Bortezomib suppresses function and survival of plasmacytoid dendritic cells by targeting intracellular trafficking of Toll-like receptors and endoplasmic reticulum homeostasis

Blood. 2011 Jan 13;117(2):500-9. doi: 10.1182/blood-2010-05-284737. Epub 2010 Oct 18.

Abstract

Dendritic cells (DCs) play a pivotal role in the pathogenesis of inflammatory disorders, so suppressing the activity of DCs is instrumental in treating such diseases. In the present study, we show that a proteasome inhibitor, bortezomib, suppresses the survival and immunostimulatory function of human plasmacytoid DCs (pDCs) by targeting 2 critical points, intracellular trafficking of nucleic acid-sensingToll-like receptors (TLRs) and endoplasmic reticulum (ER) homeostasis. Among the immune cells in blood, pDCs were the most susceptible to the killing effect of bortezomib. This correlates with a decrease in the spliced form of a transcription factor XBP1, which rescues cells from apoptosis by maintaining ER homeostasis. Bortezomib suppressed the production of interferon-α and interleukin-6 by pDCs activated with a TLR9-stimulating CpG DNA and a TLR7-stimulating influenza virus, which appears to be partially independent of apoptosis. Bortezomib inhibited translocation of TLR9 from the ER to endolysosomes but not of an ER membrane protein, Unc93B1, that delivers TLR9 to endolysosomes. Thus, bortezomib suppresses the activity of pDCs by inhibiting intracellular trafficking of TLRs through disrupting the coordinated translocation of TLRs and Unc93B1 and by disturbing ER homeostasis. This study suggests that proteasome inhibitors may alleviate inflammatory disorders such as lupus and psoriasis that involve pDCs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Apoptosis / drug effects
  • Boronic Acids / pharmacology*
  • Bortezomib
  • Cell Separation
  • Cytokines / biosynthesis
  • DNA-Binding Proteins / drug effects
  • DNA-Binding Proteins / metabolism
  • Dendritic Cells / drug effects*
  • Dendritic Cells / immunology
  • Dendritic Cells / metabolism
  • Endoplasmic Reticulum / drug effects*
  • Endoplasmic Reticulum / metabolism
  • Enzyme-Linked Immunosorbent Assay
  • Flow Cytometry
  • Homeostasis / drug effects*
  • Humans
  • Microscopy, Confocal
  • Protease Inhibitors / pharmacology*
  • Protein Transport / drug effects
  • Pyrazines / pharmacology*
  • Regulatory Factor X Transcription Factors
  • Reverse Transcriptase Polymerase Chain Reaction
  • Toll-Like Receptors / drug effects*
  • Toll-Like Receptors / metabolism
  • Transcription Factors / drug effects
  • Transcription Factors / metabolism
  • X-Box Binding Protein 1

Substances

  • Boronic Acids
  • Cytokines
  • DNA-Binding Proteins
  • Protease Inhibitors
  • Pyrazines
  • Regulatory Factor X Transcription Factors
  • Toll-Like Receptors
  • Transcription Factors
  • X-Box Binding Protein 1
  • XBP1 protein, human
  • Bortezomib