Abstract

Fatty acid synthase (FASN), the enzyme responsible for de novo synthesis of fatty acids, has emerged as a potential therapeutic target for several cancers; however, its role in diffuse large B-cell lymphoma (DLBCL) has not been fully elucidated. In this study, we investigated the role of FASN in a large series of DLBCL tissues in a tissue microarray (TMA) format followed by in vitro studies using DLBCL cell lines. FASN was found to be expressed in 62.6% DLBCL samples and was seen in highly proliferative tumors, manifested by high Ki67 (P < 0.0001). Significant association was found between tumors expressing high FASN and c-Met tyrosine kinase (P < 0.0002), as well as p-AKT (P = 0.0309). In vitro, pharmacological FASN inhibition and small interference RNA (siRNA) targeted against FASN triggered caspase-dependent apoptosis and suppressed expression of c-Met kinase in DLBCL cell lines, which further highlighted the molecular link between FASN and c-Met kinase. Finally, simultaneous targeting of FASN and c-Met with specific chemical inhibitors induced a synergistically stimulated apoptotic response in DLBCL cell lines. These findings provide evidence that FASN, via c-Met tyrosine kinase, plays a critical role in the carcinogenesis of DLBCL and strongly suggest that targeting FASN may have therapeutic value in treatment of DLBCL.

Highlights

  • Diffuse large B-cell lymphoma (DLBCL) is a common and heterogeneous lymphoid malignancy [1]

  • Fatty acid synthase (FASN) overexpression was not associated with age, stage, lactate dehydrogenase (LDH) level, International Prognostic Index (IPI), and overall survival (P = 0.2888)

  • In the light of recent evidence that links FASN activity to receptor tyrosine kinases (RTK) activation, including c-Met for the promotion of tumorigenesis in various tumors [39, 40], we sought to explore the relationship between FASN and c-Met expression in a cohort of Saudi DLBCL samples in a tissue microarray (TMA) format

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Summary

Introduction

Diffuse large B-cell lymphoma (DLBCL) is a common and heterogeneous lymphoid malignancy [1]. A better understanding of the molecular and cellular heterogeneity of DLBCL will lead to the discovery of potential therapeutic targets. Fatty acid synthase (FASN) is a multifunctional enzyme that catalyzes the terminal steps in the synthesis of the 16-carbon fatty acid palmitate in cells [2, 3]. FASN expression levels are relatively low, because. Authors' Affiliations: 1Human Cancer Genomic Research, King Fahad National Center for Children's Cancer and Research, Research Center, 2King Faisal Cancer Centre, 3Department of Pathology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia. Note: Supplementary material for this article is available at Molecular Cancer Therapeutics Online (http://mct.aacrjournals.org/). S. Uddin and A.R. Hussain are joint first authors

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