimentally lowering the amount of RAPSYN in CML cells led these to divide less quickly – both in a dish and when injected in mice, while also being linked to decreased levels of BCR-ABL. Additional biochemical experiments indicated that RAPSYN sticks with BCR-ABL to add chemical ‘tags’ that protect the abnormal protein against degradation, therefore increasing its overall levels. Finally, the team showed that SRC, an enzyme often dysregulated in emerging cancers, can activate RAPSYN’s ability to conduct neddylation; such mechanism could promote BCR-ABL stabilization and, in turn, disease progression. Taken together, these experiments indicate a new way by which BCR-ABL levels are controlled. Future studies should investigate whether RAPSYN also stabilizes BCR-ABL in patients whose leukemias have become resistant to existing drugs. Eventually, RAPSYN may offer a new target for overcoming drug-resistance in CML patients.