Immunomodulatory effect of NEDD8-activating enzyme inhibition in Multiple Myeloma: upregulation of NKG2D ligands and sensitization to Natural Killer cell recognition

Abstract Multiple Myeloma (MM) is an incurable hematologic malignancy of terminally differentiated plasma cells (PCs), where immune interactions play a key role in the control of cancer cell growth and survival. In particular, MM is characterized by a highly immunosuppressive bone marrow microenviro...

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Main Authors: Sara Petillo, Cristina Capuano, Rosa Molfetta, Cinzia Fionda, Abdelilah Mekhloufi, Chiara Pighi, Fabrizio Antonangeli, Alessandra Zingoni, Alessandra Soriani, Maria Teresa Petrucci, Ricciarda Galandrini, Rossella Paolini, Angela Santoni, Marco Cippitelli
Format: Article
Language:English
Published: Nature Publishing Group 2021-09-01
Series:Cell Death and Disease
Online Access:https://doi.org/10.1038/s41419-021-04104-w
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author Sara Petillo
Cristina Capuano
Rosa Molfetta
Cinzia Fionda
Abdelilah Mekhloufi
Chiara Pighi
Fabrizio Antonangeli
Alessandra Zingoni
Alessandra Soriani
Maria Teresa Petrucci
Ricciarda Galandrini
Rossella Paolini
Angela Santoni
Marco Cippitelli
author_facet Sara Petillo
Cristina Capuano
Rosa Molfetta
Cinzia Fionda
Abdelilah Mekhloufi
Chiara Pighi
Fabrizio Antonangeli
Alessandra Zingoni
Alessandra Soriani
Maria Teresa Petrucci
Ricciarda Galandrini
Rossella Paolini
Angela Santoni
Marco Cippitelli
author_sort Sara Petillo
collection DOAJ
description Abstract Multiple Myeloma (MM) is an incurable hematologic malignancy of terminally differentiated plasma cells (PCs), where immune interactions play a key role in the control of cancer cell growth and survival. In particular, MM is characterized by a highly immunosuppressive bone marrow microenvironment where the anticancer/cytotoxic activity of Natural Killer (NK) cells is impaired. This study is focused on understanding whether modulation of neddylation can regulate NK cell-activating ligands expression and sensitize MM to NK cell killing. Neddylation is a post-translational modification that adds a ubiquitin-like protein, NEDD8, to selected substrate proteins, affecting their stability, conformation, subcellular localization, and function. We found that pharmacologic inhibition of neddylation using a small-molecule inhibitor, MLN4924/Pevonedistat, increases the expression of the NK cell-activating receptor NKG2D ligands MICA and MICB on the plasma membrane of different MM cell lines and patient-derived PCs, leading to enhanced NK cell degranulation. Mechanistically, MICA expression is upregulated at mRNA level, and this is the result of an increased promoter activity after the inhibition of IRF4 and IKZF3, two transcriptional repressors of this gene. Differently, MLN4924/Pevonedistat induced accumulation of MICB on the plasma membrane with no change of its mRNA levels, indicating a post-translational regulatory mechanism. Moreover, inhibition of neddylation can cooperate with immunomodulatory drugs (IMiDs) in upregulating MICA surface levels in MM cells due to increased expression of CRBN, the cellular target of these drugs. In summary, MLN4924/Pevonedistat sensitizes MM to NK cell recognition, adding novel information on the anticancer activity of neddylation inhibition.
