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PPAR-γ is a multifunctional transcription factor that regulates adipogenesis, immunity and inflammation. Our laboratory previously demonstrated that PPARγ ligands induce apoptosis in malignant B cells. While malignant B lineage cells such as B cell lymphoma express PPARγ, its physiological function remains unknown. Herein, we demonstrate that silencing PPARγ expression by RNAi in human Burkitt’s type B lymphoma cells increased basal and mitogen-induced proliferation and survival, which was accompanied by enhanced NF-κB activity and increased expression of Bcl-2. These cells also had increased survival upon exposure to PPARγ-ligand and exhibited a less differentiated phenotype. In contrast, PPARγ overexpression in B lymphoma cells inhibited cell growth and decreased their proliferative response to mitogenic stimuli. These cells were also more sensitive to PPARγ-ligand induced growth arrest and displayed a more differentiated phenotype. Collectively, these findings support a regulatory role for PPARγ in the proliferation, survival and differentiation of malignant B cells. These findings further suggest the potential of PPARγ as a therapeutic target for B cell malignancy.
Burkitt’s lymphoma (BL) is an aggressive non-Hodgkin B cell lymphoma usually diagnosed in children and young adults. In the United States and Western Europe, it constitutes about 1–2% of all adult lymphomas and 30–50% of pediatric lymphomas [14, 28]. BL has also been associated with Epstein-Barr virus (EBV) latent infection, which results in a lymphoproliferative phenotype and increased resistance to apoptosis . Intensive chemotherapeutic regimens have greatly increase prognosis, but can have significant toxicity, including treatment-related deaths . New courses of therapy are aimed at minimizing toxicity without compromising outcome, and include monoclonal antibody (Rituximab) and steroid therapies. Recent molecular evidence of the role of transcription factors in BL are yielding promise as therapeutic targets .
Peroxisome proliferator-activated receptors (PPARs) are members of the nuclear hormone receptor superfamily of transcription factors that regulate lipid metabolism and adipose differentiation . There are three known PPAR isoforms: PPARα, PPARβ/δ and PPARγ. The human PPARγ gene is located on chromosome 3 band 3p25 . This gene gives rise to three mRNA isoforms (PPARγ1, γ2 and γ3) through alternate promoter usage and splicing . Both PPARγ1 and PPARγ3 mRNA translate into PPARγ1 protein and PPARγ2 mRNA gives rise the PPARγ2 isoform that contains 28 extra amino acids . All PPAR isoforms heterodimerize with members of the retinoid X receptor (RXR) subfamily of nuclear hormone receptors. These complexes then bind to the peroxisome proliferator response element (PPRE) in the promoter regions of target genes. PPARγ is activated by natural ligands such as 15-deoxy-Δ12,14 prostaglandin J2 (15d-PGJ2) and by certain polyunsaturated fatty acids. PPARγ can also be activated by synthetic ligands such as the thiazolidinediones (TZDs) class of anti-diabetic drugs. PPARγ also has anti-proliferative, anti-inflammatory and pro-differentiating properties in immune cells . Importantly, PPARγ regulates B lymphocyte function. B lymphocytes from PPARγ-haploinsufficient mice exhibit increased proliferation and survival . Our laboratory (and others) have demonstrated that both normal and malignant B lymphocytes express PPARγ and that exposure to certain PPARγ ligands inhibits B cell proliferation and induces apoptosis [42, 43, 49]. Some studies have shown that PPARγ ligands induce differentiation of malignant cells [11, 39]. Moreover, PPARγ expression increases during differentiation of monocytes to macrophages . In hematological malignancies, PPARγ ligands can induce monocytic differentiation in myeloid leukemia cells and help sensitize malignant cells to the pro-differentiation effects of all-trans-retinoic acid [16, 24, 34, 35, 57]. These studies support the concept that PPARγ is an important transcription factor in B cells and serves as a pro-differentiation factor for malignant cells.
