XPO1 in B cell hematological malignancies: from recurrent somatic mutations to targeted therapy

Abstract Many recent publications highlight the large role of the pivotal eukaryotic nuclear export protein exportin-1 (XPO1) in the oncogenesis of several malignancies, and there is emerging evidence that XPO1 inhibition is a key target against cancer. The clinical validation of the pharmacological...

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Main Authors: Vincent Camus, Hadjer Miloudi, Antoine Taly, Brigitte Sola, Fabrice Jardin
Format: Article
Language:English
Published: BMC 2017-02-01
Series:Journal of Hematology & Oncology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13045-017-0412-4
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author Vincent Camus
Hadjer Miloudi
Antoine Taly
Brigitte Sola
Fabrice Jardin
author_facet Vincent Camus
Hadjer Miloudi
Antoine Taly
Brigitte Sola
Fabrice Jardin
author_sort Vincent Camus
collection DOAJ
description Abstract Many recent publications highlight the large role of the pivotal eukaryotic nuclear export protein exportin-1 (XPO1) in the oncogenesis of several malignancies, and there is emerging evidence that XPO1 inhibition is a key target against cancer. The clinical validation of the pharmacological inhibition of XPO1 was recently achieved with the development of the selective inhibitor of nuclear export compounds, displaying an interesting anti-tumor activity in patients with massive pre-treated hematological malignancies. Recent reports have shown molecular alterations in the gene encoding XPO1 and showed a mutation hotspot (E571K) in the following two hematological malignancies with similar phenotypes and natural histories: primary mediastinal diffuse large B cell lymphoma and classical Hodgkin’s lymphoma. Emerging evidence suggests that the mutant XPO1 E571K plays a role in carcinogenesis, and this variant is quantifiable in tumor and plasma cell-free DNA of patients using highly sensitive molecular biology techniques, such as digital PCR and next-generation sequencing. Therefore, it was proposed that the XPO1 E571K variant may serve as a minimal residual disease tool in this setting. To clarify and summarize the recent findings on the role of XPO1 in B cell hematological malignancies, we conducted a literature search to present the major publications establishing the landscape of XPO1 molecular alterations, their impact on the XPO1 protein, their interest as biomarkers, and investigations into the development of new XPO1-targeted therapies in B cell hematological malignancies.
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spelling doaj.art-6ccf03c084ff4e41bec3b03f995422b62022-12-22T03:12:44ZengBMCJournal of Hematology & Oncology1756-87222017-02-0110111310.1186/s13045-017-0412-4XPO1 in B cell hematological malignancies: from recurrent somatic mutations to targeted therapyVincent Camus0Hadjer Miloudi1Antoine Taly2Brigitte Sola3Fabrice Jardin4Normandie Univ, INSERM U1245, UNICAEN, UNIROUENNormandie Univ, INSERM U1245, UNICAEN, UNIROUENLaboratoire de Biochimie Théorique, Institut de Biologie Physico-Chimique, CNRS, Université Paris DiderotNormandie Univ, INSERM U1245, UNICAEN, UNIROUENNormandie Univ, INSERM U1245, UNICAEN, UNIROUENAbstract Many recent publications highlight the large role of the pivotal eukaryotic nuclear export protein exportin-1 (XPO1) in the oncogenesis of several malignancies, and there is emerging evidence that XPO1 inhibition is a key target against cancer. The clinical validation of the pharmacological inhibition of XPO1 was recently achieved with the development of the selective inhibitor of nuclear export compounds, displaying an interesting anti-tumor activity in patients with massive pre-treated hematological malignancies. Recent reports have shown molecular alterations in the gene encoding XPO1 and showed a mutation hotspot (E571K) in the following two hematological malignancies with similar phenotypes and natural histories: primary mediastinal diffuse large B cell lymphoma and classical Hodgkin’s lymphoma. Emerging evidence suggests that the mutant XPO1 E571K plays a role in carcinogenesis, and this variant is quantifiable in tumor and plasma cell-free DNA of patients using highly sensitive molecular biology techniques, such as digital PCR and next-generation sequencing. Therefore, it was proposed that the XPO1 E571K variant may serve as a minimal residual disease tool in this setting. To clarify and summarize the recent findings on the role of XPO1 in B cell hematological malignancies, we conducted a literature search to present the major publications establishing the landscape of XPO1 molecular alterations, their impact on the XPO1 protein, their interest as biomarkers, and investigations into the development of new XPO1-targeted therapies in B cell hematological malignancies.http://link.springer.com/article/10.1186/s13045-017-0412-4XPO1ExportinLymphomaTargeted therapyMinimal residual disease
spellingShingle Vincent Camus
Hadjer Miloudi
Antoine Taly
Brigitte Sola
Fabrice Jardin
XPO1 in B cell hematological malignancies: from recurrent somatic mutations to targeted therapy
Journal of Hematology & Oncology
XPO1
Exportin
Lymphoma
Targeted therapy
Minimal residual disease
title XPO1 in B cell hematological malignancies: from recurrent somatic mutations to targeted therapy
title_full XPO1 in B cell hematological malignancies: from recurrent somatic mutations to targeted therapy
title_fullStr XPO1 in B cell hematological malignancies: from recurrent somatic mutations to targeted therapy
title_full_unstemmed XPO1 in B cell hematological malignancies: from recurrent somatic mutations to targeted therapy
title_short XPO1 in B cell hematological malignancies: from recurrent somatic mutations to targeted therapy
title_sort xpo1 in b cell hematological malignancies from recurrent somatic mutations to targeted therapy
topic XPO1
Exportin
Lymphoma
Targeted therapy
Minimal residual disease
url http://link.springer.com/article/10.1186/s13045-017-0412-4
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AT hadjermiloudi xpo1inbcellhematologicalmalignanciesfromrecurrentsomaticmutationstotargetedtherapy
AT antoinetaly xpo1inbcellhematologicalmalignanciesfromrecurrentsomaticmutationstotargetedtherapy
AT brigittesola xpo1inbcellhematologicalmalignanciesfromrecurrentsomaticmutationstotargetedtherapy
AT fabricejardin xpo1inbcellhematologicalmalignanciesfromrecurrentsomaticmutationstotargetedtherapy