TY - JOUR A1 - Koch, Annkathrin A1 - Jeiler, Birte A1 - Rödig, Jens A1 - Wijk, Sjoerd van A1 - Dolgikh, Nadezda A1 - Fulda, Simone T1 - Smac mimetics and TRAIL cooperate to induce MLKL-dependent necroptosis in Burkitt’s lymphoma cell lines T2 - Neoplasia N2 - Burkitt's lymphoma (BL) is a highly aggressive form of B-cell non-Hodgkin's lymphoma. The clinical outcome in children with BL has improved over the last years but the prognosis for adults is still poor, highlighting the need for novel treatment strategies. Here, we report that the combinational treatment with the Smac mimetic BV6 and TRAIL triggers necroptosis in BL when caspases are blocked by zVAD.fmk (TBZ treatment). The sensitivity of BL cells to TBZ correlates with MLKL expression. We demonstrate that necroptotic signaling critically depends on MLKL, since siRNA-induced knockdown and CRISPR/Cas9-mediated knockout of MLKL profoundly protect BL cells from TBZ-induced necroptosis. Conversely, MLKL overexpression in cell lines expressing low levels of MLKL leads to necroptosis induction, which can be rescued by pharmacological inhibitors, highlighting the important role of MLKL for necroptosis execution. Importantly, the methylation status analysis of the MLKL promoter reveals a correlation between methylation and MLKL expression. Thus, MLKL is epigenetically regulated in BL and might serve as a prognostic marker for treatment success of necroptosis-based therapies. These findings have crucial implications for the development of new treatment options for BL. KW - Smac mimetics KW - TRAIL KW - Burkitt’s lymphoma KW - Necroptosis KW - MLKL Y1 - 2021 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/75556 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-755561 SN - 1476-5586 VL - 23 IS - 5 SP - 539 EP - 550 PB - Stockton Press CY - Basingstoke ER -