The molecular mechanisms underlying Hodgkin's disease remain obscure,
but it has been recognized that the neoplastic cells display high leve
ls of constitutively active nuclear NF-kappa B. Here me demonstrate th
at although nuclear NF-kappa B is transcriptionally active, the Hodgki
n cells fail to activate NF-KB dependent transcription in response to
CD40 ligand, In three Hodgkin cell lines examined each had abnormaliti
es in expression of I kappa B alpha which could account for the deregu
lated NF-kappa B. Although all three cell lines had greater than norma
l levels of I kappa B alpha mRNA no I kappa B alpha protein could be d
etected in the KM-H2 cells, while the L428 cell line contains a C-term
inally truncated I kappa B alpha species that fails to associate with
NF-kappa B. The HDLM-2 cell line contains a more slowly migrating form
of I kappa B alpha that can associate with NF-kappa B, but increasing
the level of this protein within the cell fails to inhibit nuclear NF
-kappa B. Addition of recombinant I kappa B alpha to nuclear extracts
from all three cell lines resulted in complete inhibition of NF-kappa
B DNA binding activity and introduction of a plasmid expressing I kapp
a B alpha into the cells inhibited the transcriptional activity of an
NF-kappa B dependent reporter plasmid, Thus the constitutive expressio
n of NF-kappa B in Hodgkin cells is a direct consequence of the abnorm
al expression of I kappa B alpha rather than changes in NF-kappa B tha
t render it refractory to inhibition by I kappa B proteins. These chan
ges could, at least in part, account for the characteristic activated
phenotype of Hodgkin cells and their pattern of cytokine secretion, wh
ich determine the pathological appearance and clinical manifestations
of Hodgkin's disease.