The ability of PPARγ to alter B cell proliferation and apoptosis may relate to its ability to repress other transcription factors, such as nuclear factor kappa-B (NF-κB) . NF-κB controls B cell proliferation and survival [19, 30] and is constitutively active in several human cancers, including B cell lymphomas [44, 51]. Moreover, EBV activates NF-κB in the process of B cell transformation to malignancy . Straus et al. reported that the natural PPARγ ligand 15d-PGJ2 inhibits multiple steps in the NF-κB signaling pathway . PPARγ may also regulate NF-κB by obstructing its transcription . A recent report by Pascual et al, demonstrated that PPARγ-ligand-dependent sumoylation of PPARγ leads to the recruitment of PPARγ to the repressor complexes on the promoter regions of genes regulated by NF-κB, ultimately suppressing NF-κB-driven gene expression .
Thus, PPARγ may control B cell lymphoma proliferation and survival through alterations in NF-κB activity. We hypothesized that the level of PPARγ plays an important role in B lymphoma cell survival. We speculated that high levels of PPARγ would inhibit proliferation/survival and induce differentiation, while low PPARγ levels would enhance B lymphoma survival and enhance their undifferentiated phenotype. Herein, we investigated the effects of PPARγ expression on B cell lymphoma proliferation, survival and differentiation.
Ciglitazone was purchased from Biomol (Plymouth Meeting, PA). CDDO was synthesized by Dr. T. Honda and kindly provided by Dr. Michael Sporn (Dartmouth College, Hanover, NH) . MTT (3-(4,5-dimethylthiazole-2-yl)-2,5-diphenyltetrazolium bromide), DMSO and anti-Flag M2 monoclonal antibody peroxidase conjugate were from Sigma (St. Louis, MO). The anti-PAX-5 was purchased from Millipore (Billerica, MA). The anti-BLIMP-1 was purchased from Novus Biologicals (Littleton, CO). The rabbit anti-human PPARγ antibody was purchased from Biomol. Anti-Bcl-2 (sc-7382) and anti-p65 (sc-372) antibodies were purchased from Santa Cruz (Santa Cruz, CA). Total actin (CP-01) antibody was from Oncogene (Cambridge, MA).
The lentiviral vector encoding the short hairpin RNA (shRNA) against PPARγ transcripst (nucleotides 1095–1113) was constructed using the oligonucleotide sequence 5’GTTTGAGTTTGCTGTGAAG3’, as described by Katayama et al. . The two complementary oligonucleotides were cloned downstream of the human RNA polymerase III U6 promoter and then subcloned into the FG12 lentiviral vector (gift of Dr. David Baltimore), as described earlier  (see also Figure 1A).
The LV-PPARγ1-WT and the LV-empty vector was produced as described earlier .
Human embryonic kidney 293FT cells (Invitrogen, Carlsbad, CA) were grown to 50–70% confluency in Dulbecco’s modified Eagle’s medium (GIBCO, Carlsbad, CA) supplemented with 10% fetal bovine serum in T-175 flasks. Subsequently, the VSVG pseudotyped HIV vector was generated by co-transfecting with 5 µg of envelope vector (pCMV-VSVG), 14 µg of transfer vector and 14 µg of packaging vector pCMV-Δ89.2, using Lipofectamine LTX (Invitrogen, Carlsbad, CA). Cells were split into two T-175 flasks 6 h post-transfection. Supernatants were collected 48 and 72 h post-transfection. Virus was harvested by ultracentrifugation at 50,000×g for 2 h at 4 °C using a Beckman SW 28 rotor. The concentrated virus stocks were titered on 293FT cells based on GFP expression.
