RANKL expression, function, and therapeutic targeting in multiple myeloma and chronic lymphocytic leukemia.

Details

Serval ID
serval:BIB_9FA4E41F2410
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
RANKL expression, function, and therapeutic targeting in multiple myeloma and chronic lymphocytic leukemia.
Journal
Cancer Research
Author(s)
Schmiedel B.J., Scheible C.A., Nuebling T., Kopp H.G., Wirths S., Azuma M., Schneider P., Jung G., Grosse-Hovest L., Salih H.R.
ISSN
1538-7445 (Electronic)
ISSN-L
0008-5472
Publication state
Published
Issued date
2013
Volume
73
Number
2
Pages
683-694
Language
english
Abstract
Bone destruction is a prominent feature of multiple myeloma, but conflicting data exist on the expression and pathophysiologic involvement of the bone remodeling ligand RANKL in this disease and the potential therapeutic benefits of its targeted inhibition. Here, we show that RANKL is expressed by primary multiple myeloma and chronic lymphocytic leukemia (CLL) cells, whereas release of soluble RANKL was observed exclusively with multiple myeloma cells and was strongly influenced by posttranscriptional/posttranslational regulation. Signaling via RANKL into multiple myeloma and CLL cells induced release of cytokines involved in disease pathophysiology. Both the effects of RANKL on osteoclastogenesis and cytokine production by malignant cells could be blocked by disruption of RANK-RANKL interaction with denosumab. As we aimed to combine neutralization of RANKL with induction of antibody-dependent cellular cytotoxicity of natural killer (NK) cells against RANKL-expressing malignant cells and as denosumab does not stimulate NK reactivity, we generated RANK-Fc fusion proteins with modified Fc moieties. The latter displayed similar capacity compared with denosumab to neutralize the effects of RANKL on osteoclastogenesis in vitro, but also potently stimulated NK cell reactivity against primary RANKL-expressing malignant B cells, which was dependent on their engineered affinity to CD16. Our findings introduce Fc-optimized RANK-Ig fusion proteins as attractive tools to neutralize the detrimental function of RANKL while at the same time potently stimulating NK cell antitumor immunity.
Keywords
Antibodies, Monoclonal, Humanized/pharmacology, Cell Line, Tumor, Humans, Killer Cells, Natural/immunology, Leukemia, Lymphocytic, Chronic, B-Cell/metabolism, Multiple Myeloma/metabolism, RANK Ligand/antagonists & inhibitors, RANK Ligand/genetics, Receptors, Fc/genetics, Recombinant Fusion Proteins/pharmacology, Transfection
Pubmed
Web of science
Open Access
Yes
Create date
28/02/2013 11:42
Last modification date
20/08/2019 16:05
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