Constitutive nuclear nuclear factor (NF)-κB activity is observed in a variety of hematopoietic and solid tumors. Given the distinctive role of constitutive NF-κB for Hodgkin and Reed-Sternberg (HRS) cell viability, we performed molecular profiling in two Hodgkin's disease (HD) cell lines to identify NF-κB target genes. We recognized 45 genes whose expression in both cell lines was regulated by NF-κB. The NF-κB–dependent gene profile comprises chemokines, cytokines, receptors, apoptotic regulators, intracellular signaling molecules, and transcription factors, the majority of which maintain a marker-like expression in HRS cells. Remarkably, we found 17 novel NF-κB target genes. Using chromatin immunoprecipitation we demonstrate that NF-κB is recruited directly to the promoters of several target genes, including signal transducer and activator of transcription (STAT)5a, interleukin-13, and CC chemokine receptor 7. Intriguingly, NF-κB positively regulates STAT5a expression and signaling pathways in HRS cells, and promotes its persistent activation. In fact, STAT5a overexpression was found in most tumor cells of tested patients with classical HD, indicating a critical role for HD. The gene profile underscores a central role of NF-κB in the pathogenesis of HD and potentially of other tumors with constitutive NF-κB activation.
Members of the nuclear factor (NF)*
Abbreviations used in this paper: ChIP, chromatin immunoprecipitation; CHX, cycloheximide; EMSA, electrophoretic mobility shift assay; HD, Hodgkin's disease; HNSCC, head and neck squamous cell; HRS, Hodgkin and Reed-Sternberg; ICAM, intercellular adhesion molecule; IKK, IκB kinase; LITAF, LPS-induced TNF-α factor; LSP, leukocyte-specific protein; MDC, macrophage-derived chemokine; m.o.i., multiplicity of infection; NF, nuclear factor; PKC, protein kinase C; STAT, signal transducer and activator of transcription; TFPI, tissue factor pathway inhibitor; TPMT, thiopurine methyltransferase.
Indeed, ample evidence linking Rel/NF-κB activity to oncogenesis has been accumulated in the past years (7–10). Transforming capacity has first been demonstrated for the viral oncoprotein v-Rel in vitro and in vivo (10). Moreover, oncogenic viruses, such as human T cell leukemia virus I or Epstein-Barr virus, activate NF-κB as part of the transformation process (11, 12). Similarly, cellular oncoproteins like Her-2/Neu and BCR-ABL induce NF-κB to achieve resistance to apoptosis or enhance transformation capacity (13, 14). Finally, chromosomal rearrangements of genes coding for Rel/NF-κB factors have been observed in many human hematopoietic and solid tumors, and several human cancer cell types display persistent nuclear NF-κB activity as a result of constitutive activation of IκB kinases (IKKs) or mutations inactivating IκB subunits (7).
Most evidence for the role of Rel/NF-κB in human malignancies came from an analysis of Hodgkin's disease (HD). HD is the first hematopoietic tumor from which an aberrant constitutive NF-κB activation has been described (15). The malignant mononuclear Hodgkin and multinucleated Reed-Sternberg cells in HD only represent a fraction of the neoplastic lesions that are populated by eosinophils, neutrophils, T cells, B cells, plasma cells, histiocytes, and others. These reactive cells are attracted by cytokines and chemokines abundantly produced by Hodgkin and Reed-Sternberg (HRS) cells (16–18). Molecular single cell analysis has suggested that HRS cells are derived from germinal center B cells or B cells at later differentiation stages (19). Due to the scarcity of malignant cells it has been difficult to define the transforming molecular lesions that lead to the development of HD. Several HRS cell lines have been established and clonal identity with primary HRS cells has been demonstrated for L1236 cells, indicating that HRS cell lines can serve as suitable model systems (20). Constitutively activated NF-κB is a characteristic feature of HRS cell lines and primary cells (15, 21). Interestingly, mutations in the iκbα gene, producing nonfunctional or unstable IκBα proteins, are recurrent molecular abnormalities of HRS cell lines (22–24). However, most primary HRS cells lack mutations in the iκbα gene. Recent data indicate persistently activated IKK complex as the major cause of constitutive NF-κB activity (25). The inhibition of NF-κB by the expression of the superrepressor IκBΔN in various HRS cell lines led to decreased proliferation, enhanced apoptotic response, and strongly impaired tumor growth in immune-deficient mice (21, 26). Constitutive NF-κB activity regulates the expression of genes typically overexpressed by HRS cells, including the cell cycle regulatory protein cyclin D2, antiapoptotic proteins Bfl-1/A1, c-IAP2, TNFR-associated factor 1, and Bcl-xL, and the cell surface receptors CD40 and CD86 (26). Thus, an important function of aberrant NF-κB activity in cell growth of malignant cells is well established. However, a determination of the full group of genes controlled by constitutive NF-κB will be important to understand its pathogenetic role in HD and other types of tumors.