Ramos (EBV negative) and Raji (EBV positive) B lymphoma cells were cultured in RPMI 1640 tissue culture medium (Life Technologies, Grand Island, NY) supplemented with 10% Fetal Bovine Serum (FBS), 5 × 10−5 M β-mercaptoethanol (Eastman Kodak, Rochester, NY), 10 mM HEPES (US Biochemical Corp., Cleveland, OH), 2 mM L-glutamine (Life Technologies), 50 µg/ml gentamicin (Life Technologies). Human embryonic 293FT cells were purchased from ATCC (Manassas, VA) and were grown in Dulbecco’s modified Eagle’s medium (GIBCO, Carlsbad, CA) supplemented with 10% fetal bovine serum.
Ramos and Raji B lymphoma cells were plated at a density of 1×106 cells/well in a 12 well plate and infected with the different lentiviral vectors at MOIs of 1 to 5 in the presence of 6 µg/ml of polybrene. Twenty four hours post-infection, the growth media was replaced. Lentiviral transduced cells were identified on the basis of the GFP expression. GFP-positive cells were sorted by flow cytometry using a FACSAria (BD Bioscience, San Jose, CA).
Ramos B lymphoma cells infected with the lentiviral constructs were incubated with mouse anti-human CD19-APC (BD Biosciences), anti-human CD38-PE (BD Biosciences), anti-human CD20-PE (BD Biosciences) or with anti-human CD40-biotin (Axxora/Ancell, Bayport, MN) in cold PBS with sodium azide (0.02%) and BSA (0.3%) for 20 min at 20°C. For CD40 surface staining, cells were washed and incubated with secondary APC-conjugated streptavidin (Caltag, Burlingame, CA).
Gel shift assay of nuclear extracts from uninfected, LV-control and LV-PPARγ-siRNA infected Ramos cells was performed as described .
Nuclear extracts from LV-Empty infected or LV-PPARγ-WT infected Ramos cells were collected using a nuclear extract kit (Active Motif, Carlsbad CA). To determine PPARγ activity, a TransAM PPARγ activity assay kit was used (Active Motif, Carlsbad CA) as described .
Ramos B lymphoma cells transduced with LV-PPARγ-siRNA and LV-control-GFP (1 × 105 cells per well) were plated in a 96-well flat bottom microtiter plate. MTT was performed to assess cell viability. The tetrazolium salt MTT is taken up by viable cells and reduced to a formazan residue by functional mitochondria of living cells . Cells were treated with increasing concentrations of the PPARγ ligand CDDO and 10µl per well of a 5 mg/ml of MTT (in 1X PBS) was added for the last 4 h of incubation. After incubation, the plate was centrifuged, the media removed, and DMSO was added to each well to dissolve the precipitate. The plate was read at 510 nm on a Benchmark microplate reader (BioRad, Hercules, CA).
For the proliferation assay, cells were cultured as described above, and were left untreated or were treated with CD40L , 10 µg/ml of rabbit anti-human F(ab')2 anti-IgM Ab (Jackson ImmunoResearch Laboratories) and 1/1000 dilution of Pansorbin (Staphylococcus aureus Cowen I strain; Sigma-Aldrich) or different combinations of these mitogens. One µCi/well of 3H-thymidine was added for the last 18 h of culture. The cells were harvested onto a 96-well filter plate and the 3H-thymidine incorporation was detected as counts per minute (cpm) using a Topcount Luminometer (PerkinElmer, Boston, MA).
Cell cycle analysis of human Burkitt’s lymphoma cells was performed using the APC Bromodeoxyuridine (BrdU) Flow kit (BD Pharmingen, San Diego, CA) according to the manufacturer’s instructions. In the set of experiments using ciglitazone, cells were treated with ciglitazone (5 µM) for 48 hr. Cells were then pulsed for 30 minutes with 10 nM BrdU and stained the APC-BrdU flow kit.
