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Hodgkin lymphoma
Ralf Küppers, … , Andreas Engert, Martin-Leo Hansmann
Ralf Küppers, … , Andreas Engert, Martin-Leo Hansmann
Published October 1, 2012
Citation Information: J Clin Invest. 2012;122(10):3439-3447. https://doi.org/10.1172/JCI61245.
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Review Series

Hodgkin lymphoma

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Abstract

Hodgkin lymphoma (HL), a B cell–derived cancer, is one of the most common lymphomas. In HL, the tumor cells — Hodgkin and Reed-Sternberg (HRS) cells — are usually very rare in the tissue. Although HRS cells are derived from mature B cells, they have largely lost their B cell phenotype and show a very unusual co-expression of markers of various hematopoietic cell types. HRS cells show deregulated activation of multiple signaling pathways and transcription factors. The activation of these pathways and factors is partly mediated through interactions of HRS cells with various other types of cells in the microenvironment, but also through genetic lesions. The transforming events involved in the pathogenesis of HL are only partly understood, but mutations affecting the NF-κB and JAK/STAT pathways are frequent. The dependency of HRS cells on microenvironmental interactions and deregulated signaling pathways may offer novel strategies for targeted therapies.

Authors

Ralf Küppers, Andreas Engert, Martin-Leo Hansmann

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Figure 2

NF-κB and JAK/STAT activity in HRS cells.

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NF-κB and JAK/STAT activity in HRS cells.
In the canonical NF-κB signali...
In the canonical NF-κB signaling pathway, stimulation of various receptors, which complex with TNF receptor–associated factors (TRAFs) and the receptor interacting protein (RIP), leads to activation of the IKK complex, targeting the NF-κB inhibitors IκBα and IκB for ubiquitination and proteasomal degradation. As a consequence, the NF-κB transcription factors translocate into the nucleus, where they activate multiple genes. TNFAIP3 and CYLD are further negative regulators of NF-κB signaling. In the alternative NF-κB pathway, activation of receptors such as CD40 and TACI causes stimulation of the kinase NIK (MAP3K14), which then activates an IKKα complex. NIK activity is negatively regulated by TRAF3. Activated IKKα processes p100 to p52, which translocates as p52/RELB heterodimers into the nucleus. HRS cells have constitutive activity of both NF-κB pathways. Activation of CD40, RANK, BCMA, and TACI through ligands expressed on lymphoma-infiltrating cells likely contributes to this activity. Numerous genetic lesions and signaling through the EBV-encoded latent membrane protein 1 in EBV-positive cases of HL play important roles in the deregulated NF-κB activity. The JAK/STAT pathway is the main signaling pathway for cytokines. In HRS cells, STAT3, -5, and -6 are constitutively active. In addition to activation of cytokine receptors, such as the IL-13 receptor and the IL-21 receptor, activation of this pathway is mediated by genomic gains or translocations of the JAK2 gene and frequent inactivating mutations of the SOCS1 gene. The frequency of genetic lesions and viral infections affecting NF-κB or STAT activity in HRS cells is indicated as percentages. Adapted with permission from Nature Reviews Cancer (2).

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