For this purpose, we performed large-scale gene expression profiling in L428 and HDLM2 cells. In both cell lines, NF-κB activity could be efficiently blocked by adenoviral expression of the superrepressor IκBΔN, leading to massive spontaneous apoptosis within 48 h after infection. We identified 45 genes, which are affected upon NF-κB inhibition, encoding chemokines, cytokines, receptors, apoptotic regulators, intracellular signaling molecules, and transcription factors. Several known NF-κB target genes were found, which are overexpressed in primary or cultured HRS cells. Besides this, 17 novel genes could be verified as NF-κB targets by Northern blot or RT-PCR analysis. Importantly, most of these genes displayed elevated expression levels in HRS cells. Stimulus- and IKK-dependent induction in non-Hodgkin cells, as well as direct recruitment of NF-κB to promoter regions, confirmed that many of these genes, including signal transducer and activator of transcription (STAT)5a, CCR7, or IL-13 are direct targets of NF-κB. We observed that NF-κB interferes with the Janus kinase/STAT signaling pathway and causes a high level of constitutive STAT5a activity in cultured and primary HRS cells. Because NF-κB controls a complex network of genes with central pathogenic importance in HD, we suggest that NF-κB is a key regulator in this malignancy.
Materials And Methods
Ad5-IκBΔN and Ad5 control viruses were previously described (26). 106–107 pelleted cells were resuspended in RPMI 1640 containing 10% FCS at 107 cells/ml. Viruses were added (at a multiplicity of infection [m.o.i.] of 300 for L428; m.o.i. of 100 for HDLM2) and cells were incubated for 2 h at 37°C in 5% CO2. After infection, cells were pelleted and resuspended at 3 × 105 cells/ml.
Reh, Nam, L428, L1236, KMH-2, and HDLM2 cells were grown in RPMI 1640 (GIBCO BRL) supplemented with 10% FCS, 100 U/ml penicillin/streptomycin, 2 mM l-glutamine, as well as 50 μM β-mercaptoethanol for 70Z/3 or 1.3E2 cells. Cells were treated with 200 ng/ml PMA (Calbiochem-Novabiochem), 10 μg/ml LPS (Sigma-Aldrich), or 25 μg/ml cycloheximide (CHX; Calbiochem-Novabiochem).
Extracts, Electrophoretic Mobility Shift Assay (EMSA), Western Blotting, and Immunoprecipitation.
Preparation of whole cell extracts, Western blotting, and EMSA was performed as previously described (26). STAT5a gel shift oligonucleotides (sc-2565) were purchased from Santa Cruz Biotechnology, Inc. For immunoprecipitation, 400 μg protein whole cell extract was mixed with immunoprecipitation buffer (50 mM Hepes, pH 7.5, 150 mM NaCl, 1.5 mM MgCl2, 1 mM EDTA, 1% Triton X-100, 10% glycerol, 1mM dithiothreitol, protease and phosphatase inhibitors). Extracts were precleared with protein A–Sepharose for 1 h at 4°C. Immunoprecipitation using 2 μg STAT5a antibody (sc-1656; Santa Cruz Biotechnology, Inc.) was performed for 2 h at 4°C. Samples were washed four times with immunoprecipitation buffer and analyzed by SDS-PAGE and Western blotting. Mouse monoclonal antibodies against phosphotyrosine (05-321; Upstate Biotechnology), rabbit polyclonal antibodies against IκBα (C-21; Santa Cruz Biotechnology, Inc.), STAT5a (66621N; BD Biosciences), or CDK4 (H-22; Santa Cruz Biotechnology, Inc.), as well as horseradish peroxidase–conjugated anti–rabbit or anti–mouse antibodies (New England Biolabs, Inc.) were used for detection.
