Influence du volume tumoral métabolique sur les paramètres pharmacocinétiques du rituximab dans les lymphomes non hodgkiniens

TOURS-BU Médecine (372612103) / SudocSudocFranceF

Frequent engagement of RelB activation is critical for cell survival in multiple myeloma.

The NF-κB family of transcription factors has emerged as a key player in the pathogenesis of multiple myeloma (MM). NF-κB is activated by at least two major signaling pathways. The classical pathway results in the activation of mainly RelA containing dimers, whereas the alternative pathway leads to the activation of RelB/p52 and RelB/p50 heterodimers. Activating mutations in regulators of the alternative pathway have been identified in 17% of MM patients. However, the status of RelB activation per se and its role in the regulation of cell survival in MM has not been investigated. Here, we reveal that 40% of newly diagnosed MM patients have a constitutive RelB DNA-binding activity in CD138(+) tumor cells, and we show an association with increased expression of a subset of anti-apoptotic NF-κB target genes, such as cIAP2. Furthermore, we demonstrate that RelB exerts a crucial anti-apoptotic activity in MM cells. Our findings indicate that RelB activation is key for promoting MM cell survival through the upregulation of anti-apoptotic proteins. Altogether, our study provides the framework for the development of new molecules targeting RelB in the treatment of MM

Pulmonary toxoplasmosis in immunocompromised patients with interstitial pneumonia: a single-centre prospective study assessing PCR-based diagnosis

International audienc

Impact of post-brentuximab vedotin consolidation on relapsed/refractory CD30+ Hodgkin lymphomas: a large retrospective study on 240 patients enrolled in the French Named-Patient Program

International audienceBrentuximab vedotin was reported to be effective and safe against refractory/relapsed Hodgkin lymphoma in cohorts of 12 to 102 patients. Herein we report our retrospective analysis of the French experience with brentuximab vedotin used alone to treat 240 refractory/relapsed Hodgkin lymphoma patients enrolled in a named patient program between 2011 and 2013. All patients had histologically documented CD30+ Hodgkin lymphoma; 74% had refractory disease or early relapses. After a median of 3 chemotherapy lines, brentuximab vedotin was infused intravenously (1.8 mg/kg every 3 weeks). The primary endpoint was best response. Response at the end of treatment, its duration, survival data and toxicity profile were secondary endpoints. Patients received a median of 6 cycles; 68 underwent a consolidation thereafter. The best response was observed after a median of 4 cycles in 145 (60.4%) patients: 33.8% complete response/unconfirmed complete response, 26.7% partial response. Objective responses were observed decreased (39.3%) in the 28 patients \textgreater60 years. Median response duration was 8.4 months. With median follow-up at 16.1 months, median progression free-survival was 6.8 months and significantly longer for patients transplanted after brentuximab vedotin (median at 18,8 months); median overall survival was not reached. No death has been linked to brentuximab vedotin toxicity. The most common adverse events were peripheral sensory neuropathy (29.3%) and hematological toxicity. The results of this analysis support the previously reported brentuximab vedotin efficacy with manageable toxicity. Because short-term responses in most patients, high-dose therapy with stem-cell transplantation for responders should be considered rapidl

RelB promotes anti-apoptotic NF-κB target gene expression in MM cell lines <i>via</i> direct transcriptional activation.

