Published in: Proc. Natl. Acad. Sci. USA, vol. 101, no. 17, pp. 6611-6616 (April 27, 2004).
Published online before print April 19, 2004, 10.1073/pnas.0400765101
http://www.pnas.org/cgi/content/abstract/101/17/6611?etoc

"Expression of the cellular FLICE-inhibitory protein (c-FLIP) protects Hodgkin's lymphoma cells from autonomous Fas-mediated death".

A. Dutton *, J. D. O'Neil 1, A. E. Milner 1, G. M. Reynolds 2, J. Starczynski 3 , J. Crocker 3 , L. S. Young 1,  and P. G. Murray * ¶

* Department of Pathology, 1 Cancer Research UK Institute for Cancer Studies, and 2 Liver Research Laboratories, University of Birmingham, Birmingham B15 2TT, United Kingdom; and
3 Department of Cellular Pathology, Birmingham Heartland's Hospital, Bordesley Green East, Birmingham B15 2TT, United Kingdom

¶ To whom correspondence should be addressed at: Department of Pathology, Division of Cancer Studies, Medical School, University of Birmingham, Edgbaston, Birmingham B15 2TT, United Kingdom.
E-mail:   p.g.murray@bham.ac.uk



Abstract:

Hodgkin's lymphoma (HL) is characterized by the presence of malignant so-called Hodgkin's/Reed-Sternberg (HRS) cells, which display resistance to certain apoptotic stimuli, including a lack of sensitivity to Fas-mediated cell death. However, the mechanisms responsible for their resistance to apoptosis inducers have not been elucidated. Here we confirm that both HL-derived cell lines and the HRS cells of primary HL tissues express Fas ligand (FasL) along with the inhibitory c-FLIP protein. Down-regulation of cellular FLICE (FADD-like IL-1b-converting enzyme)-inhibitory protein (c-FLIP) through the use of specific small inhibitory RNAs (siRNAs) leads to reduced viability of the L428 and L591 HL-derived cell lines. To determine whether endogenous FasL was responsible for the reduction in cell viability observed after down-regulation of c-FLIP, L428 and L591 cells were treated with c-FLIP-specific siRNAs with and without siRNAs directed to FasL. Treatment of these cells with both c-FLIP- and FasL-specific siRNAs in combination restored cell viability to near control levels. Our results provide a mechanism whereby HRS cells are protected from autonomous FasL-mediated cell death while preserving their ability to evade immunosurveillance. Targeting c-FLIP could provide a novel approach to the treatment of HL. 



Abbreviations: HRS cells, Hodgkin's/Reed-Sternberg cells; HL, Hodgkin's lymphoma; GC, germinal center; BCR, B cell receptor; DISC, death-inducing signaling complex; FasL, Fas ligand; c-FLIP, cellular homologue of FLICE-inhibitory protein; CHX, cycloheximide; siRNA, small interfering RNA. 

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