Pharmacological Modulation of the Unfolded Protein Response as a Therapeutic Approach in Cutaneous T-Cell Lymphoma

Cutaneous T-cell lymphoma (CTCL) is a rare T-cell malignancy characterized by inflamed and painful rash-like skin lesions that may affect large portions of the body’s surface. Patients experience recurrent infections due to a compromised skin barrier and generalized immunodeficiency resulting from a...

Full description

Saved in:
Bibliographic Details
Main Authors: Nadia St. Thomas, Benjamin N. Christopher, Leticia Reyes, Reeder M. Robinson, Lena Golick, Xiaoyi Zhu, Eli Chapman, Nathan G. Dolloff
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Biomolecules
Subjects:
Online Access:https://www.mdpi.com/2218-273X/15/1/76
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832588884528070656
author Nadia St. Thomas
Benjamin N. Christopher
Leticia Reyes
Reeder M. Robinson
Lena Golick
Xiaoyi Zhu
Eli Chapman
Nathan G. Dolloff
author_facet Nadia St. Thomas
Benjamin N. Christopher
Leticia Reyes
Reeder M. Robinson
Lena Golick
Xiaoyi Zhu
Eli Chapman
Nathan G. Dolloff
author_sort Nadia St. Thomas
collection DOAJ
description Cutaneous T-cell lymphoma (CTCL) is a rare T-cell malignancy characterized by inflamed and painful rash-like skin lesions that may affect large portions of the body’s surface. Patients experience recurrent infections due to a compromised skin barrier and generalized immunodeficiency resulting from a dominant Th2 immune phenotype of CTCL cells. Given the role of the unfolded protein response (UPR) in normal and malignant T-cell development, we investigated the impact of UPR-inducing drugs on the viability, transcriptional networks, and Th2 phenotype of CTCL. We found that CTCL cells were >5-fold more sensitive to the proteasome inhibitor bortezomib (Btz) and exhibited a distinct signaling and transcriptional response compared to normal CD4+ cells. The CTCL response was dominated by the induction of the HSP70 family member <i>HSPA6</i> (HSP70B’) and, to a lesser extent, <i>HSPA5</i> (BiP/GRP78). To understand the significance of these two factors, we used a novel isoform selective small-molecule inhibitor of HSPA5/6 (JG-023). JG-023 induced pro-apoptotic UPR signaling and enhanced the cytotoxic effects of proteasome inhibitors and other UPR-inducing drugs in CTCL but not normal T cells. Interestingly, JG-023 also selectively suppressed the production of Th2 cytokines in CTCL and normal CD4+ T cells. Conditioned media (CM) from CTCL were immunosuppressive to normal T cells through an IL-10-dependent mechanism. This immunosuppression could be reversed by JG-023, other HSP70 inhibitors, Btz, and combinations of these UPR-targeted drugs. Our study points to the importance of the UPR in the pathology of CTCL and demonstrates the potential of proteasome and targeted HSPA5/6 inhibitors for therapy.
format Article
id doaj-art-1689007554184a3886e8d6b91c462e09
institution Kabale University
issn 2218-273X
language English
publishDate 2025-01-01
publisher MDPI AG
record_format Article
series Biomolecules
spelling doaj-art-1689007554184a3886e8d6b91c462e092025-01-24T13:25:05ZengMDPI AGBiomolecules2218-273X2025-01-011517610.3390/biom15010076Pharmacological Modulation of the Unfolded Protein Response as a Therapeutic Approach in Cutaneous T-Cell LymphomaNadia St. Thomas0Benjamin N. Christopher1Leticia Reyes2Reeder M. Robinson3Lena Golick4Xiaoyi Zhu5Eli Chapman6Nathan G. Dolloff7Department of Pharmacology and Immunology, Medical University of South Carolina, 173 Ashley Ave., MSC509, Charleston, SC 29425, USADepartment of Pharmacology and Immunology, Medical University of South Carolina, 173 Ashley Ave., MSC509, Charleston, SC 29425, USADepartment of Pharmacology and Immunology, Medical University of South Carolina, 173 Ashley Ave., MSC509, Charleston, SC 29425, USADepartment of Pharmacology and Immunology, Medical University of South Carolina, 173 Ashley Ave., MSC509, Charleston, SC 29425, USADepartment of Pharmacology and Immunology, Medical University of South Carolina, 173 Ashley Ave., MSC509, Charleston, SC 29425, USADepartment of Pharmacology and Therapeutics, Center for Inflammation Science and Systems Medicine, University of Florida Scripps Institute for Biomedical Innovation and Technology, Jupiter, FL 33458, USADepartment of Pharmacology and