mTORC1-selective activation of translation elongation promotes disease progression in chronic lymphocytic leukemia

Malik, N. , Hay, J. , Almuhanna, H. N.B., Dunn, K. M., Lees, J., Cassels, J., Li, J., Nakagawa, R., Sansom, O. J. and Michie, A. M. (2023) mTORC1-selective activation of translation elongation promotes disease progression in chronic lymphocytic leukemia. Leukemia, 37, pp. 2414-2425. (doi: 10.1038/s41375-023-02043-3) (PMID:37775560) (PMCID:PMC10681897)

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Abstract

Targeted deletion of Raptor, a component of mechanistic target of rapamycin complex 1 (mTORC1), reveals an essential role for mTORC1 in initiation/maintenance of leukemia in a CLL model, resulting from a failure for haemopoietic stem/progenitor cells (HSPCs) to commit to the B cell lineage. Induction of Raptor-deficiency in NSG mice transplanted with Mx1-Raptor CLL progenitor cells (PKCα-KR-transduced HSPCs) after disease establishment revealed a reduction in CLL-like disease load and a significant increase in survival in the mice. Interestingly in an aggressive CLL-like disease model, rapamycin treatment reduced disease burden more effectively than AZD2014 (dual mTORC1/2 inhibitor), indicating a skew towards mTORC1 sensitivity with more aggressive disease. Rapamycin, but not ibrutinib, efficiently targeted the eEF2/eEF2K translation elongation regulatory axis, downstream of mTORC1, resulting in eEF2 inactivation through induction of eEF2T56 phosphorylation. mTOR inhibitor treatment of primary patient CLL cells halted proliferation, at least in part through modulation of eEF2K/eEF2 phosphorylation and expression, reduced protein synthesis and inhibited expression of MCL1, Cyclin A and Cyclin D2. Our studies highlight the importance of translation elongation as a driver of disease progression and identify inactivation of eEF2 activity as a novel therapeutic target for blocking CLL progression.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Hay, Dr Jodie and Dunn, Mrs Karen and Lees, Mr Jamie and Malik, Miss Natasha and LI, Jiatian and Nakagawa, Dr Rinako and Michie, Professor Alison and Almuhanna, Hassan Nasser B and Sansom, Professor Owen and Cassels, Miss Jennifer
Creator Roles:
Michie, A.Conceptualization, Methodology, Investigation, Funding acquisition, Project administration, Supervision, Writing – original draft, Writing – review and editing
Sansom, O.Conceptualization, Funding acquisition, Supervision, Writing – review and editing
Malik, N.Conceptualization, Methodology, Investigation, Writing – original draft, Writing – review and editing
Hay, J.Conceptualization, Methodology, Investigation, Writing – review and editing
Nakagawa, R.Methodology, Writing – review and editing
Dunn, K.Methodology, Investigation, Writing – review and editing
Almuhanna, H. N. B.Investigation, Writing – review and editing
Lees, J.Investigation, Writing – review and editing
Cassels, J.Investigation, Writing – review and editing
Authors: Malik, N., Hay, J., Almuhanna, H. N.B., Dunn, K. M., Lees, J., Cassels, J., Li, J., Nakagawa, R., Sansom, O. J., and Michie, A. M.
College/School:College of Medical Veterinary and Life Sciences > School of Cancer Sciences
Journal Name:Leukemia
Publisher:Springer Nature
ISSN:0887-6924
ISSN (Online):1476-5551
Published Online:29 September 2023
Copyright Holders:Copyright © 2023 The Authors
First Published:First published in Leukemia 37:2414–2425
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
172449Elucidating the role of individual mTor complexes in the development and progression of chronic lymphocytic leukaemiaAlison MichieBloodwise (BLOODWIS)15041SCS - Paul O'Gorman Leukaemia Research Centre
163632Development of a flow cytometry service within the Paul O'Gorman Leukaemia Research CentreAlison MichieThe Kay Kendall Leukaemia Fund (KENDALL)KKL501SCS - Paul O'Gorman Leukaemia Research Centre
190660MRC Doctoral Training Grant 2013/14 and 2014/15George BaillieMedical Research Council (MRC)MR/K501335/1MVLS - Graduate School
303091Elucidating the mechanisms that regulate FOXO activity in chronic lymphocytic leukaemia - a novel target for therapeutic exploitation?Alison MichieBloodwise (BLOODWIS)18003SCS - Paul O'Gorman Leukaemia Research Centre
318080eEF2K/eEF2 signalling axis in leukaemiaAlison MichieMedical Research Council (MRC)MR/X008169/1SCS - Paul O'Gorman Leukaemia Research Centre