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spelling doaj.art-027a95b214af4c66bd8400071bbc0d062022-12-21T21:34:50ZengNature Publishing GroupCell Death and Disease2041-48892021-09-0112911310.1038/s41419-021-04104-wImmunomodulatory effect of NEDD8-activating enzyme inhibition in Multiple Myeloma: upregulation of NKG2D ligands and sensitization to Natural Killer cell recognitionSara Petillo0Cristina Capuano1Rosa Molfetta2Cinzia Fionda3Abdelilah Mekhloufi4Chiara Pighi5Fabrizio Antonangeli6Alessandra Zingoni7Alessandra Soriani8Maria Teresa Petrucci9Ricciarda Galandrini10Rossella Paolini11Angela Santoni12Marco Cippitelli13Department of Molecular Medicine, Sapienza University of RomeDepartment of Experimental Medicine, Sapienza University of RomeDepartment of Molecular Medicine, Sapienza University of RomeDepartment of Molecular Medicine, Sapienza University of RomeWallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory UniversityDepartment of Experimental Medicine, Sapienza University of RomeInstitute of Molecular Biology and Pathology, National Research Council (CNR)Department of Molecular Medicine, Sapienza University of RomeDepartment of Molecular Medicine, Sapienza University of RomeHematology, Department of Clinical and Molecular Medicine, Sapienza University of RomeDepartment of Experimental Medicine, Sapienza University of RomeDepartment of Molecular Medicine, Sapienza University of RomeDepartment of Molecular Medicine, Sapienza University of RomeDepartment of Molecular Medicine, Sapienza University of RomeAbstract Multiple Myeloma (MM) is an incurable hematologic malignancy of terminally differentiated plasma cells (PCs), where immune interactions play a key role in the control of cancer cell growth and survival. In particular, MM is characterized by a highly immunosuppressive bone marrow microenvironment where the anticancer/cytotoxic activity of Natural Killer (NK) cells is impaired. This study is focused on understanding whether modulation of neddylation can regulate NK cell-activating ligands expression and sensitize MM to NK cell killing. Neddylation is a post-translational modification that adds a ubiquitin-like protein, NEDD8, to selected substrate proteins, affecting their stability, conformation, subcellular localization, and function. We found that pharmacologic inhibition of neddylation using a small-molecule inhibitor, MLN4924/Pevonedistat, increases the expression of the NK cell-activating receptor NKG2D ligands MICA and MICB on the plasma membrane of different MM cell lines and patient-derived PCs, leading to enhanced NK cell degranulation. Mechanistically, MICA expression is upregulated at mRNA level, and this is the result of an increased promoter activity after the inhibition of IRF4 and IKZF3, two transcriptional repressors of this gene. Differently, MLN4924/Pevonedistat induced accumulation of MICB on the plasma membrane with no change of its mRNA levels, indicating a post-translational regulatory mechanism. Moreover, inhibition of neddylation can cooperate with immunomodulatory drugs (IMiDs) in upregulating MICA surface levels in MM cells due to increased expression of CRBN, the cellular target of these drugs. In summary, MLN4924/Pevonedistat sensitizes MM to NK cell recognition, adding novel information on the anticancer activity of neddylation inhibition.https://doi.org/10.1038/s41419-021-04104-w
spellingShingle Sara Petillo
Cristina Capuano
Rosa Molfetta
Cinzia Fionda
Abdelilah Mekhloufi
Chiara Pighi
Fabrizio Antonangeli
Alessandra Zingoni
Alessandra Soriani
Maria Teresa Petrucci
Ricciarda Galandrini
Rossella Paolini
Angela Santoni
Marco Cippitelli
Immunomodulatory effect of NEDD8-activating enzyme inhibition in Multiple Myeloma: upregulation of NKG2D ligands and sensitization to Natural Killer cell recognition
Cell Death and Disease
title Immunomodulatory effect of NEDD8-activating enzyme inhibition in Multiple Myeloma: upregulation of NKG2D ligands and sensitization to Natural Killer cell recognition
title_full Immunomodulatory effect of NEDD8-activating enzyme inhibition in Multiple Myeloma: upregulation of NKG2D ligands and sensitization to Natural Killer cell recognition
title_fullStr Immunomodulatory effect of NEDD8-activating enzyme inhibition in Multiple Myeloma: upregulation of NKG2D ligands and sensitization to Natural Killer cell recognition
title_full_unstemmed Immunomodulatory effect of NEDD8-activating enzyme inhibition in Multiple Myeloma: upregulation of NKG2D ligands and sensitization to Natural Killer cell recognition
title_short Immunomodulatory effect of NEDD8-activating enzyme inhibition in Multiple Myeloma: upregulation of NKG2D ligands and sensitization to Natural Killer cell recognition
title_sort immunomodulatory effect of nedd8 activating enzyme inhibition in multiple myeloma upregulation of nkg2d ligands and sensitization to natural killer cell recognition
url https://doi.org/10.1038/s41419-021-04104-w
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