{"id":{"repo_id":"soton","oai_identifier":"oai:eprints.soton.ac.uk:162661"},"canonical_url":"https://search.dev.ndltd.org/etd/soton/oai:eprints.soton.ac.uk:162661","repository":{"repo_id":"soton","name":"University of Southampton","base_url":"https://eprints.soton.ac.uk/cgi/oai2"},"display":{"title":"The synergistic interaction between CD20 monoclonal antibodies and Histone Deacetylase inhibitors in B cell Non Hodgkin’s Lymphoma","abstract":"Recent improvements in molecular sub typing of Non Hodgkin’s lymphomas<br/>have resulted in targeted therapies becoming incorporated into treatment<br/>paradigms. The anti-CD20 monoclonal antibody, Rituximab, has resulted in<br/>dramatic improvements in survival for patients with B cell Non Hodgkin’s<br/>lymphoma. Histone deacetylase inhibitors are a novel class of anti cancer<br/>agents targeting epigenetic regulation.<br/><br/>This thesis addresses the interaction between histone deacetylase inhibitors<br/>and anti-CD20 monoclonal antibodies, including Rituximab, both in vitro and<br/>in vivo. The initial approach identified synergistic induction of apoptosis in a<br/>number of B cell lines. In a Ramos xenograft model, combination treatment<br/>with suberoylanilide hydroxamic acid (SAHA) and Rituximab reduced tumour<br/>growth compared to either agent alone, without discernable toxicity. This<br/>effect appears specific to CD20 since monoclonal antibodies directed to other<br/>surface molecules (CD32b, CD22, CD37) did not exhibit cooperative effect.<br/>Analysis of apoptotic pathways demonstrated that PARP cleavage and<br/>caspase processing is significantly higher in cells receiving both treatments.<br/>Co-treatment of Ramos cells with the pan caspase inhibitor QVD-OPH<br/>abolished the synergy observed with CD20 monoclonal antibodies,<br/>suggesting that caspase processing is necessary for synergy. Treatment of<br/>Ramos cells stably transfected to overexpress Bcl-2 resulted in loss of<br/>synergy with Rituximab, but not with the type II CD20 mAb B1 (Tositumomab).<br/><br/>Gene expression array analysis of Ramos cells was performed. Geneset<br/>enrichment analysis identified significant regulation of NF?B target genes in<br/>some genesets (Rituximab Vs control, p&lt;0.001) with a number associated<br/>with apoptosis and B cell activation (Bcl2A1, LTA, CD69) which were<br/>confirmed using RT-Q-PCR.<br/><br/>This novel combination elicits the induction of apoptosis in vitro, potentially<br/>through regulation of Bcl-2 family proteins and should be tested in a phase<br/>I/II clinical trial.","abstract_html":"Recent improvements in molecular sub typing of Non Hodgkin’s lymphomas&lt;br/&gt;have resulted in targeted therapies becoming incorporated into treatment&lt;br/&gt;paradigms. The anti-CD20 monoclonal antibody, Rituximab, has resulted in&lt;br/&gt;dramatic improvements in survival for patients with B cell Non Hodgkin’s&lt;br/&gt;lymphoma. Histone deacetylase inhibitors are a novel class of anti cancer&lt;br/&gt;agents targeting epigenetic regulation.&lt;br/&gt;&lt;br/&gt;This thesis addresses the interaction between histone deacetylase inhibitors&lt;br/&gt;and anti-CD20 monoclonal antibodies, including Rituximab, both in vitro and&lt;br/&gt;in vivo. The initial approach identified synergistic induction of apoptosis in a&lt;br/&gt;number of B cell lines. In a Ramos xenograft model, combination treatment&lt;br/&gt;with suberoylanilide hydroxamic acid (SAHA) and Rituximab reduced tumour&lt;br/&gt;growth compared to either agent alone, without discernable toxicity. This&lt;br/&gt;effect appears specific to CD20 since monoclonal antibodies directed to other&lt;br/&gt;surface molecules (CD32b, CD22, CD37) did not exhibit cooperative effect.&lt;br/&gt;Analysis of apoptotic pathways demonstrated that PARP cleavage and&lt;br/&gt;caspase processing is significantly higher in cells receiving both treatments.&lt;br/&gt;Co-treatment of Ramos cells with the pan caspase inhibitor QVD-OPH&lt;br/&gt;abolished the synergy observed with CD20 monoclonal antibodies,&lt;br/&gt;suggesting that caspase processing is necessary for synergy. Treatment of&lt;br/&gt;Ramos cells stably transfected to overexpress Bcl-2 resulted in loss of&lt;br/&gt;synergy with Rituximab, but not with the type II CD20 mAb B1 (Tositumomab).&lt;br/&gt;&lt;br/&gt;Gene expression array analysis of Ramos cells was performed. Geneset&lt;br/&gt;enrichment analysis identified significant regulation of NF?B target genes in&lt;br/&gt;some genesets (Rituximab Vs control, p&amp;lt;0.001) with a number associated&lt;br/&gt;with apoptosis and B cell activation (Bcl2A1, LTA, CD69) which were&lt;br/&gt;confirmed using RT-Q-PCR.