TY - JOUR AU - Wang, Fangyang AU - Gatica, Damián AU - Ying, Zhang Xiao AU - Peterson, Luke F. AU - Kim, Peter AU - Bernard, Denzil AU - Saiya-Cork, Kamlai AU - Wang, Shaomeng AU - Kaminski, Mark S. AU - Chang, Alfred E. AU - Phillips, Tycel AU - Klionsky, Daniel J. AU - Malek, Sami N. T1 - Follicular lymphoma–associated mutations in vacuolar ATPase ATP6V1B2 activate autophagic flux and mTOR PY - 2019/04/01/ AB - The discovery of recurrent mutations in subunits of the vacuolar-type H+-translocating ATPase (v-ATPase) in follicular lymphoma (FL) highlights a role for the amino acid– and energy-sensing pathway to mTOR in the pathogenesis of this disease. Here, through the use of complementary experimental approaches involving mammalian cells and Saccharomyces cerevisiae, we have demonstrated that mutations in the human v-ATPase subunit ATP6V1B2 (also known as Vma2 in yeast) activate autophagic flux and maintain mTOR/TOR in an active state. Engineered lymphoma cell lines and primary FL B cells carrying mutated ATP6V1B2 demonstrated a remarkable ability to survive low leucine concentrations. The treatment of primary FL B cells with inhibitors of autophagy uncovered an addiction for survival for FL B cells harboring ATP6V1B2 mutations. These data support the idea of mutational activation of autophagic flux by recurrent hotspot mutations in ATP6V1B2 as an adaptive mechanism in FL pathogenesis and as a possible new therapeutically targetable pathway. JF - The Journal of Clinical Investigation JA - J Clin Invest SN - 0021-9738 DO - 10.1172/JCI98288 VL - 129 IS - 4 UR - https://doi.org/10.1172/JCI98288 SP - 1626 EP - 1640 PB - The American Society for Clinical Investigation ER -