Mutated RAS-associating proteins and ERK activation in relapse/refractory diffuse large B cell lymphoma

Abstract Diffuse large B cell lymphoma (DLBCL) is successfully treated with combination immuno-chemotherapy, but relapse with resistant disease occurs in ~ 40% of patients. However, little is known regarding relapsed/refractory DLBCL (rrDLBCL) genetics and alternative therapies. Based on findings fr...

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Main Authors: Alexandre Benoit, Elisabeth Bou-Petit, Hsiang Chou, Melissa Lu, Cynthia Guilbert, Vincent Mingyi Luo, Sarit Assouline, Ryan D. Morin, Svetlana Dmitrienko, Roger Estrada-Tejedor, Nathalie A. Johnson, Koren K. Mann
Format: Article
Language:English
Published: Nature Portfolio 2022-01-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-04736-0
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author Alexandre Benoit
Elisabeth Bou-Petit
Hsiang Chou
Melissa Lu
Cynthia Guilbert
Vincent Mingyi Luo
Sarit Assouline
Ryan D. Morin
Svetlana Dmitrienko
Roger Estrada-Tejedor
Nathalie A. Johnson
Koren K. Mann
author_facet Alexandre Benoit
Elisabeth Bou-Petit
Hsiang Chou
Melissa Lu
Cynthia Guilbert
Vincent Mingyi Luo
Sarit Assouline
Ryan D. Morin
Svetlana Dmitrienko
Roger Estrada-Tejedor
Nathalie A. Johnson
Koren K. Mann
author_sort Alexandre Benoit
collection DOAJ
description Abstract Diffuse large B cell lymphoma (DLBCL) is successfully treated with combination immuno-chemotherapy, but relapse with resistant disease occurs in ~ 40% of patients. However, little is known regarding relapsed/refractory DLBCL (rrDLBCL) genetics and alternative therapies. Based on findings from other tumors, we hypothesized that RAS-MEK-ERK signaling would be upregulated in resistant tumors, potentially correlating with mutations in RAS, RAF, or associated proteins. We analyzed mutations and phospho-ERK levels in tumor samples from rrDLBCL patients. Unlike other tumor types, rrDLBCL is not mutated in any Ras or Raf family members, despite having increased expression of p-ERK. In paired biopsies comparing diagnostic and relapsed specimens, 33% of tumors gained p-ERK expression, suggesting a role in promoting survival. We did find mutations in several Ras-associating proteins, including GEFs, GAPs, and downstream effectors that could account for increased ERK activation. We further investigated mutations in one such protein, RASGRP4. In silico modeling indicated an increased interaction between H-Ras and mutant RASGRP4. In cell lines, mutant RASGRP4 increased basal p-ERK expression and lead to a growth advantage in colony forming assays when challenged with doxorubicin. Relapsed/refractory DLBCL is often associated with increased survival signals downstream of ERK, potentially corresponding with mutations in protein controlling RAS/MEK/ERK signaling.
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spelling doaj.art-4fffe71040f44cc9b5dac6235bfe475e2022-12-21T17:33:50ZengNature PortfolioScientific Reports2045-23222022-01-0112111310.1038/s41598-021-04736-0Mutated RAS-associating proteins and ERK activation in relapse/refractory diffuse large B cell lymphomaAlexandre Benoit0Elisabeth Bou-Petit1Hsiang Chou2Melissa Lu3Cynthia Guilbert4Vincent Mingyi Luo5Sarit Assouline6Ryan D. Morin7Svetlana Dmitrienko8Roger Estrada-Tejedor9Nathalie A. Johnson10Koren K. Mann11Lady Davis Institute, Jewish General HospitalGrup de Química Farmacèutica, IQS School of Engineering, Universitat Ramon LlullLady Davis Institute, Jewish General HospitalUniversité de Montréal-Faculté de MédecineLady Davis Institute, Jewish General HospitalLady Davis Institute, Jewish General HospitalLady Davis Institute, Jewish General HospitalDepartment of Molecular Biology and Biochemistry, Simon Fraser UniversityDivision of Pathology, McGill University Health CentreGrup de Química Farmacèutica, IQS School of Engineering, Universitat Ramon LlullLady Davis Institute, Jewish General HospitalLady Davis Institute, Jewish General HospitalAbstract Diffuse large B cell lymphoma (DLBCL) is successfully treated with combination immuno-chemotherapy, but relapse with resistant disease occurs in ~ 40% of patients. However, little is known regarding relapsed/refractory DLBCL (rrDLBCL) genetics and alternative therapies. Based on findings from other tumors, we hypothesized that RAS-MEK-ERK signaling would be upregulated in resistant tumors, potentially correlating with mutations in RAS, RAF, or associated proteins. We analyzed mutations and phospho-ERK levels in tumor samples from rrDLBCL patients. Unlike other tumor types, rrDLBCL is not mutated in any Ras or Raf family members, despite having increased expression of p-ERK. In paired biopsies comparing diagnostic and relapsed specimens, 33% of tumors gained p-ERK expression, suggesting a role in promoting survival. We did find mutations in several Ras-associating proteins, including GEFs, GAPs, and downstream effectors that could account for increased ERK activation. We further investigated mutations in one such protein, RASGRP4. In silico modeling indicated an increased interaction between H-Ras and mutant RASGRP4. In cell lines, mutant RASGRP4 increased basal p-ERK expression and lead to a growth advantage in colony forming assays when challenged with doxorubicin. Relapsed/refractory DLBCL is often associated with increased survival signals downstream of ERK, potentially corresponding with mutations in protein controlling RAS/MEK/ERK signaling.https://doi.org/10.1038/s41598-021-04736-0
spellingShingle Alexandre Benoit
Elisabeth Bou-Petit
Hsiang Chou
Melissa Lu
Cynthia Guilbert
Vincent Mingyi Luo
Sarit Assouline
Ryan D. Morin
Svetlana Dmitrienko
Roger Estrada-Tejedor
Nathalie A. Johnson
Koren K. Mann
Mutated RAS-associating proteins and ERK activation in relapse/refractory diffuse large B cell lymphoma
Scientific Reports
title Mutated RAS-associating proteins and ERK activation in relapse/refractory diffuse large B cell lymphoma
title_full Mutated RAS-associating proteins and ERK activation in relapse/refractory diffuse large B cell lymphoma
title_fullStr Mutated RAS-associating proteins and ERK activation in relapse/refractory diffuse large B cell lymphoma
title_full_unstemmed Mutated RAS-associating proteins and ERK activation in relapse/refractory diffuse large B cell lymphoma
title_short Mutated RAS-associating proteins and ERK activation in relapse/refractory diffuse large B cell lymphoma
title_sort mutated ras associating proteins and erk activation in relapse refractory diffuse large b cell lymphoma
url https://doi.org/10.1038/s41598-021-04736-0
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