DNA Microarray Analysis.
Total RNA was prepared from Ad5 control– or Ad5-IκBΔN–infected L428 or HDLM2 cells 24 h after infection (RNeasy Kit; QIAGEN). Samples for Affymetrix microarray analysis were prepared according to the manufacturer's instructions. The HuGeneFL GeneChip microarray was hybridized with RNA at 45°C for 16 h, washed, and stained using the GeneChip Fluidies station according to the manufacturer's instructions. DNA chips were scanned with a GeneChip scanner and signals were processed by the GeneChip expression analysis algorithm (version 3.2; Affymetrix). The quantification of each gene expression was obtained from the hybridization intensities of 20 perfectly matched and mismatched control probe pairs. All chip files were scaled to a uniform intensity value of 1,000. For a comparative chip file, the experimental file (Ad5-IκBΔN–infected cells) was compared with the baseline file (Ad5 control–infected cells). Genes that fit the following criteria were considered decreased/increased genes upon NF-κB inhibition: the change call was either decreased or induced, the change in the average difference was greater than twofold, the sort score value was >1 or <1, and an absolute call of “presence” was associated with the baseline file.
Total RNA preparation and Northern blotting was performed as previously described (26). For the generation of probes, I.M.A.G.E. cDNA clones (Resource Center of the German Human Genome Project, Max-Planck Institute for Molecular Genetics, Berlin, Germany) were either digested or amplified by PCR. Isolated fragments were labeled with Megaprime DNA Labeling System (Amersham Biosciences). Detailed information is available upon request.
5 μg total RNA (see above) were reverse transcribed using oligo dT primers and the Superscript™ first strand synthesis RT-PCR system (Life Technologies) according to the manufacturer's instructions. cDNA was amplified by CombiPol DNA polymerase (Invitek). To establish relative quantities, serial cDNA dilutions were amplified with β-actin–specific primers (22 cycles) for standardization. To semi-quantify expression levels of potential target genes, cDNAs were amplified with specific PCR primer pairs (30–40 cycles) in a volume of 50 μl. 10 μl of the reactions were analyzed on 1% agarose gels. Nucleotide sequences and detailed PCR conditions are available upon request.
Chromatin Immunoprecipitation (ChIP) Assay.
ChIP was performed as previously described (27). The following are sequences of promoter-specific primers: IκBα: 5′ GACGACCCCAATTCAAATCG 3′ (s), 5′ TCAGGCTCGGGGAATTTCC 3′ (as); c-jun: 5′ CGACTGTAGGAGGGCAGCGG 3′ (s), 5′ AGCCCTTATCCAGCCCGAGC 3′ (as); IL-13: 5′ GGAAGAGAGGGTGGGCAAGC 3′ (s), 5′ GTTCCTAGTGCCACTGGGGC 3′ (as); CCR7: 5′ CCAGAAGCCAGAGGGAAAGC 3′ (s), 5′ TGACAGTCGCTGGTCATAGG 3′ (as); CD44: 5′ GAGGGGCCCGCCCGGGAGGG 3′ (s), 5′ GCGAACGGAGGGCGCGGGCG 3′ (as); STAT5a: 5′ GCAGCTGGGCTGGCCCCTCC 3′ (s), 5′ CCCCCTCTCCAAGAGGCCCC 3′ (as); thiopurine methyltransferase (TPMT): 5′ CCCGGGGCTCACCTTTGCGC 3′ (s), 5′ GAGGGTGCGGGGTGGGTATC 3′ (as); tissue factor pathway inhibitor (TFPI)-2: 5′ CACAAACGCTCCCTCAGGGC 3′ (s), 5′ TCACCCCGCCGCCCCCGCGC 3′ (as); and GLUT5: 5′ CCAGTCATTCACCATGAGCC 3′ (s), 5′ GTAAGTGGGTGCCCCCTGGG 3′ (as).
