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PHGDH is required for germinal center formation and is a therapeutic target in MYC-driven lymphoma
Annalisa D’Avola, … , Karen H. Vousden, John C. Riches
Annalisa D’Avola, … , Karen H. Vousden, John C. Riches
Published March 22, 2022
Citation Information: J Clin Invest. 2022;132(9):e153436. https://doi.org/10.1172/JCI153436.
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Research Article Immunology Metabolism

PHGDH is required for germinal center formation and is a therapeutic target in MYC-driven lymphoma

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Abstract

The synthesis of serine from glucose is a key metabolic pathway supporting cellular proliferation in healthy and malignant cells. Despite this, the role that this aspect of metabolism plays in germinal center biology and pathology is not known. Here, we performed a comprehensive characterization of the role of the serine synthesis pathway in germinal center B cells and lymphomas derived from these cells. We demonstrate that upregulation of a functional serine synthesis pathway is a metabolic hallmark of B cell activation and the germinal center reaction. Inhibition of phosphoglycerate dehydrogenase (PHGDH), the first and rate-limiting enzyme in this pathway, led to defective germinal formation and impaired high-affinity antibody production. In addition, overexpression of enzymes involved in serine synthesis was a characteristic of germinal center B cell–derived lymphomas, with high levels of expression being predictive of reduced overall survival in diffuse large B cell lymphoma. Inhibition of PHGDH induced apoptosis in lymphoma cells, reducing disease progression. These findings establish PHGDH as a critical player in humoral immunity and a clinically relevant target in lymphoma.

Authors

Annalisa D’Avola, Nathalie Legrave, Mylène Tajan, Probir Chakravarty, Ryan L. Shearer, Hamish W. King, Katarina Kluckova, Eric C. Cheung, Andrew J. Clear, Arief S. Gunawan, Lingling Zhang, Louisa K. James, James I. MacRae, John G. Gribben, Dinis P. Calado, Karen H. Vousden, John C. Riches

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Figure 1

Upregulation of the SSP is a metabolic hallmark of GC B cells.

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Upregulation of the SSP is a metabolic hallmark of GC B cells.
(A) Unifo...
(A) Uniform Manifold Approximation and Projection (UMAP) of tonsillar B cell single-cell RNA clusters (including naive, activated, pre-GC, total GC, plasmablasts, memory [MBC], and cycling B cells) (left). Expression of SSP-network genes in B cell subsets (right). (B) Analysis of PHGDH, PSAT1 and PSPH protein levels in human naive B cells isolated from blood bank volunteers by immunoblotting (n = 6). MDA-MB-231 and MDA-MB-468 cell lines were used as control for low and high SSP-enzyme expression, respectively. (C) Quantification of specific transcript levels relative to β-actin mRNA levels. (D) Representative immunoblot of PHGDH, PSAT1, and PSPH in resting and activated human naive B cells. Human B cells were left unstimulated (–) or stimulated (+) with anti-IgM/G antibody, CD40 ligand (CD40L), and IL-4 for 3, 24, and 48 hours. (E) Quantification of protein levels shown in D normalized to HSC70. (F) Relative mRNA expression of SSP enzyme genes in resting and activated human B cells determined by qPCR. Isolated human B cells were left unstimulated (–) or stimulated with (+) with anti-IgM/G antibody, CD40L, and IL-4 for 3, 24, and 48 hours before mRNA extraction. Transcript levels were determined relative to β-actin mRNA levels (n = 4). (G and H) Representative IHC staining for PHGDH and PSAT1 in germinal center (GC) and mantle zone (MZ) areas in sequential sections of human reactive tonsils (×5 and ×20 magnification) and quantification (n = 10). (I) Mass isotopologue distribution of U-[13C]-glucose–derived serine and glycine from human resting and activated B cells. B cells were unstimulatedor stimulated with anti-IgM/G antibody, CD40L, and IL-4 for 48 hours. Cells were cultured for 2 hours in serine/glycine deplete media containing U-[13C]-glucose. Data are shown as the mean ± SEM. *P < 0.05, **P < 0.01, and ****P < 0.0001, by Mann-Whitney U test (E, F, and H).

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