Whole cell extracts were collected using ELB buffer (50 mM HEPES (pH 7), 250 mM NaCl, 0.1% Nonidet P-40, 5 mM EDTA, 10 mM NaF, 0.1 mM Na3VO4, 50 µM ZnCl2, supplemented with 0.1 mM PMSF, 1 mM DTT, and a mixture of protease and phosphatase inhibitors) and total protein was quantified using bicinchoninic acid protein assay (BCA assay kit) (Pierce, Rockford, IL). Twenty five micrograms of protein was electrophoresed on 8–16 % Precise™ protein gels (Pierce, Rockford, IL) and transferred to a polyvinylidene fluoride (PVDF) membrane (Millopore, Billerica, MA). The membranes were analyzed for immunoreactivity with the indicated primary antibody, washed and then incubated with an appropriate horseradish peroxidase-conjugated secondary antibody. The membranes were visualized by chemiluminescence using an ECL kit (Pierce, Rockford, IL).
Results are expressed as the mean ± standard deviation (SD). Two-tailed student t test was performed and p values less that 0.05 were considered significant. All experiments were repeated at least 3 times.
Our laboratory previously demonstrated that both normal and malignant B cells express PPARγ and that certain PPARγ ligands induce apoptosis [42, 43, 49, 50]. To determine the physiological role of PPARγ expression in certain human B cell lymphomas, we used a lentivirus-mediated short hairpin RNA expression system to knockdown PPARγ expression in Burkitt’s B lymphoma cells. To construct the siRNA expression cassette, a target sequence of siRNA for PPARγ was selected to knockdown both PPARγ1 and PPARγ2 . The 19bp PPARγ target sequence was cloned downstream of the human RNA polymerase III U6 promoter and then subcloned into the FG12 lentiviral vector, which also expresses GFP under the Ubiquitin C (UbiC) promoter (Figure 1A) . First, to determine whether the siRNA sequence effectively targets human PPARγ mRNA, the DNA plasmid vector containing the siRNA sequence was tested in human embryonic kidney (HEK) 293 cells. HEK 293 cells were mock transfected (Figure 1B, pc-DNA3.1, lanes 1 and 2) or were co-transfected with a FLAG-tagged PPARγ-wild type vector (Figure 1B, Flag-PPARγ, lanes 2–6) and with either an empty DNA vector (Figure 1B, pcDNA 3.1, lane 2), increasing DNA concentrations of the parental empty vector (FG12-empty, lanes 3 and 4) or increasing concentrations of the PPARγ siRNA expression vector (FG12-siRNA-PPARγ, lanes 5 and 6). Exogenous PPARγ expression was tested using an anti-FLAG antibody and endogenous PPARγ expression was tested using an anti-PPARγ antibody. Both exogenous and endogenous PPARγ protein levels were dramatically reduced in HEK293 cells that co-expressed the PPARγ-Flag vector and the FG12-siRNA-PPARγ vector (Figure 1B, compare lane 2 with lanes 5 and 6), but not in cells co-transfected with PPARγ-Flag and the FG12-empty vector (Figure 1B, compare lane 2 with 3 and 4). This indicates that the siRNA sequence against PPARγ was successful at knocking down PPARγ expression. Next, the pseudotyped lentiviral vectors were generated as described in Materials and Methods and designated LV-control and LV-PPARγ-siRNA. Both vectors also express GFP. Ramos B lymphoma cells were infected at an MOI of 5. Approximately 30% of the Ramos B cells were transduced as determined by GFP expression (Figure 1C, left panel). These GFP-positive cells were sorted and five days post-sorting, the cells were analyzed by flow cytometry to determine the purity. More than 98% of the cells were GFP-positive (Figure 1C, right panel). Western Blot analysis confirmed that LV-PPARγ-siRNA infected Ramos B cells have dramatically reduced levels of PPARγ protein (Figure 1D).
