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FOXO1 CONTROL CD20 EXPRESSION AND INFLUENCE B-CELL LYMPHOMA RESPONSE TO RITUXIMAB-BASED IMMUNOTHERAPY
Author(s): ,
Michal Dwojak
Affiliations:
Department of Immunology,Medical University of Warsaw,Warsaw,Poland
,
Beata Pyrzynska
Affiliations:
Department of Immunology,Medical University of Warsaw,Warsaw,Poland
,
Abdessamad Zerrouqi
Affiliations:
Department of Immunology,Medical University of Warsaw,Warsaw,Poland
,
Giulia Morlino
Affiliations:
The Francis Crick Institute,London,United Kingdom
,
Piotr Zapala
Affiliations:
Department of Immunology,Medical University of Warsaw,Warsaw,Poland
,
Nina Miazek
Affiliations:
Department of Immunology,Medical University of Warsaw,Warsaw,Poland
,
Kamil Bojarczuk
Affiliations:
Department of Immunology,Medical University of Warsaw,Warsaw,Poland
,
Malgorzata Bobrowicz
Affiliations:
Department of Immunology,Medical University of Warsaw,Warsaw,Poland
,
Marcin Machnicki
Affiliations:
Department of Immunology,Medical University of Warsaw,Warsaw,Poland
,
Jakub Golab
Affiliations:
Department of Immunology,Medical University of Warsaw,Warsaw,Poland
,
Dinis Calado
Affiliations:
The Francis Crick Institute,London,United Kingdom
Magdalena Winiarska
Affiliations:
Department of Immunology,Medical University of Warsaw,Warsaw,Poland
(Abstract release date: 05/18/17) EHA Library. Dwojak M. 06/23/17; 181412; S125
Michal Dwojak
Michal Dwojak
Contributions
Abstract

Abstract: S125

Type: Oral Presentation

Presentation during EHA22: On Friday, June 23, 2017 from 11:45 - 12:00

Location: Room N101

Background
Recurrent somatic mutations of N-terminal region of FOXO1, shown previously to increase FOXO1 nuclear localization and activity, have been linked to diminished survival in DLBCL patients uniformly treated with rituximab-based immunotherapy. Although the contribution of FOXO1 mutations to the therapeutic resistance of B-NHLs becomes apparent, the molecular mechanism underlying this phenomenon has not been explained so far. The diminished levels of CD20 on the cell surface of tumor cells are among several potential mechanisms underlying the resistance to treatment with anti-CD20 monoclonal antibodies.

Aims
We have recently reported that the tonic BCR signaling activates FOXO1, and that inhibitors of the downstream BCR signaling pathways downregulate CD20 expression. Therefore,  here we sought to determine whether FOXO1 might regulate the abundance of CD20 on the surface of tumor cells thus influencing the response to rituximab-based therapies.

Methods
We used CRISPR/Cas9 genome editing technology and lentiviral transduction to study the role of FOXO1 protein in CD20 regulation. qRT-PCR and Dual Luciferase Assays was done to determine the influence of FoXO1 on CD20 transcription. To get insight into molecular interaction between FOXO1 and CD20 promoter we performed EMSA and ChIP experiments. For animal studies we used SCID Fox Chase mice model. All in vivo experiments were carried out at the animal facility of The Francis Crick Institute in accordance with the guidelines and were approved by the Ethics Committee.

Results

To determine the potential role of FOXO1 protein in CD20 regulation, we disrupted FOXO1 locus using the CRISPR/Cas9 genome editing technology in Raji cells. In in vitro complement-dependent cytotoxicity assay we show that ablation of FOXO1 results in upregulation of CD20 levels and improvement of rituximab efficacy. To see whether FOXO1-dependent up-regulation of CD20 translates into improved antitumor efficacy of rituximab in vivo we have used SCID Fox Chase mice model. We found that mice treated with systemic rituximab survived longer when inoculated with sgFOXO1-transduced Raji cells as compared with mice inoculated with control Raji cells. Consistently, using clinically tested PI3K-AKT inhibitors - MK-2206 and GDC-0068 – in a set of CLL primary samples we show that also pharmaceutical inhibition of FOXO1 activity upregulated surface CD20 levels. Moreover, we demonstrated that FOXO1 regulate the CD20 promoter activity. In different B-cell lymphoma cell lines MK-2206 and GDC-0068 significantly downregulated the levels of MS4A1 transcript (encoding CD20). Finally, using both EMSA and ChIP assays we detected specific binding of FOXO1 to the MS4A1 promoter to the extent comparable to other known FOXO1 target genes.

