Regulation of Reactive Oxygen Species and the Antioxidant Protein DJ-1 in Mastocytosis

PLoS One. 2016 Sep 9;11(9):e0162831. doi: 10.1371/journal.pone.0162831. eCollection 2016.

Abstract

Neoplastic accumulation of mast cells in systemic mastocytosis (SM) associates with activating mutations in the receptor tyrosine kinase KIT. Constitutive activation of tyrosine kinase oncogenes has been linked to imbalances in oxidant/antioxidant mechanisms in other myeloproliferative disorders. However, the impact of KIT mutations on the redox status in SM and the potential therapeutic implications are not well understood. Here, we examined the regulation of reactive oxygen species (ROS) and of the antioxidant protein DJ-1 (PARK-7), which increases with cancer progression and acts to lessen oxidative damage to malignant cells, in relationship with SM severity. ROS levels were increased in both indolent (ISM) and aggressive variants of the disease (ASM). However, while DJ-1 levels were reduced in ISM with lower mast cell burden, they rose in ISM with higher mast cell burden and were significantly elevated in patients with ASM. Studies on mast cell lines revealed that activating KIT mutations induced constant ROS production and consequent DJ-1 oxidation and degradation that could explain the reduced levels of DJ-1 in the ISM population, while IL-6, a cytokine that increases with disease severity, caused a counteracting transcriptional induction of DJ-1 which would protect malignant mast cells from oxidative damage. A mouse model of mastocytosis recapitulated the biphasic changes in DJ-1 and the escalating IL-6, ROS and DJ-1 levels as mast cells accumulate, findings which were reversed with anti-IL-6 receptor blocking antibody. Our findings provide evidence of increased ROS and a biphasic regulation of the antioxidant DJ-1 in variants of SM and implicate IL-6 in DJ-1 induction and expansion of mast cells with KIT mutations. We propose consideration of IL-6 blockade as a potential adjunctive therapy in the treatment of patients with advanced mastocytosis, as it would reduce DJ-1 levels making mutation-positive mast cells vulnerable to oxidative damage.

MeSH terms

  • Adoptive Transfer
  • Adult
  • Animals
  • Antioxidants / metabolism*
  • Cell Line
  • Extracellular Space / metabolism
  • Homeostasis
  • Humans
  • Mast Cells / metabolism
  • Mastocytoma / pathology
  • Mastocytosis / blood
  • Mastocytosis / metabolism*
  • Mice
  • Middle Aged
  • Mutation / genetics
  • Protein Deglycase DJ-1 / blood
  • Protein Deglycase DJ-1 / genetics
  • Protein Deglycase DJ-1 / metabolism*
  • Proteolysis
  • Proto-Oncogene Proteins c-kit / genetics
  • Proto-Oncogene Proteins c-kit / metabolism
  • Reactive Oxygen Species / blood
  • Reactive Oxygen Species / metabolism*
  • Receptors, Interleukin-6 / metabolism
  • Transcription, Genetic

Substances

  • Antioxidants
  • Reactive Oxygen Species
  • Receptors, Interleukin-6
  • Proto-Oncogene Proteins c-kit
  • PARK7 protein, human
  • PARK7 protein, mouse
  • Protein Deglycase DJ-1

Grants and funding

This work was supported by the Division of Intramural Research Programs within NIAID, NIH (AI001206). Dr. Do-Kyun Kim was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number: HI14C1175).