We first investigated whether PPARγ plays a role in B lymphoma proliferation. Proliferation was measured by 3H-thymidine incorporation in PPARγ-knockdown Ramos cells. Control (LV-Control) and PPARγ-knockdown (LV-PPARγ-siRNA) Ramos cells were left untreated or were stimulated with Pansorbin (fixed S. aureus), human CD40L, anti-IgM, CD40L+anti-IgM or CD40L+ Pansorbin for 24 hr. Basal proliferation (Figure 2A, untreated) was significantly increased following lentiviral delivery of PPARγ-siRNA. There was also a significant increase in the proliferative response to mitogenic stimuli in PPARγ-knockdown cells in comparison to control Ramos cells (Figure 2A). This indicates that the presence of PPARγ dampens B lymphoma cell proliferation.
We next evaluated whether PPARγ-knockdown Ramos B cells would have increased survival upon exposure to the synthetic PPARγligand, CDDO (Figure 2B). Control and PPARγ-knockdown Ramos cells were exposed to increasing concentrations of CDDO for 24hr and viability measured by MTT. PPARγ-knockdown Ramos cells have increased survival when exposed to lethal doses of PPARγ-ligand CDDO. This increase in survival was also confirmed using 7-AAD staining (data not shown). PPARγ-knockdown cells also had better survival following serum depravation compared to control cells (data not shown). Taken together, these results indicate that PPARγ regulates cell proliferation and survival in B lymphoma cells.
To explore the effect of PPARγ on B cell differentiation and activation, we examined the effect of PPARγ knockdown on several important B cell markers. During B cell differentiation, CD38 expression increases while CD19 and CD20 levels are downregulated [2, 7]. Therefore, we compared the levels of CD20, CD19 and CD38 of control Ramos cells versus PPARγ-knockdown Ramos cells by flow cytometry. The surface expression of CD38 in PPARγ-siRNA Ramos cells was slightly lower than PPARγ-expressing Ramos cells (LV-control) (Figure 3, panel 3). Conversely, surface expression of CD20 and CD19 in PPARγ-siRNA Ramos cells was increased (Figure 3, panels 1 and 2). These results suggest that PPARγ participates in B cell differentiation.
We also investigated the effects of PPARγ knockdown on the expression of two transcription factors crucial for B cell differentiation: Paired box protein 5 (PAX5) and B-lymphocyte-induced maturation protein 1 (BLIMP-1). During B cell differentiation PAX-5 levels are downregulated and/or inactivated, while BLIMP-1 is upregulated . We observed a marked reduction in BLIMP-1 expression in PPARγ-knockdown cells compared to control cells, while the levels of PAX-5 remain relatively unchanged (Figure 3B). Together, these results, in conjunction with the changes seen in B cell differentiation surface markers (Figure 3A), suggests that the reduction of BLIMP-1 expression is the result of transcriptional regulation by PPARγ and correlates with a less differentiated phenotype.
NF-κB is an important transcription factor for B cell proliferation and survival . Because previous studies have demonstrated the direct effects of PPARγ on NF-κB [32, 46], we investigated whether PPARγ expression affected NF-κB. First, the expression of the NF-κB subunit p65 was investigated in PPARγ-knockdown Ramos cells versus uninfected and control Ramos cells. Nuclear and cytoplasmic extracts were collected from uninfected, control and siRNA-PPARγ transduced Ramos cells and western blot analysis for the NF-κB p65 subunit was performed. An accumulation of p65 occurred in the nucleus (≈ 3 fold induction compared to controls), with a concomitant decrease in the cytoplasm (≈ 5 fold reduction compared to controls), of PPARγ-knockdown Ramos cells in comparison to uninfected and control cells (Figure 4A). Next, an electrophoretic mobility shift assay (EMSA) was performed on nuclear extracts (described in Materials and Methods) from uninfected, LV-control and LV-PPARγ-siRNA infected Ramos cells to measure NF-κB DNA binding activity. Figure 4B shows that PPARγ-knockdown Ramos cells have increased NF-κB DNA binding activity in comparison to uninfected and control cells. Bcl-2 is an anti-apoptotic protein that has an important role in normal and malignant B-cell proliferation and survival . Bcl-2 is also a key target gene of NF-κB. Therefore, we investigated the levels of Bcl-2 in PPARγ-siRNA Ramos cells, uninfected and control Ramos cells. PPARγ-knockdown Ramos cells had ≈10-fold higher Bcl-2 levels compared to uninfected or control Ramos cells (Figure 4C). These findings support the idea that PPARγ regulates NF-κB activation.