Paraffin blocks from lymph node biopsies of patients with classical HD were from files of the Consultation and Reference Center for Hematopathology, Free University, Berlin, Germany. The diagnosis of classical HD was according to the criteria of the World Health Organization's classification (28). Four micrometer sections were deparaffinized and subjected to an antigen retrieval protocol to optimally visualize antigens in paraffin-embedded tissue. For that, tissue sections were immersed in 10 mmol citrate, pH 6.0, and cooked under high pressure in a pressure cooker for 2 min. Sections were incubated with anti-STAT5a antibody (sc-1656; Santa Cruz Biotechnology, Inc.) at a dilution of 1:200. Bound antibody was visualized using the streptavidin-biotin-alkaline phosphatase method and Fast Red as chromogen (kit 5005; Dako). The specificity of STAT5a immunodetection in HRS cells was confirmed by competition with a specific peptide (sc-1656p; Santa Cruz Biotechnology, Inc.).
NF-κB–dependent Gene Profiling in HRS Cells.
The identification of target genes is an important step to understand the oncogenic potential of NF-κB and its function in HRS cells. To provide a representative gene profile, we performed a parallel microarray analysis of two different HRS cell lines. We previously established adenovirus-mediated expression of the superrepressor IκBΔN to downmodulate constitutive NF-κB activity in the HRS cell line L428 (26). As a second HRS cell line, HDLM2 cells were used. As observed for L428 cells, the expression of IκBΔN nearly abolished NF-κB DNA binding activity in HDLM2 cells and caused a dramatic growth defect primarily due to massive spontaneous apoptosis (Fig. 1)
. NF-κB–mediated protection against apoptosis is due to its transcriptional regulation of a distinct set of antiapoptotic genes (26). RNA prepared 24 h after the infection of L428 and HDLM2 cells with either Ad5 control or Ad5-IκBΔN viruses was used for hybridization to high density DNA microarrays. The DNA arrays contained 7,133 gene sequences and expressed sequence tags. Before hybridization, RNA from each of the samples was converted to target according to standard procedures. The hybridized chips were then processed and analyzed as described in Materials and Methods.
A total of 45 genes met the criteria that expression was considered decreased or increased upon NF-κB inhibition in both L428 and HDLM2 cell lines (Fig. 2)
. Other genes fulfilled the criteria for NF-κB–dependent regulation in only one cell line. In L428 cells, the expression of 15 additional genes was decreased and 6 were increased upon NF-κB inhibition. In HDLM2 cells, 43 additional genes had decreased and 23 had increased expression (Fig. 3)
. Among the candidates identified as common for both cell lines, the expression of only one gene, l-fucosidase, was increased, indicating a potential repressor function of NF-κB. Expression of all others was decreased greater than twofold, in turn suggesting that these genes are induced by constitutive NF-κB activity in HRS cells.
The target genes could be classified into these groups: cytokines and chemokines, cell surface receptors, cell adhesion molecules, regulators of apoptosis, signaling molecules, transcription factors, and a group of genes with miscellaneous functions (Fig. 2). The presence of several genes known to be NF-κB target in other cell types like lymphotoxin-α, IL-6, GM-CSF, TNF-α, intercellular adhesion molecule (ICAM)-1, or CD95 verified the efficacy of the screen (29). Because NF-κB activity protects HRS cells from cell death (Fig. 1; reference 26), it was expected to detect antiapoptotic genes (Fig. 2). All of them are known NF-κB target genes and with the exception of IEX-1, the overexpression in HRS cells has been documented (26, 29, 30). In agreement with our prior observations (26), the cell surface receptors CD40 and CD86 were found to be activated by NF-κB. We discovered 23 novel NF-κB target genes activated in both cell lines including IL-13, macrophage-derived chemokine (MDC), CD44, and STAT5a. Importantly, several of these including IL-13, CD44, leukocyte-specific protein (LSP)-1, and STAT5a (see below) are overexpressed in HRS cells (31–34).
