• B-cell lymphomas with surface nucleolin-Fas complexes are resistant to Fas-mediated apoptosis through decreased ligand binding.• Expression of nucleolin protects mice from a lethal agonistic Fas challenge, whereas a non-Fas binding nucleolin mutant does not.Resistance to Fas-mediated apoptosis is associated with poor cancer outcomes and chemoresistance. To elucidate potential mechanisms of defective Fas signaling, we screened primary lymphoma cell extracts for Fas-associated proteins that would have the potential to regulate Fas signaling. An activation-resistant Fas complex selectively included nucleolin. We confirmed the presence of nucleolin-Fas complexes in B-cell lymphoma cells and primary tissues, and the absence of such complexes in B-lymphocytes from healthy donors. RNA-binding domain 4 and the glycine/arginine-rich domain of nucleolin were essential for its association with
IntroductionSurvival of individuals with non-Hodgkin's lymphoma (NHL) has improved with recent advancements in chemotherapy regimens, which now include targeted therapies. Despite these advancements, NHL demonstrates frequent relapses and a high mortality rate (30%).
1The principal source of NHL relapse is the survival and expansion of cells resistant to chemotherapy. Stimulation of Fas, a member of the tumor necrosis factor superfamily of apoptosis receptors, by Fas ligand (FasL)-bearing cells or from within damaged cells is an important mechanism of cell elimination, particularly in the lymphoid system. 2,3 Genetic models featuring Fas-disabling mutations develop autoreactive lymphocytes, arising from ineffective negative selection that results in autoimmune disorders and lymphoma. 4,5 Moreover, cells lacking Fas or Fas-defective cells are resistant to customary doses of chemotherapy and radiation. [6][7][8][9] Further investigations determined that Fas is a key component of responses to radiation and chemotherapy regimens, 6 as several forms of chemotherapy, including genotoxic chemotherapy, induce higher expression levels of Fas and/or FasL in order to effectively eliminate tumor cells. 10,11 However, Fas-resistant NHL cells often express normal levels of wild-type Fas and FasL while remaining resistant to Fas activation. The lack of correlation between Fas levels and sensitivity to Fasmediated apoptosis in lymphoid cancer cells indicates additional modulation of the apoptosis pathway. Investigations into the defects of Fas-mediated apoptosis have shown multiple layers of control over Fas signaling. The signaling is initiated by binding of trimeric FasL complexes to a Fas receptor, which recruits the adaptor molecule FADD and subsequently procaspase-8 through the homologous death domain and death effector domain, respectively, to form the death-inducing signaling complex. 3,12 Formation of this complex promotes cleavage and activation of the initiator caspase-8, resulting in activation of an intricate caspase cascade and cell death.13,14 Each of these signaling stages is subjected to different inhibitory mechanisms aimed at pr...