Positive feedback between NF-κB and TNF-α promotes leukemia-initiating cell capacity

J Clin Invest. 2014 Feb;124(2):528-42. doi: 10.1172/JCI68101. Epub 2014 Jan 2.

Abstract

Acute myeloid leukemia (AML) is a heterogeneous hematologic malignancy that originates from leukemia-initiating cells (LICs). The identification of common mechanisms underlying LIC development will be important in establishing broadly effective therapeutics for AML. Constitutive NF-κB pathway activation has been reported in different types of AML; however, the mechanism of NF-κB activation and its importance in leukemia progression are poorly understood. Here, we analyzed myeloid leukemia mouse models to assess NF-κB activity in AML LICs. We found that LICs, but not normal hematopoietic stem cells or non-LIC fractions within leukemia cells, exhibited constitutive NF-κB activity. This activity was maintained through autocrine TNF-α secretion, which formed an NF-κB/TNF-α positive feedback loop. LICs had increased levels of active proteasome machinery, which promoted the degradation of IκBα and further supported NF-κB activity. Pharmacological inhibition of the proteasome complex markedly suppressed leukemia progression in vivo. Conversely, enhanced activation of NF-κB signaling expanded LIC frequency within leukemia cell populations. We also demonstrated a strong correlation between NF-κB activity and TNF-α secretion in human AML samples. Our findings indicate that NF-κB/TNF-α signaling in LICs contributes to leukemia progression and provide a widely applicable approach for targeting LICs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Active Transport, Cell Nucleus
  • Adult
  • Aged
  • Animals
  • Bone Marrow Cells / metabolism
  • Boronic Acids / therapeutic use
  • Bortezomib
  • Disease Progression
  • Female
  • Gene Expression Regulation, Leukemic*
  • Hematopoietic Stem Cells / cytology
  • Humans
  • Leukemia / metabolism
  • Leukemia, Myeloid, Acute / metabolism*
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Microscopy, Fluorescence
  • Middle Aged
  • NF-kappa B / metabolism*
  • Phenotype
  • Proteasome Endopeptidase Complex / chemistry
  • Pyrazines / therapeutic use
  • Signal Transduction
  • Time Factors
  • Tumor Necrosis Factor-alpha / metabolism*

Substances

  • Boronic Acids
  • NF-kappa B
  • Pyrazines
  • Tumor Necrosis Factor-alpha
  • Bortezomib
  • Proteasome Endopeptidase Complex

Associated data

  • GEO/GSE20377
  • GEO/GSE24006
  • GEO/GSE24797