High Level Expression of NF-κB Target Genes in HRS Cells.
All novel candidates identified for both L428 and HDLM2 cells and a group of known NF-κB target genes were selected for Northern analysis to validate NF-κB–dependent expression in HRS cells. Because the microchip data were obtained from two independent experiments and two different cell lines, the rate of false positives should be minimal. For some candidates, semi-quantitative RT-PCR was performed. We analyzed mRNA expression in Ad5-IκBΔN– or Ad5 control–infected L428 and HDLM2 cells, and in uninfected HRS and control cell lines. For all samples we confirmed that NF-κB DNA binding activity was constitutive only in HRS cells and was repressed by IκBΔN (Fig. 4
A). Pronounced NF-κB–dependent regulation could be verified for the vast majority of genes (Fig. 4, B and C). Moreover, the observed change of mRNA expression levels upon NF-κB inhibition correlated well with the DNA microarray data (Fig. 2). CX3CL, MIP1-α, CCR7, IL-15Rα, CD83, IEX-1, SMAD7, interferon regulatory factor 1, and NF-κB p100, previously proposed to be regulated by NF-κB in other cell types (29, 35–39), could be confirmed as cellular target genes in HRS cells. Abundant CCR7 and CD83 expression was detected exclusively in HRS cells (Fig. 3 B), supporting recent observations (38, 40). Likewise, the mRNA patterns of CX3CL, IEX-1, IL-15Rα, and p100 indicate strongly elevated expression in HRS cells compared with non-HRS cells (Fig. 4 B).
Among the novel target genes, 17 could be validated by Northern blotting or RT-PCR, namely IL-13, MDC, I-309, EMR1, CD44, ABIN, LSP-1, protein kinase C (PKC)-δ, STAT5a, Spi-B, LPS-induced TNF-α factor (LITAF), HLA-F, glucose transporter protein GLUT5, TFPI-2, TPMT, KIAA0084, and RES4–25 (Fig. 4, B and C). The chemokine I-309 was strongly and NF-κB dependently expressed in virally infected cells (Fig. 4 B). In contrast, only weak amounts of mRNA could be detected in noninfected HRS cells, indicating a stimulating event caused by adenoviral infection. The remaining six candidates, like TC21 or NCF2 (Fig. 2), could not be confirmed (unpublished data). This might be caused by the fact that these candidates display very low average values or that the observed change in the average difference was near the cut-off criteria (Fig. 2). In general, the microarray analysis was confirmed by Northern and RT-PCR analysis.
As an important observation, many of the novel target genes, including MDC, IL-13, CD44, ABIN, LSP-1, STAT5a, GLUT5, TPMT, and TFPI-2 display high level expression in HRS compared with non-HRS cells, thus correlating with constitutive NF-κB activity. CD44 and IL-13 have been suggested as crucial factors in the pathogenesis of HD (31, 33).
Novel Target Genes Are Inducible by IKK-dependent Signaling.
For additional verification, a subgroup of novel target genes was analyzed in 70Z/3 pre-B lymphoma cells and their IKKγ-deficient variant 1.3E2, which is defective in IKK signaling (41). Cells were stimulated with PMA, LPS, or LPS in combination with CHX, and mRNA expression of CCR7, Spi-B, LITAF, PKC-δ, and ABIN was analyzed (Fig. 5)
. CCR7 and Spi-B mRNA expression was significantly induced by LPS, whereas no or only weak induction was observed with PMA or LPS in the presence of CHX. Because CHX blocks protein synthesis, these observations suggest an additional protein requirement for NF-κB–dependent activation of CCR7 and Spi-B. In contrast, LITAF, PKC-δ, and ABIN mRNAs were induced by all stimuli in 70Z/3 cells. The lack of induction of all five genes in 1.3E2 cells and the results from previous experiments (Fig. 2 and Fig. 4, B and C) reveals that all are regulated through the IKK–NF-κB pathway.
