CD40 stimulation sensitizes CLL cells to rituximab-induced cell death

被引:25
作者
Jak, M. [1 ,2 ]
van Bochove, G. G. W. [1 ]
van Lier, R. A. W. [2 ]
Eldering, E. [2 ]
van Oers, M. H. J. [1 ]
机构
[1] Univ Amsterdam, Acad Med Ctr, Dept Hematol, NL-1105 AZ Amsterdam, Netherlands
[2] Univ Amsterdam, Acad Med Ctr, Dept Expt Immunol, NL-1105 AZ Amsterdam, Netherlands
关键词
chronic lymphocytic leukemia; anti-CD20; cell death; CD40; stimulation; CHRONIC LYMPHOCYTIC-LEUKEMIA; B-CELLS; MONOCLONAL-ANTIBODY; DOWN-REGULATION; HLA-DR; CD20; APOPTOSIS; LYMPHOMA; EXPRESSION; KINASE;
D O I
10.1038/leu.2011.39
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
In vitro CD40-stimulated chronic lymphocytic leukemia (CLL) cells are resistant to cytotoxic drugs. In sharp contrast, we here show that CD40 stimulation sensitizes CLL cells to rituximab-mediated cell death. This increased sensitivity is specific for anti-CD20 treatment. Rituximab-mediated death in CD40-stimulated CLL cells shows rapid kinetics (within hours), and is caspase and p53 independent, but depends on extracellular Ca2+ and reactive oxygen species (ROS) production. By increasing basal ROS production, CD40 stimulation sensitizes CLL cells to rituximab-mediated death. Our findings provide a rationale for combination treatment of CLL with cytotoxic drugs and anti-CD20 monoclonal antibodies. Leukemia (2011) 25, 968-978; doi:10.1038/leu.2011.39; published online 15 March 2011
引用
收藏
页码:968 / 978
页数:11
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