<p>(A) RelB constitutive activation in MM cell lines. Whole cell extracts from RPMI-8226, U266, and LP1 cell lines were analyzed for NF-κB activity by EMSA. For supershift, whole cell extracts were incubated with the indicated antibodies prior to incubation with the labeled probe. RelA- and RelB-containing complexes are indicated. (B, C) RelB protein levels are efficiently knocked down by stable RNA interference. Whole cell extracts from RPMI-8226, U266, and LP1 cell lines transduced with lentiviruses encoding either a shRNA targeting RelB (shRNA RelB) or a scrambled control (shRNA control) were analyzed by immunoblotting for the indicated proteins. Data of a representative experiment are shown (B), and densitometric analysis of RelB protein level normalized to β-actin (means ± SEM of three independent experiments for each MM cell line) is reported (C). (D, E) RelB constitutive DNA-binding activity is efficiently knocked down by stable RNA interference. Whole cell extracts prepared as in (B) were analyzed by EMSA. RelA- and RelB-containing complexes are indicated. Data of one representative experiment are shown (D), and densitometric analysis of RelB DNA-binding activity normalized to RelA DNA-binding activity (means ± SEM of three experiments for each MM cell line) is reported (E). (F) RelB knockdown decreases anti-apoptotic NF-κB target gene expression at the mRNA level in MM cell lines. Quantitative RT-PCR was performed with specific primer pairs for the indicated genes using total RNAs prepared from the three MM cell lines upon RelB knockdown as in (B). Results are means ± SEM of three independent experiments for each MM cell line normalized to the level of HPRT mRNA. (G) RelB is constitutively bound to the <i>cIAP2</i>, <i>Bcl-xL</i> and <i>Bcl-2</i> promoters in RPMI-8226 MM cells. Recruitment of RelB to the <i>cIAP2</i>, <i>Bcl-xL</i>, <i>Bcl-2</i>, <i>TRAF2</i>, <i>XIAP</i> and <i>IκBα</i> promoters was examined by ChIP experiments followed by quantitative PCR analysis. Results are means ± SEM of four independent experiments normalized to inputs that reflect relative amount of sonicated DNA fragments present before immunoprecipitation, (H, I) RelB knockdown decreases cIAP2 protein expression levels in MM cell lines. Whole cell extracts prepared as in (B) were analyzed by immunoblotting for the indicated proteins. Data of one representative experiment are shown (H), and densitometric analysis of cIAP2 protein level normalized to β-actin (means ± SEM of three independent experiments for each MM cell line) is reported (I). ***P<0.001, **P<0.01, *P<0.05.</p

RelA- and RelB-DNA binding activity in CD138⁺ cells from newly diagnosed multiple myeloma patients.

<p>RelA- and RelB-DNA binding activity in CD138⁺ plasma cells from 52 newly diagnosed MM patients was evaluated by EMSA combined with supershift analysis. ISS indicates disease stage according to the International Staging System. Patients with t(4;14) or del(17p) genetic alterations are indicated.</p

RelB constitutive activation is associated with increased expression of a subset of anti-apoptotic NF-κB target genes in primary CD138⁺ cells from MM patients.

<p>(A) RelB constitutive activation in CD138⁺ cell from MM patients is associated with increased anti-apoptotic NF-κB target gene mRNA expression. Quantitative RT-PCR was performed with specific primer pairs for the indicated genes using total RNAs prepared from 14 <i>de novo</i> MM patients either with or without RelB constitutive activation. Results are means ± SD of two independent experiments for each MM sample normalized to the level of HPRT mRNA. (B) RelB constitutive activation in CD138⁺ cells from MM patients is associated with increased anti-apoptotic NF-κB target gene protein expression. Whole cell extracts from primary CD138⁺ cells from MM patients tested in (A) were analyzed by immunoblotting for the indicated proteins. *P<0.05, **P<0.01.</p

RelB is constitutively activated in primary CD138⁺ cells from newly diagnosed MM patients.

<p>(A) Whole cell extracts from primary CD138⁺ cells isolated from 52 newly diagnosed MM patients and two healthy donors were analyzed for NF-κB activity by EMSA. Four representative MM cases are presented (see <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0059127#pone-0059127-t001" target="_blank">Table 1</a> for tabulated study report). For supershift, whole cell extracts were either left untreated or incubated with either anti-RelA or anti-RelB antibodies for 30 min prior to incubation with the labeled probe. RelA- and RelB-containing complexes are indicated. (B) RelB binding activity is not associated with significant differences in the intensity of RelA DNA-binding activity in MM patient samples. EMSA and supershift analyses were performed from 18 RelB-positive and 18 RelB-negative <i>de novo</i> MM patient samples as in (A). Relative signal intensity of RelA DNA binding activity normalized to a reference patient sample loaded on each gel (means ± SD of two independent experiments for each MM sample) is shown. (C) Subunit composition of RelA- and RelB-containing complexes. Whole cell extracts used in (A) were incubated with the indicated antibodies prior to incubation with the labeled probe. Data of one representative RelB-positive MM patient is shown (#45).</p