Therapeutics, Center for Inflammation Science and Systems Medicine, University of Florida Scripps Institute for Biomedical Innovation and Technology, Jupiter, FL 33458, USADepartment of Pharmacology and Immunology, Medical University of South Carolina, 173 Ashley Ave., MSC509, Charleston, SC 29425, USACutaneous T-cell lymphoma (CTCL) is a rare T-cell malignancy characterized by inflamed and painful rash-like skin lesions that may affect large portions of the body’s surface. Patients experience recurrent infections due to a compromised skin barrier and generalized immunodeficiency resulting from a dominant Th2 immune phenotype of CTCL cells. Given the role of the unfolded protein response (UPR) in normal and malignant T-cell development, we investigated the impact of UPR-inducing drugs on the viability, transcriptional networks, and Th2 phenotype of CTCL. We found that CTCL cells were >5-fold more sensitive to the proteasome inhibitor bortezomib (Btz) and exhibited a distinct signaling and transcriptional response compared to normal CD4+ cells. The CTCL response was dominated by the induction of the HSP70 family member <i>HSPA6</i> (HSP70B’) and, to a lesser extent, <i>HSPA5</i> (BiP/GRP78). To understand the significance of these two factors, we used a novel isoform selective small-molecule inhibitor of HSPA5/6 (JG-023). JG-023 induced pro-apoptotic UPR signaling and enhanced the cytotoxic effects of proteasome inhibitors and other UPR-inducing drugs in CTCL but not normal T cells. Interestingly, JG-023 also selectively suppressed the production of Th2 cytokines in CTCL and normal CD4+ T cells. Conditioned media (CM) from CTCL were immunosuppressive to normal T cells through an IL-10-dependent mechanism. This immunosuppression could be reversed by JG-023, other HSP70 inhibitors, Btz, and combinations of these UPR-targeted drugs. Our study points to the importance of the UPR in the pathology of CTCL and demonstrates the potential of proteasome and targeted HSPA5/6 inhibitors for therapy.https://www.mdpi.com/2218-273X/15/1/76cutaneous T-cell lymphomaER stressunfolded protein responsebortezomibHSP70HSPA5
spellingShingle Nadia St. Thomas
Benjamin N. Christopher
Leticia Reyes
Reeder M. Robinson
Lena Golick
Xiaoyi Zhu
Eli Chapman
Nathan G. Dolloff
Pharmacological Modulation of the Unfolded Protein Response as a Therapeutic Approach in Cutaneous T-Cell Lymphoma
Biomolecules
cutaneous T-cell lymphoma
ER stress
unfolded protein response
bortezomib
HSP70
HSPA5
title Pharmacological Modulation of the Unfolded Protein Response as a Therapeutic Approach in Cutaneous T-Cell Lymphoma
title_full Pharmacological Modulation of the Unfolded Protein Response as a Therapeutic Approach in Cutaneous T-Cell Lymphoma
title_fullStr Pharmacological Modulation of the Unfolded Protein Response as a Therapeutic Approach in Cutaneous T-Cell Lymphoma
title_full_unstemmed Pharmacological Modulation of the Unfolded Protein Response as a Therapeutic Approach in Cutaneous T-Cell Lymphoma
title_short Pharmacological Modulation of the Unfolded Protein Response as a Therapeutic Approach in Cutaneous T-Cell Lymphoma
title_sort pharmacological modulation of the unfolded protein response as a therapeutic approach in cutaneous t cell lymphoma
topic cutaneous T-cell lymphoma
ER stress
unfolded protein response
bortezomib
HSP70
HSPA5
url https://www.mdpi.com/2218-273X/15/1/76
work_keys_str_mv AT nadiastthomas pharmacologicalmodulationoftheunfoldedproteinresponseasatherapeuticapproachincutaneoustcelllymphoma
AT benjaminnchristopher pharmacologicalmodulationoftheunfoldedproteinresponseasatherapeuticapproachincutaneoustcelllymphoma
AT leticiareyes pharmacologicalmodulationoftheunfoldedproteinresponseasatherapeuticapproachincutaneoustcelllymphoma
AT reedermrobinson pharmacologicalmodulationoftheunfoldedproteinresponseasatherapeuticapproachincutaneoustcelllymphoma
AT lenagolick pharmacologicalmodulationoftheunfoldedproteinresponseasatherapeuticapproachincutaneoustcelllymphoma
AT xiaoyizhu pharmacologicalmodulationoftheunfoldedproteinresponseasatherapeuticapproachincutaneoustcelllymphoma
AT elichapman pharmacologicalmodulationoftheunfoldedproteinresponseasatherapeuticapproachincutaneoustcelllymphoma
AT nathangdolloff pharmacologicalmodulationoftheunfoldedproteinresponseasatherapeuticapproachincutaneoustcelllymphoma