To further determine the physiological role of PPARγ in human B cell lymphoma, overexpression studies were performed using a lentiviral vector we constructed for PPARγ gene delivery. The lentiviral vector contains a Flag-tagged PPARγ1 cDNA under the control of the CMV promoter and Copecod GFP (CopGFP) under the EF1-α promoter. As a control, the backbone lentiviral vector that only expresses CopGFP was used (Figure 5A). Ramos cells were infected at an MOI of 5 and GFP-positive Ramos cells were sorted by flow cytometry. Interestingly, we observed a decrease in GFP expression over time after sorting. We hypothesized that selective pressure was responsible for decreasing the levels of both PPARγ and GFP (Figure 5B). For these reasons, cells were only cultured for a maximum of one month after sorting, in which time we evaluated the effects of PPARγ overexpression. The presence of exogenous PPARγ expression was determined by western blot using an anti-FLAG antibody. We found that cells stably transduced with LV-PPARγ, but not LV-empty nor uninfected cells expressed the Flag-tagged PPARγ protein (Figure 5C). To test whether the overexpressed PPARγ was capable of binding DNA, an ELISA-based assay to quantify the binding of PPARγ to its promoter response element was used. Cells overexpressing PPARγ had a two-fold increase in PPARγ activity compared to LV-empty infected cells (Figure 5D). These results demonstrate that the increased levels of PPARγ were able to bind DNA and activate transcription.
We next determined the effects of PPARγ overexpression on B lymphoma cell proliferation using 3H-thymidine incorporation. Both basal proliferation, as well as stimulated proliferative responses were tested. Ramos B lymphoma cells stably transduced with LV-empty or LV-PPARγ were untreated or were stimulated with CD40L, anti-IgM, Pansorbin and combination of CD40L plus anti-IgM or CD40L plus Pansorbin for 24 hr. LV-empty expressing cells were able to respond to stimuli, as seen by an increase in 3H-thymidine incorporation (Figure 6A). However, LV-PPARγ transduced cells poorly responded to mitogenic stimuli. The robust proliferative response to CD40L (with or without anti-IgM or Pansorbin) was dramatically reduced following PPARγ overexpression (Figure 6A). Since PPARγ overexpression inhibited B lymphoma cell proliferation, we next assessed cell cycle kinetics using BrdU and 7-AAD double staining. LV-PPARγ transduced cells had a decrease in the percentage of cells in the S phase of the cell cycle when compared to those of LV-empty infected control cells (47% in LV-empty cells versus 39% in LV-PPARγ cells) (Figure 6B). These results confirm that PPARγ overexpression inhibited basal cell growth of B lymphoma cells. To determine whether PPARγ overexpression had the same effect on another Burkitt’s lymphoma cell line, EBV+ Raji B lymphoma cells were infected at an MOI of 5. GFP-positive cells were then sorted and tested for basal proliferation using BrdU and 7-AAD staining. LV-PPARγ overexpressing Raji B lymphoma cells also showed a decrease in the percentage of cells in S-phase, while the fraction of cells with G0/G1 and G2/M DNA content was increased in comparison to LV-empty cells (Figure 6C). We next investigated whether these cells were more sensitive to PPARγ ligand-mediated growth inhibition. To test this, we treated LV-empty and LV-PPARγ Raji cells with a sublethal dose of the PPARγ ligand, Ciglitazone (5 µM). Ciglitazone treatment had a minimal effect on proliferation of LV-empty infected cells (compare LV-empty and LV-empty+Cig). However, ciglitazone treatment resulted in further growth inhibition when PPARγ was overexpressed (LV-PPARγ), as seen by an even lower number of cells in the S-phase of the cycle (Figure 6C, compare LV-PPARγ and LV-PPARγ+Cig). These findings indicate that PPARγ negatively regulates cell proliferation by decreasing the number of cells entering S phase and further enhanced their susceptibility to PPARγ-ligand induced cell cycle arrest.