Conclusion

Collectively, our results indicate that FOXO1 is strong negative regulator of CD20 expression and add new insights into the mechanisms underlying the contribution of FOXO1 mutations to the resistance of B-NHLs to R-CHOP therapy. In light of current knowledge and our observations presented in this study, FOXO1 inhibition represents a novel strategy to increase the efficacy of anti-CD20 monoclonal antibodies. 
 
Acknowledgements: abstract supported by national grants: NCN, Poland, projects no: 2013/11/B/NZ5/03240 (BP) and 2015/18/E/NZ6/00702 (MW); MNiSW, Poland, project no: DI2014007344 (NM)) and European Comission (Horizon 2020, project no: 692180-STREAM-H2020-TWINN-2015, CSA action (JG).

Session topic: 18. Non-Hodgkin & Hodgkin lymphoma - Biology

Keyword(s): Rituximab, lymphoma, CD20

Abstract: S125

Type: Oral Presentation

Presentation during EHA22: On Friday, June 23, 2017 from 11:45 - 12:00

Location: Room N101

Background
Recurrent somatic mutations of N-terminal region of FOXO1, shown previously to increase FOXO1 nuclear localization and activity, have been linked to diminished survival in DLBCL patients uniformly treated with rituximab-based immunotherapy. Although the contribution of FOXO1 mutations to the therapeutic resistance of B-NHLs becomes apparent, the molecular mechanism underlying this phenomenon has not been explained so far. The diminished levels of CD20 on the cell surface of tumor cells are among several potential mechanisms underlying the resistance to treatment with anti-CD20 monoclonal antibodies.

Aims
We have recently reported that the tonic BCR signaling activates FOXO1, and that inhibitors of the downstream BCR signaling pathways downregulate CD20 expression. Therefore,  here we sought to determine whether FOXO1 might regulate the abundance of CD20 on the surface of tumor cells thus influencing the response to rituximab-based therapies.

Methods
We used CRISPR/Cas9 genome editing technology and lentiviral transduction to study the role of FOXO1 protein in CD20 regulation. qRT-PCR and Dual Luciferase Assays was done to determine the influence of FoXO1 on CD20 transcription. To get insight into molecular interaction between FOXO1 and CD20 promoter we performed EMSA and ChIP experiments. For animal studies we used SCID Fox Chase mice model. All in vivo experiments were carried out at the animal facility of The Francis Crick Institute in accordance with the guidelines and were approved by the Ethics Committee.

Results

To determine the potential role of FOXO1 protein in CD20 regulation, we disrupted FOXO1 locus using the CRISPR/Cas9 genome editing technology in Raji cells. In in vitro complement-dependent cytotoxicity assay we show that ablation of FOXO1 results in upregulation of CD20 levels and improvement of rituximab efficacy. To see whether FOXO1-dependent up-regulation of CD20 translates into improved antitumor efficacy of rituximab in vivo we have used SCID Fox Chase mice model. We found that mice treated with systemic rituximab survived longer when inoculated with sgFOXO1-transduced Raji cells as compared with mice inoculated with control Raji cells. Consistently, using clinically tested PI3K-AKT inhibitors - MK-2206 and GDC-0068 – in a set of CLL primary samples we show that also pharmaceutical inhibition of FOXO1 activity upregulated surface CD20 levels. Moreover, we demonstrated that FOXO1 regulate the CD20 promoter activity. In different B-cell lymphoma cell lines MK-2206 and GDC-0068 significantly downregulated the levels of MS4A1 transcript (encoding CD20). Finally, using both EMSA and ChIP assays we detected specific binding of FOXO1 to the MS4A1 promoter to the extent comparable to other known FOXO1 target genes.

Conclusion

Collectively, our results indicate that FOXO1 is strong negative regulator of CD20 expression and add new insights into the mechanisms underlying the contribution of FOXO1 mutations to the resistance of B-NHLs to R-CHOP therapy. In light of current knowledge and our observations presented in this study, FOXO1 inhibition represents a novel strategy to increase the efficacy of anti-CD20 monoclonal antibodies. 
 
Acknowledgements: abstract supported by national grants: NCN, Poland, projects no: 2013/11/B/NZ5/03240 (BP) and 2015/18/E/NZ6/00702 (MW); MNiSW, Poland, project no: DI2014007344 (NM)) and European Comission (Horizon 2020, project no: 692180-STREAM-H2020-TWINN-2015, CSA action (JG).

Session topic: 18. Non-Hodgkin & Hodgkin lymphoma - Biology

Keyword(s): Rituximab, lymphoma, CD20

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