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Review ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Oncol. | doi: 10.3389/fonc.2018.00550

The NOTCH pathway and its mutations in mature B cell malignancies

  • 1Italian Institute for Genomic Medicine (IIGM), Italy
  • 2Università degli Studi di Torino, Italy

The systematic application of next-generation sequencing to large cohorts of oncologic samples has opened a Pandora’s box full of known and novel genetic lesions implicated in different steps of cancer development and progression. Narrowing down to B cell malignancies, many previously unrecognized genes emerged as recurrently mutated. The challenge now is to determine how the mutation in a given gene affects the biology of the disease, paving the way to functional genomics studies. Mutations in NOTCH family members are shared by several disorders of the B series, even if with variable frequencies and mutational patterns. In silico predictions, revealed that mutations occurring in NOTCH receptors, despite being qualitatively different, may have similar effects on protein processing, ultimately leading to enhanced pathway activation. The discovery of mutations occurring also in downstream players, either potentiating positive signals or compromising negative regulators, indicates that multiple mechanisms in neoplastic B cells concur to activate NOTCH pathway. These findings are supported by results obtained in chronic lymphocytic leukemia and splenic marginal zone B cell lymphoma where deregulation of NOTCH signaling has been functionally characterized. The emerging picture confirms that NOTCH signaling is finely tuned in cell- and microenvironment-dependent ways. In B cell malignancies, it contributes to the regulation of proliferation, survival and migration. However, deeper biological studies are needed to pinpoint the contribution of NOTCH in the hierarchy of events driving B cells transformation, keeping in mind its role in normal B cells development. Because of its relevance in leukemia and lymphoma biology, the NOTCH pathway might represent an appealing therapeutic target: the next few years will tell whether this potential will be fulfilled.

Keywords: Notch, signaling, gene mutation, B-cell development, mature B cell malignancies

Received: 10 Sep 2018; Accepted: 06 Nov 2018.

Edited by:

Eric Eldering, Academic Medical Center (AMC), Netherlands

Reviewed by:

Derk Amsen, Sanquin Research, Netherlands
Dolors Colomer, Hospital Clínic de Barcelona, Spain  

Copyright: © 2018 Arruga, Vaisitti and Deaglio. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Prof. Silvia Deaglio, Italian Institute for Genomic Medicine (IIGM), Turin, 10126, Piedmont, Italy,