Since reduced PPARγ expression in B lymphoma cells resulted in a less differentiated phenotype (Figure 3), we next explored whether PPARγ overexpression had an effect on B cell differentiation markers (CD20, CD19 and CD38) and activation marker (CD40) expression (Figure 7A). Surface expression of CD38 was not changed and CD19 expression was slightly reduced by PPARγ overexpression. Additionally, surface expression of CD20 and CD40 were dramatically reduced in PPARγ-overexpressing Ramos cells (Figure 7A). These results suggest a role for PPARγ in B cell differentiation and activation.
To confirm that PPARγ regulates differentiation of Ramos cells, we next examined the effects of PPARγ overexpression on PAX-5 and BLIMP-1. BLIMP-1 expression was upregulated in LV-PPARγ-infected cells in comparison to LV-empty infected cells. In contrast, the levels of PAX-5 were downregulated in these cells (Figure 7B). Therefore, we propose that PPARγ promotes differentiation of GC B cell-derived cells toward plasma cells.
Burkitt's lymphoma is an aggressive form of Non-hodgkin lymphoma, and it is the most common childhood cancer in Central Africa . Although the survival rates have increased, new innovative therapies are needed. PPARγ, and PPARγ ligands, have emerged as a new molecular target to treat cancer. Data from our laboratory (and others) have demonstrated that ligand-initiated activation of PPARγ inhibits growth and induces apoptosis in B cell malignancies [34, 42, 43, 47, 49, 50]. Further, PPARγ expression correlates with patient prognosis in certain cancers [53, 58]. In the present study, we demonstrated that alterations of PPARγ expression levels in the germinal center (GC) B cell-derived cells Ramos and Raji affect cell proliferation, survival and differentiation. Interestingly, a decrease in PPARγ expression was associated with increase B lymphoma cell proliferation and survival, both basally and after mitogenic stimuli (Figure 2A). Moreover, PPARγ-knockdown malignant B cells survive better when exposed to increasing doses of CDDO in comparison to PPARγ-expressing cells (Figure 2B). These data, in conjunction with our recently published results [42, 43, 50], further confirm that part of the cytotoxic effects of PPARγ ligands are mediated directly through PPARγ.
Nuclear Factor-kappa B (NF-κB) is an important transcription factor for B cell development and survival. Activation of the NF-κB pathway induces expression of anti-apoptotic proteins, such as the Bcl-2 family members . The anti-inflammatory effects of PPARγ have been linked to the inhibition of NF-κB . Studies performed in PPARγ haploinsufficient mice indicate that PPARγ is important in controlling B cell proliferation and survival. These mice exhibit enhanced B cell proliferation after LPS stimulation and increased NF-κB activity in comparison to their wild type counterparts . Here, we showed that PPARγ knockdown human B lymphoma cells have increased NF-κB activity and increased levels of the anti-apoptotic protein Bcl-2, which supports the mouse studies. PPARγ has also been proposed to have pro-differentiating properties [5, 16, 34]. During normal B cell differentiation, the levels of CD20 and CD19 are downregulated, whereas the levels of CD38 are upregulated. We observed that upon PPARγ downregulation, there was a reduction of CD38 surface expression and an increase of CD20 and CD19 expression, indicative of a less differentiated phenotype. These findings demonstrate that the expression of PPARγ, as well as its activity, are necessary to control B cell lymphoma proliferation, survival and differentiation. Although we did not observed changes in CD38 expression upon PPARγ overexpression, we did observe a slight decrease in CD19 surface expression and a considerable decrease in CD20 expression on PPARγ-overexpressing B lymphoma cells, which correlates with a more differentiated phenotype. Therefore, we speculate that PPARγ overexpression would improve the outcome of patients with B cell-lymphoma, since a more differentiated phenotype correlates with a better prognosis .