NF-κB Recruitment to Target Promoters.
To analyze if NF-κB is recruited to target promoters, ChIP assays (27) were performed with L428 cells. The p65 antibody precipitated an IκBα gene promoter fragment that could be blocked with an antibody-specific peptide, although it did not precipitate the c-jun promoter. However, both promoter fragments could be precipitated with an anti–c-Jun antibody (Fig. 6
A). These data demonstrate the specificity of the procedure and are in agreement with the conservation of binding sites in the two genes. Next, ChIP assays were performed with L428 cells that were uninfected or infected with Ad5-IκBΔN or Ad5 control. p65 recruitment to the IκBα promoter was strongly diminished in IκBΔN-expressing cells compared with infected and uninfected controls (Fig. 6 B). We also investigated the association of NF-κB with IL-13, CCR7, CD44, STAT5a, TPMT, TFPI-2, or Glut5 promoter regions (Fig. 6 B). In all cases, we observed NF-κB binding in noninfected and Ad5 control–infected cells. Again, no or only weak binding was observed in the presence of peptide or in cells infected with Adv-IκBΔN. Promoter sequences in the databases (GenBank and euGenes) showed that all analyzed genes contain NF-κB binding site motifs according to the consensus sequence GGGRNNYYCC (Fig. 6 B; reference 42). The data provide strong evidence that these genes are under direct transcriptional control of NF-κB.
NF-κB Induces STAT5a Overexpression and Activation in HRS Cells.
The transcription factor STAT5a is an interesting novel target gene, because STAT5a activity is linked to cell growth control. Moreover, constitutively activated STAT5a has been observed in a variety of tumors (43, 44). Similar to mRNA expression (Fig. 4 B), we observed high level protein expression of STAT5a in all HRS cell lines but not in non-HRS cells (Fig. 7
A). STAT5a protein expression was dependent on NF-κB because it was reduced in both L428 and HDLM2 cells 48 h after infection with Adv-IκBΔN. Furthermore, a constitutive STAT5a DNA binding activity was observed in the majority of HRS cell lines, most strongly in L1236 and L540 cells (Fig. 7 B). In line with this, constitutive tyrosine phosphorylation, a prerequisite for STAT5a activation, was observed in HRS cells (Fig. 7 C). Intriguingly, NF-κB inhibition led to a rapid loss of STAT5a phosphorylation and DNA binding activity 24 h after infection with Ad5-IκBΔN (Fig. 7, B and C). Thus, NF-κB controls both expression and activation of STAT5a.
Patients with Classical HD Reveal a High Level of STAT5a Expression in Malignant Cells.
As predicted from the data obtained with cell lines, all patients tested with classical HD (24 cases) revealed high level cytoplasmic and nuclear staining for STAT5a in >80% of the HRS cells in the lymph node sections (Fig. 7 D and unpublished data). Tonsil sections, as benign tissue, revealed elevated STAT5a expression in germinal center cells, albeit not at the same level as in HRS cells (unpublished data). Nuclear staining of HRS cells implies that STAT5a is constitutively active in primary HRS cells. In contrast to classical HD, only in a subset (4 out of 14 cases) of lymphocyte predominance HD were all malignant lymphocytic and histiocytic cells significantly stained for STAT5a (unpublished data). Overall, STAT5a staining was weaker in lymphocyte predominance HD compared with classical HD.
