2019
DOI: 10.1038/s41388-019-1053-6
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Specific NOTCH1 antibody targets DLL4-induced proliferation, migration, and angiogenesis in NOTCH1-mutated CLL cells

Abstract: Targeting Notch signaling has emerged as a promising therapeutic strategy for chronic lymphocytic leukemia (CLL), particularly in NOTCH1-mutated patients. We provide first evidence that the Notch ligand DLL4 is a potent stimulator of Notch signaling in NOTCH1-mutated CLL cells while increases cell proliferation. Importantly, DLL4 is expressed in histiocytes from the lymph node, both in NOTCH1-mutated and-unmutated cases. We also show that the DLL4-induced activation of the Notch signaling pathway can be effici… Show more

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Cited by 25 publications
(27 citation statements)
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“…Thus, NOTCH1 mutations are dependent on the presence of Notch ligands in the microenvironment and activate processes such as cell migration, invasion and angiogenesis. 33,34 BCR and NOTCH1 pathways are functionally linked, mutually enhancing their activation. 35 MYD88 mutations activate the NF-κB pathway in response to TLR ligands, increasing the cytokine release involved in recruiting stromal and T cells.…”
Section: The Microenvironment In Chronic Lymphocytic Leukemiamentioning
confidence: 99%
“…Thus, NOTCH1 mutations are dependent on the presence of Notch ligands in the microenvironment and activate processes such as cell migration, invasion and angiogenesis. 33,34 BCR and NOTCH1 pathways are functionally linked, mutually enhancing their activation. 35 MYD88 mutations activate the NF-κB pathway in response to TLR ligands, increasing the cytokine release involved in recruiting stromal and T cells.…”
Section: The Microenvironment In Chronic Lymphocytic Leukemiamentioning
confidence: 99%
“…RO4929097 inhibited the NOTCH3/NR4A1 axis, upregulated the NOTCH2/FCER2 (CD23) axis, and enhanced the NOTCH2/CSL transcription factor complex ( Figure 5 B, right panel), which stands in sharp contrast to the effect of gliotoxin. The NOTCH1 target gene MYC was downregulated by RO4929097 ( Figure 5 B, right panel) [ 9 , 43 , 44 , 45 ].…”
Section: Resultsmentioning
confidence: 99%
“…NOTCH1 is not detectable in nuclear NOTCH/CSL transcription factor complexes in CLL cells [ 7 , 8 , 18 , 32 ]. However, NOTCH1 is frequently mutated and/or overexpressed in advanced stage CLL cells, where it has a CLL-driving role by regulating MYC expression [ 8 , 9 , 16 , 17 , 43 , 44 , 45 ]. In this context, NOTCH1 may indirectly account for the relative GSI sensitivity of NOTCH2, keeping in mind that active NOTCH1 is a positive regulator of the NOTCH2 gene in CLL cells ( Figure 5 G) [ 12 ].…”
Section: Discussionmentioning
confidence: 99%
“…Recent advances regarding DLL4-Notch 1 signaling in CLL revealed its importance as a promising therapeutic target [ 83 ]. In fact, DLL4 is widely expressed in lymph-node histiocytes and its interaction with Notch 1 increases cell proliferation, migration and neo-angiogenesis, in particular in CLL cases carrying Notch 1 mutations.…”
Section: Notchmentioning
confidence: 99%
“…In fact, DLL4 is widely expressed in lymph-node histiocytes and its interaction with Notch 1 increases cell proliferation, migration and neo-angiogenesis, in particular in CLL cases carrying Notch 1 mutations. This binding could be antagonized using specific anti-Notch 1 monoclonal antibodies [ 83 ]. These data also require further investigation, but it seems conceivable that the use of monoclonal antibodies appears to be a possible therapeutic strategy in CLL patients with mutated Notch 1 and aggressive disease [ 84 ] ( Figure 1 ).…”
Section: Notchmentioning
confidence: 99%