Studies performed in thyroid carcinoma cells demonstrated that PPARγ overexpression resulted in an induction of cell cycle arrest and cell death . In concordance with these studies, when we overexpressed PPARγ in Burkitt’s lymphoma cells, and recently in multiple myeloma , we found that PPARγ overexpression inhibited both basal and stimulated proliferation in B lymphoma cells. Interestingly, we observed a decrease in GFP expression in lymphoma cells over time. These results might explain a direct effect of PPARγ overexpression on GFP transcription, or a deleterious effect of PPARγ that confers growth disadvantage to PPARγ overexpressing cells. We hypothesize that over time, selective pressure was responsible for decreasing the levels of both PPARγ and GFP. In addition, we observed a decrease of CD40 expression in cells overexpressing PPARγ. Previous studies have shown that CD40 ligation can rescue Burkitt’s lymphoma from B cell receptor crosslinking-induced cell death . Therefore, we speculate that reduced levels of surface expression of CD40 would render the lymphoma cells less responsive to CD40 ligand stimulation and subsequently contribute to their reduced cell growth and survival.
We propose that PPARγ regulates B lymphoma cell differentiation. PAX-5 is inactivated by an unknown stimulus and is one of the first steps needed for plasma cell differentiation, while BLIMP-1 is upregulated. BLIMP-1 functions as an important regulator of plasma cell differentiation by inhibiting proliferation through inhibition of c-myc, an important factor for cell proliferation [36, 55]. BLIMP-1 also represses PAX-5, which is crucial during B cell differentiation . In addition to the changes on surface expression of B cell differentiation markers (Figure 3A and Figure 7A), there was also a reduction of BLIMP-1 in the PPARγ knockdown cells and an upregulation with PPARγ overexpression. While the expression of PAX-5 was relatively unchanged upon PPARγ knockdown, the levels of PAX-5 were downregulated in cells overexpressing PPARγ. Collectively, these findings suggest that PPARγ may regulate B cell differentiation via direct or indirect regulation of key transcription factors, such as BLIMP-1 and PAX-5 and may contribute, at least in part, to the inhibitory effects of PPARγ on proliferation and cell cycle progression in B cell lymphomas.
Collectively, our findings support PPARγ as a potential new target to control malignant B lymphoma proliferation, survival and differentiation. Therapeutic efforts to alter PPARγ levels in malignant B cells may demonstrate synergistic cytotoxicity when used in conjugation with PPARγ ligands. One mechanism to selectively target malignant B cells in vivo would be to use lentiviral vectors that have a B cell lymphoma-specific promoter, thereby allowing therapeutic gene expression only in malignant B cells. A new generation of lentiviral vectors known as self-inactivating vectors (SIN) allow restriction or silencing of gene expression regulated by the viral promoter . This feature makes possible the use of an internal promoter (e.g. B cell lymphoma-specific) to drive the gene of interest. In fact, this method has recently been used to introduce therapeutic genes in mammalian cells [8, 12, 13, 38]. For example, in multiple myeloma, the use of a minimal immunoglobulin promoter as well as the Kappa light chain intronic and 3' enhancers to drive the gene of interest was able to selectively transduce myeloma cells . Therefore, using a cell or tissue-specific promoter and/or enhancer element could target a specific cell population. One possible candidate would be the promoter or enhancer regions of c-myc, which is highly expressed in Burkitt’s lymphoma .
This study was supported by DE11390, ES01247, a Hematology Training Grant NHLBI-T32HL007152, a Leukemia and Lymphoma Society Translational Research Award and a Lymphoma Research Foundation Award. Carolyn J. Baglole was supported by a Parker B. Francis Fellowship.