A considerable body of work has linked deregulated NF-κB activity to oncogenesis (7). High level constitutive nuclear NF-κB is a characteristic and important property of the malignant cells of HD (15, 18, 21, 26). There is ample evidence that cell death protection is a key function of constitutive NF-κB activity in HRS cells (Figs. 1 and 2; references 21 and 26). However, additional contributions to the pathogenesis of HD are poorly understood. Our large-scale gene profiling revealed that NF-κB regulates a complex network of genes, which are overexpressed in primary and cultured HRS cells (Table I
; references 18, 26, 31, 32, 38, 40, and 45–49). A significant fraction of these genes appears to determine important characteristic properties of malignant cells in HD.
In addition to the antiapoptotic function, NF-κB might render tumor cells resistant to chemotherapy, as thiopurine TPMT, which catalyses S-methylation of thiopurines such as 6-mercaptopurine and 6-thioguanine, was identified as a novel target with high level expression in HRS cells (Figs. 2, 4 C, and 6). Indeed, TPMT activity is relevant for chemotherapy treatment, as has been reported for childhood acute lymphoblastic leukemia (50).
The malignant HRS cells invoke the infiltration of reactive cells including granulocytes, plasma cells, and T cells. The expression of the chemokine MDC with the adhesion molecule ICAM-1 and CD86 by HRS cells has been proposed to account for a preferential influx of Th2-type T cells and the suppression of Th1-type immune response (45). Recent data suggested that TNF-α secretion by HRS cells induces eotaxin in fibroblasts of HD tissue, which subsequently recruits T cells and eosinophils (51). Likewise, CX3CL1 and CD83 have the potential to attract T cells and might contribute to T cell influx into the affected lymph nodes (52, 53). Similarly, cytokines like IL-6 and GM-CSF stimulate plasma cells, Th2 cells, and eosinophils (45, 54). Taken together, these NF-κB target genes are strongly implicated to contribute to the architecture of affected lymph nodes in HD.
Tumor cells of classical HD are predominantly found in the interfollicular zone or less frequently in the follicular mantle zone of partially infiltrated nodes (55). Thus, confining tumor cells to distinct lymphoid compartments might be mediated by chemokine receptors like CCR7. In agreement with recent data, CCR7 was determined as a bona fide NF-κB target gene in HRS cells (38). CCR7 might not only contribute to distinct dissemination of neoplastic cells into lymphoid organs, but also seems to have a more general role in tumor cell migration because a critical role in breast cancer metastasis has been described (56). Likewise, CD44 is expressed at high levels in HRS cells and implicated in the dissemination of HRS cells (31). Moreover, the expression of CD44 splice variant v10 is associated with an unfavorable clinical prognosis (31). Finally, the serine protease inhibitor TFPI-2, which has a proinvasive effect in hepatocellular carcinoma cells, might also be involved in the migration of HD tumor cells (57). Altogether, NF-κB controls a set of genes that likely regulates tumor cell localization.
Deregulated proliferation is a typical event associated with malignant transformation. Therefore, the overexpression of factors involved in growth control is of great interest. Both IL-13 and CD40 play a critical role in B cell proliferation (18, 58). Remarkably, IL-13–neutralizing antibodies blocked the proliferation of HDLM-2 cells (33). Likewise, the IL-15–IL-15R signaling pathway was suggested as important for tumor propagation in multiple myeloma (59). Our data reveal IL-15R overexpression in HRS cells (Fig. 5). However, a potential role of the IL-15–IL-15R signaling pathway in HD has to be established. Aside from deregulated proliferation, malignant cells display high rates of glucose uptake and glycolysis (60). The overexpression of GLUT5, as observed in this study, might permit the enhanced uptake of fructose and provide a metabolic advantage for HRS cells (61).
As a striking observation, constitutive NF-κB activates the STAT5a signaling pathway both by overexpression and by the induction of tyrosine phosphorylation of STAT5a in cultured HRS cells (Figs. 2, 4, and 7). Notably, all patients analyzed with classical HD express high level activated STAT5a in the entire tumor cell population (Fig. 7 D). These findings establish a new level of complexity in the oncogenic function of NF-κB. STAT5a has been implicated in hematopoietic cell growth and tumor development and may therefore present an important downstream effector of NF-κB (43, 44). Because STAT5a regulates cell cycle progression via activating D-type cyclins (62) and inhibits apoptosis by stimulating Bcl-xL expression (63), it might contribute to cyclin D2 and Bcl-xL induction in HRS cells in synergism with NF-κB (26). Because cyclin D2 could not be detected as a direct NF-κB target gene in the microarray analysis 24 h after Adv-IκBΔN infection but is affected at later time points (26), NF-κB could regulate cyclin D2 expression in part via STAT5a. In fact, both cyclin D2 and Bcl-xL contain functional STAT5 binding sites in their promoter regions (64, 65).
