Role of Calcium Signaling in GA101-Induced Cell Death in Malignant Human B Cells.

Cancers (Basel) 2019 Mar 1;11(3). Epub 2019 Mar 1.

Institut Bergonié, Comprehensive Cancer Centre, F-33000 Bordeaux, France.

GA101/obinutuzumab is a novel type II anti-CD20 monoclonal antibody (mAb), which is more effective than rituximab (RTX) in preclinical and clinical studies when used in combination with chemotherapy. Ca signaling was shown to play a role in RTX-induced cell death. This report concerns the effect of GA101 on Ca signaling and its involvement in the direct cell death induced by GA101. We reveal that GA101 triggered an intracellular Ca increase by mobilizing intracellular Ca stores and activating Orai1-dependent Ca influx in non-Hodgkin lymphoma cell lines and primary B-Cell Chronic Lymphocytic Leukemia (B-CLL) cells. According to the cell type, Ca was mobilized from two distinct intracellular compartments. In Raji, BL2, and B-CLL cells, GA101 induced a Ca release from lysosomes, leading to the subsequent lysosomal membrane permeabilization and cell death. Inhibition of this calcium signaling reduced GA101-induced cell death in these cells. In SU-DHL-4 cells, GA101 mobilized Ca from the endoplasmic reticulum (ER). Inhibition of ER replenishment, by blocking Orai1-dependent Ca influx, led to an ER stress and unfolded protein response (UPR) which sensitized these cells to GA101-induced cell death. These results revealed the central role of Ca signaling in GA101's action mechanism, which may contribute to designing new rational drug combinations improving its clinical efficacy.

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http://dx.doi.org/10.3390/cancers11030291DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6468563PMC
March 2019
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