Immunomodulatory drugs activate NK cells via both Zap-70 and cereblon-dependent pathways

Leukemia. 2021 Jan;35(1):177-188. doi: 10.1038/s41375-020-0809-x. Epub 2020 Apr 1.

Abstract

Immunomodulatory drugs (IMiDs) lenalidomide and pomalidomide show remarkable antitumor activity in multiple myeloma (MM) via directly inhibiting MM-cell growth in the bone marrow (BM) microenvironment and promoting immune effector cell function. They are known to bind to the ubiquitin 3 ligase CRBN complex and thereby triggering degradation of IKZF1/3. In this study, we demonstrate that IMiDs also directly bind and activate zeta-chain-associated protein kinase-70 (Zap-70) via its tyrosine residue phosphorylation in T cells. IMiDs also triggered phosphorylation of Zap-70 in natural killer (NK) cells. Importantly, increased granzyme-B (GZM-B) expression and NK-cell activity triggered by IMiDs is associated with Zap-70 activation and inhibited by Zap-70 knockdown (KD), independent of CRBN. We also demonstrate a second mechanism whereby IMiDs trigger GZM-B and NK cytotoxicity which is CRBN and IKZF3 mediated, and inhibited or enhanced by KD of CRBN or IKZF3, respectively, independent of Zap-70. Our studies therefore show that IMiDs can enhance NK and T-cell cytotoxicity in (1) ZAP-70-mediated CRBN independent, as well as (2) CRBN-mediated ZAP-70 independent mechanisms; and provide the framework for developing novel therapeutics to activate Zap-70 and thereby enhance T and NK anti-MM cytotoxicity.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptor Proteins, Signal Transducing / metabolism*
  • Cell Line, Tumor
  • Cells, Cultured
  • Cytotoxicity, Immunologic
  • Humans
  • Immunologic Factors / pharmacology*
  • Immunomodulation / drug effects
  • Killer Cells, Natural / drug effects*
  • Killer Cells, Natural / immunology
  • Killer Cells, Natural / metabolism*
  • Lymphocyte Activation / drug effects
  • Lymphocyte Activation / immunology
  • Phosphorylation
  • Signal Transduction / drug effects*
  • T-Lymphocyte Subsets / immunology
  • T-Lymphocyte Subsets / metabolism
  • T-Lymphocyte Subsets / pathology
  • Ubiquitin-Protein Ligases / metabolism*
  • ZAP-70 Protein-Tyrosine Kinase / metabolism*

Substances

  • Adaptor Proteins, Signal Transducing
  • CRBN protein, human
  • Immunologic Factors
  • Ubiquitin-Protein Ligases
  • ZAP-70 Protein-Tyrosine Kinase
  • ZAP70 protein, human