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Targeting xCT, a cystine-glutamate transporter induces apoptosis and tumor regression for KSHV/HIV-associated lymphoma.
[primary effusion lymphoma]
Kaposi
's
sarcoma
-associated
herpesvirus
(
KSHV
)
is
the
etiological
agent
of
primary
effusion
lymphoma
(
PEL
)
,
which
represents
a
rapidly
progressing
malignancy
arising
in
HIV-infected
patients
.
Conventional
chemotherapy
for
PEL
treatment
induces
unwanted
toxicity
and
is
ineffective--
PEL
continues
to
portend
nearly
100
%
mortality
within
a
period
of
months
,
which
requires
novel
therapeutic
strategies
.
The
amino
acid
transporter
,
xCT
,
is
essential
for
the
uptake
of
cystine
required
for
intracellular
glutathione
(
GSH
)
synthesis
and
for
maintaining
the
intracellular
redox
balance
.
Inhibition
of
xCT
induces
growth
arrest
in
a
variety
of
cancer
cells
,
although
its
role
in
virus-associated
malignancies
including
PEL
remains
unclear
.
In
the
current
study
,
we
identify
that
xCT
is
expressed
on
the
surface
of
patient-derived
KSHV
+
PEL
cells
,
and
targeting
xCT
induces
caspase-dependent
cell
apoptosis
.
Further
experiments
demonstrate
the
underlying
mechanisms
including
host
and
viral
factors
:
reducing
intracellular
GSH
while
increasing
reactive
oxygen
species
(
ROS
)
,
repressing
cell-proliferation-related
signaling
,
and
inducing
viral
lytic
genes
.
Using
an
immune-
deficient
xenograft
model
,
we
demonstrate
that
an
xCT
selective
inhibitor
,
Sulfasalazine
(
SASP
)
,
prevents
PEL
tumor
progression
in
vivo
.
Together
,
our
data
provide
innovative
and
mechanistic
insights
into
the
role
of
xCT
in
PEL
pathogenesis
,
and
the
framework
for
xCT-focused
therapies
for
AIDS-related
lymphoma
in
future
.
Diseases
Validation
Diseases presenting
"cancer"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
alpha-thalassemia
benign recurrent intrahepatic cholestasis
cadasil
canavan disease
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital adrenal hyperplasia
congenital diaphragmatic hernia
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
familial hypocalciuric hypercalcemia
familial mediterranean fever
gm1 gangliosidosis
heparin-induced thrombocytopenia
hereditary cerebral hemorrhage with amyloidosis
hirschsprung disease
hodgkin lymphoma, classical
inclusion body myositis
junctional epidermolysis bullosa
kabuki syndrome
kallmann syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
pendred syndrome
pleomorphic liposarcoma
primary effusion lymphoma
proteus syndrome
pyomyositis
pyruvate dehydrogenase deficiency
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
This symptom has already been validated