PMID- 34632715 OWN - NLM STAT- MEDLINE DCOM- 20220408 LR - 20220408 IS - 1878-0261 (Electronic) IS - 1574-7891 (Print) IS - 1574-7891 (Linking) VI - 16 IP - 5 DP - 2022 Mar TI - Targeting mitochondrial respiration and the BCL2 family in high-grade MYC-associated B-cell lymphoma. PG - 1132-1152 LID - 10.1002/1878-0261.13115 [doi] AB - Multiple molecular features, such as activation of specific oncogenes (e.g., MYC, BCL2) or a variety of gene expression signatures, have been associated with disease course in diffuse large B-cell lymphoma (DLBCL), although their relationships and implications for targeted therapy remain to be fully unraveled. We report that MYC activity is closely correlated with-and most likely a driver of-gene signatures related to oxidative phosphorylation (OxPhos) in DLBCL, pointing to OxPhos enzymes, in particular mitochondrial electron transport chain (ETC) complexes, as possible therapeutic targets in high-grade MYC-associated lymphomas. In our experiments, indeed, MYC sensitized B cells to the ETC complex I inhibitor IACS-010759. Mechanistically, IACS-010759 triggered the integrated stress response (ISR) pathway, driven by the transcription factors ATF4 and CHOP, which engaged the intrinsic apoptosis pathway and lowered the apoptotic threshold in MYC-overexpressing cells. In line with these findings, the BCL2-inhibitory compound venetoclax synergized with IACS-010759 against double-hit lymphoma (DHL), a high-grade malignancy with concurrent activation of MYC and BCL2. In BCL2-negative lymphoma cells, instead, killing by IACS-010759 was potentiated by the Mcl-1 inhibitor S63845. Thus, combining an OxPhos inhibitor with select BH3-mimetic drugs provides a novel therapeutic principle against aggressive, MYC-associated DLBCL variants. CI - (c) 2021 The Authors. Molecular Oncology published by John Wiley & Sons Ltd on behalf of Federation of European Biochemical Societies. FAU - Donati, Giulio AU - Donati G AD - European Institute of Oncology (IEO)-IRCCS, Milan, Italy. FAU - Rava, Micol AU - Rava M AD - European Institute of Oncology (IEO)-IRCCS, Milan, Italy. FAU - Filipuzzi, Marco AU - Filipuzzi M AD - European Institute of Oncology (IEO)-IRCCS, Milan, Italy. FAU - Nicoli, Paola AU - Nicoli P AD - European Institute of Oncology (IEO)-IRCCS, Milan, Italy. FAU - Cassina, Laura AU - Cassina L AD - IRCCS San Raffaele Scientific Institute, Milan, Italy. FAU - Verrecchia, Alessandro AU - Verrecchia A AD - European Institute of Oncology (IEO)-IRCCS, Milan, Italy. FAU - Doni, Mirko AU - Doni M AD - European Institute of Oncology (IEO)-IRCCS, Milan, Italy. FAU - Rodighiero, Simona AU - Rodighiero S AD - European Institute of Oncology (IEO)-IRCCS, Milan, Italy. FAU - Parodi, Federica AU - Parodi F AD - European Institute of Oncology (IEO)-IRCCS, Milan, Italy. FAU - Boletta, Alessandra AU - Boletta A AD - IRCCS San Raffaele Scientific Institute, Milan, Italy. FAU - Vellano, Christopher P AU - Vellano CP AD - Translational Research to Advance Therapeutics and Innovation in Oncology (TRACTION), Houston, TX, USA. FAU - Marszalek, Joseph R AU - Marszalek JR AD - Translational Research to Advance Therapeutics and Innovation in Oncology (TRACTION), Houston, TX, USA. FAU - Draetta, Giulio F AU - Draetta GF AD - Department of Genomic Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, USA. FAU - Amati, Bruno AU - Amati B AUID- ORCID: 0000-0002-2958-1799 AD - European Institute of Oncology (IEO)-IRCCS, Milan, Italy. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20211111 PL - United States TA - Mol Oncol JT - Molecular oncology JID - 101308230 RN - 0 (BCL2 protein, human) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (Proto-Oncogene Proteins c-myc) SB - IM MH - Humans MH - *Lymphoma, Large B-Cell, Diffuse/drug therapy/genetics MH - Oncogenes MH - Proto-Oncogene Proteins c-bcl-2/metabolism MH - *Proto-Oncogene Proteins c-myc/genetics/metabolism MH - Respiration PMC - PMC8895457 OTO - NOTNLM OT - BCL2 OT - DLBCL OT - Integrated Stress Response OT - MYC OT - OxPhos OT - chemotherapy COIS- The authors declare no conflict of interest. EDAT- 2021/10/12 06:00 MHDA- 2022/04/09 06:00 PMCR- 2022/03/01 CRDT- 2021/10/11 06:40 PHST- 2021/08/27 00:00 [revised] PHST- 2021/05/17 00:00 [received] PHST- 2021/10/08 00:00 [accepted] PHST- 2021/10/12 06:00 [pubmed] PHST- 2022/04/09 06:00 [medline] PHST- 2021/10/11 06:40 [entrez] PHST- 2022/03/01 00:00 [pmc-release] AID - MOL213115 [pii] AID - 10.1002/1878-0261.13115 [doi] PST - ppublish SO - Mol Oncol. 2022 Mar;16(5):1132-1152. doi: 10.1002/1878-0261.13115. Epub 2021 Nov 11.