PMID- 32238854 OWN - NLM STAT- MEDLINE DCOM- 20210113 LR - 20210604 IS - 1476-5551 (Electronic) IS - 0887-6924 (Print) IS - 0887-6924 (Linking) VI - 35 IP - 1 DP - 2021 Jan TI - Immunomodulatory drugs activate NK cells via both Zap-70 and cereblon-dependent pathways. PG - 177-188 LID - 10.1038/s41375-020-0809-x [doi] AB - Immunomodulatory drugs (IMiDs) lenalidomide and pomalidomide show remarkable antitumor activity in multiple myeloma (MM) via directly inhibiting MM-cell growth in the bone marrow (BM) microenvironment and promoting immune effector cell function. They are known to bind to the ubiquitin 3 ligase CRBN complex and thereby triggering degradation of IKZF1/3. In this study, we demonstrate that IMiDs also directly bind and activate zeta-chain-associated protein kinase-70 (Zap-70) via its tyrosine residue phosphorylation in T cells. IMiDs also triggered phosphorylation of Zap-70 in natural killer (NK) cells. Importantly, increased granzyme-B (GZM-B) expression and NK-cell activity triggered by IMiDs is associated with Zap-70 activation and inhibited by Zap-70 knockdown (KD), independent of CRBN. We also demonstrate a second mechanism whereby IMiDs trigger GZM-B and NK cytotoxicity which is CRBN and IKZF3 mediated, and inhibited or enhanced by KD of CRBN or IKZF3, respectively, independent of Zap-70. Our studies therefore show that IMiDs can enhance NK and T-cell cytotoxicity in (1) ZAP-70-mediated CRBN independent, as well as (2) CRBN-mediated ZAP-70 independent mechanisms; and provide the framework for developing novel therapeutics to activate Zap-70 and thereby enhance T and NK anti-MM cytotoxicity. FAU - Hideshima, Teru AU - Hideshima T AD - Jerome Lipper Multiple Myeloma Center, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, 02215, USA. FAU - Ogiya, Daisuke AU - Ogiya D AD - Jerome Lipper Multiple Myeloma Center, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, 02215, USA. FAU - Liu, Jiye AU - Liu J AD - Jerome Lipper Multiple Myeloma Center, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, 02215, USA. FAU - Harada, Takeshi AU - Harada T AD - Department of Medicine and Bioregulatory Sciences, University of Tokushima Graduate School of Medicine, 3-18-15 Kuramoto, Tokushima, 770-8503, Japan. FAU - Kurata, Keiji AU - Kurata K AD - Jerome Lipper Multiple Myeloma Center, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, 02215, USA. FAU - Bae, Jooeun AU - Bae J AD - Jerome Lipper Multiple Myeloma Center, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, 02215, USA. FAU - Massefski, Walter AU - Massefski W AD - Department of Chemistry Instrumentation Facility, Massachusetts Institute of Technology, Cambridge, MA, 02139, USA. FAU - Anderson, Kenneth C AU - Anderson KC AD - Jerome Lipper Multiple Myeloma Center, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, 02215, USA. kenneth_anderson@dfci.harvard.edu. LA - eng GR - P01 CA155258/CA/NCI NIH HHS/United States GR - R01 CA050947/CA/NCI NIH HHS/United States GR - R01 CA178264/CA/NCI NIH HHS/United States GR - P50 CA100707/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20200401 PL - England TA - Leukemia JT - Leukemia JID - 8704895 RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (CRBN protein, human) RN - 0 (Immunologic Factors) RN - EC 2.3.2.27 (Ubiquitin-Protein Ligases) RN - EC 2.7.10.2 (ZAP-70 Protein-Tyrosine Kinase) RN - EC 2.7.10.2 (ZAP70 protein, human) SB - IM MH - Adaptor Proteins, Signal Transducing/*metabolism MH - Cell Line, Tumor MH - Cells, Cultured MH - Cytotoxicity, Immunologic MH - Humans MH - Immunologic Factors/*pharmacology MH - Immunomodulation/drug effects MH - Killer Cells, Natural/*drug effects/immunology/*metabolism MH - Lymphocyte Activation/drug effects/immunology MH - Phosphorylation MH - Signal Transduction/*drug effects MH - T-Lymphocyte Subsets/immunology/metabolism/pathology MH - Ubiquitin-Protein Ligases/*metabolism MH - ZAP-70 Protein-Tyrosine Kinase/*metabolism PMC - PMC7529681 MID - NIHMS1578112 COIS- Compliance with ethical standards Conflict of Interest KC Anderson serves on advisory boards to Celgene, Millennium, Janssen, Sanofi, Bristol Myers Squibb, Gilead, Precision Biosciences, and Tolero, and is a Scientific Founder of OncoPep and C4 Therapeutics. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed. EDAT- 2020/04/03 06:00 MHDA- 2021/01/14 06:00 PMCR- 2021/01/08 CRDT- 2020/04/03 06:00 PHST- 2019/11/05 00:00 [received] PHST- 2020/03/18 00:00 [accepted] PHST- 2020/03/17 00:00 [revised] PHST- 2020/04/03 06:00 [pubmed] PHST- 2021/01/14 06:00 [medline] PHST- 2020/04/03 06:00 [entrez] PHST- 2021/01/08 00:00 [pmc-release] AID - 10.1038/s41375-020-0809-x [pii] AID - 10.1038/s41375-020-0809-x [doi] PST - ppublish SO - Leukemia. 2021 Jan;35(1):177-188. doi: 10.1038/s41375-020-0809-x. Epub 2020 Apr 1.