Aside from HD, the expression of aberrant NF-κB activity or mutant rel/nfkb genes has been noted in many human hematopoietic (e.g., multiple myeloma, adult T cell leukemia, chronic myelogenous leukemia, acute lymphoblastic leukemia, and B cell leukemia and lymphoma) and solid tumors (e.g., head and neck squamous cell [HNSCC], breast, colon, and ovarian carcinoma; reference 7). Correspondingly, many of the NF-κB target genes are overexpressed in these tumors and are implicated to contribute to their pathogenesis (Table I). In particular GLUT5, Bcl-xL, CCR7, CD44, and p100 are overexpressed in breast carcinoma (7, 56, 61, 66, 67). In colon carcinoma, high levels of CD44, Bfl-1/A1, and p100 have been observed (7, 67, 68). A high concentration of cytokines IL-6 and GM-CSF are produced by tumor cells of patients with HNSCC (69), whereas enriched levels of TFPI-2 were found in ovarian tumor samples (70). Different types of leukemia display aberrant expression of CD86, IL-15Rα, STAT5a, CCR-7, CD44, and LSP-1 (32, 44, 71–74). At last, the overexpression of the NF-κB target genes IL-6, TNF-α, ICAM-1, IL-15Rα, and CD44 seems to contribute to the pathogenesis of multiple myeloma (59, 75, 76). NF-κB–dependent gene profiling in the described tumors might extend these observations and further manifest the role of deregulated NF-κB activity in oncogenesis.
In addition to clinical implications, this study provides new insights into NF-κB–dependent gene regulation. Only a minority of previously described target genes (29, 77) could be identified as NF-κB regulated in HRS cells. Although several known target genes like RANTES or A20 are expressed in HRS cells, they either did not respond or only weakly responded upon NF-κB inhibition (unpublished data). Thus, constitutive NF-κB drives a specific network of genes in HRS cells that differs from signal-induced NF-κB–dependent regulation in other cell types. Although all HRS cell lines display constitutive NF-κB activity, there is some heterogeneity in the expression of several target genes (Fig. 4). Likewise, junB, which is regulated by NF-κB (29 and unpublished data), met the criteria for NF-κB target genes only in HDLM2 cells. These observations reflect variations in gene expression control among different HRS cells and suggest the requirement of additional factors for NF-κB–dependent gene activation. In fact, LPS stimulation of CCR7 and Spi-B expression in 70Z/3 cells was abrogated when protein synthesis was inhibited (Fig. 5). NF-κB might act in concert with other transcription factors such as AP-1, or certain coactivators like CBP/p300, to fully activate gene expression (78, 79). Furthermore, some promoters require modifications in chromatin structure to make NF-κB sites accessible (27). Taken together, NF-κB–dependent gene expression is a matter of both the NF-κB activation status and the molecular environment within a given cell type.
In summary, this study underlines a fundamental importance of NF-κB in HD. NF-κB controls a complex network of genes, which promotes the specific architecture of Hodgkin lymphoma, supports proliferation and migration, and confers resistance to apoptosis. Pharmacological manipulation of the NF-κB system or of selected target genes might have a therapeutic potential for HD and other neoplastic malignancies.
We would like to thank Gioacchino Natoli for a detailed ChIP assay protocol and Erika Scharschmidt, Karin Ganzel, and Signe Knespel for excellent technical assistance.
This study was supported in part by grants from the National Genome Research Network to B. Dörken, H. Stein, and C. Scheidereit.