&lt;br/&gt;&lt;br/&gt;This novel combination elicits the induction of apoptosis in vitro, potentially&lt;br/&gt;through regulation of Bcl-2 family proteins and should be tested in a phase&lt;br/&gt;I/II clinical trial.","abstract_has_math":false,"creators":["Nolan, David Francis Luke"],"institution":"University of Southampton","degree_name":"Ph.D.","degree_level":"doctoral","degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Packham, Graham"],"committee_chairs":[],"committee_members":[],"year":2010,"date_issued":"2010-01","date_published":"2010-01","updated_at":"2026-07-24T04:36:17Z","subjects":[],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":null,"outbound_label":null,"outbound_source":null},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Packham, Graham"]},{"key":"dc:creator","label":"Author","values":["Nolan, David Francis Luke"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2010-01"]},{"key":"dc:date.issued","label":"Date","values":["2010-01"]},{"key":"dc:publisher.department","label":"Dc Publisher Department","values":["Cancer Sciences (pre 2011 reorg)","School of Medicine"]},{"key":"dc:publisher.institution","label":"Dc Publisher Institution","values":["University of Southampton"]},{"key":"dc:relation.isreferencedby","label":"Dc Relation Isreferencedby","values":["https://eprints.soton.ac.uk/162661/"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]},{"key":"dc:type.qualificationlevel","label":"Dc Type Qualificationlevel","values":["doctoral"]},{"key":"dc:type.qualificationname","label":"Dc Type Qualificationname","values":["Ph.D."]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://eprints.soton.ac.uk/162661/1/Luke_Nolan_PhD_thesis_final.pdf"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Recent improvements in molecular sub typing of Non Hodgkin’s lymphomas<br/>have resulted in targeted therapies becoming incorporated into treatment<br/>paradigms. The anti-CD20 monoclonal antibody, Rituximab, has resulted in<br/>dramatic improvements in survival for patients with B cell Non Hodgkin’s<br/>lymphoma. Histone deacetylase inhibitors are a novel class of anti cancer<br/>agents targeting epigenetic regulation.<br/><br/>This thesis addresses the interaction between histone deacetylase inhibitors<br/>and anti-CD20 monoclonal antibodies, including Rituximab, both in vitro and<br/>in vivo. The initial approach identified synergistic induction of apoptosis in a<br/>number of B cell lines. In a Ramos xenograft model, combination treatment<br/>with suberoylanilide hydroxamic acid (SAHA) and Rituximab reduced tumour<br/>growth compared to either agent alone, without discernable toxicity. This<br/>effect appears specific to CD20 since monoclonal antibodies directed to other<br/>surface molecules (CD32b, CD22, CD37) did not exhibit cooperative effect.<br/>Analysis of apoptotic pathways demonstrated that PARP cleavage and<br/>caspase processing is significantly higher in cells receiving both treatments.<br/>Co-treatment of Ramos cells with the pan caspase inhibitor QVD-OPH<br/>abolished the synergy observed with CD20 monoclonal antibodies,<br/>suggesting that caspase processing is necessary for synergy. Treatment of<br/>Ramos cells stably transfected to overexpress Bcl-2 resulted in loss of<br/>synergy with Rituximab, but not with the type II CD20 mAb B1 (Tositumomab).<br/><br/>Gene expression array analysis of Ramos cells was performed. Geneset<br/>enrichment analysis identified significant regulation of NF?B target genes in<br/>some genesets (Rituximab Vs control, p&lt;0.001) with a number associated<br/>with apoptosis and B cell activation (Bcl2A1, LTA, CD69) which were<br/>confirmed using RT-Q-PCR.<br/><br/>This novel combination elicits the induction of apoptosis in vitro, potentially<br/>through regulation of Bcl-2 family proteins and should be tested in a phase<br/>I/II clinical trial."]},{"key":"dc:format","label":"Dc Format","values":["text"]},{"key":"dc:title","label":"Title","values":["The synergistic interaction between CD20 monoclonal antibodies and Histone Deacetylase inhibitors in B cell Non Hodgkin’s Lymphoma"]}]}],"canonical_facts":{"dc:contributor.advisor":["Packham, Graham"],"dc:creator":["Nolan, David Francis Luke"],"dc:date":["2010-01"],"dc:date.issued":["2010-01"],"dc:description.abstract":["Recent improvements in molecular sub typing of Non Hodgkin’s lymphomas<br/>have resulted in targeted therapies becoming incorporated into treatment<br/>paradigms. The anti-CD20 monoclonal antibody, Rituximab, has resulted in<br/>dramatic improvements in survival for patients with B cell Non Hodgkin’s<br/>lymphoma. Histone deacetylase inhibitors are a novel class of anti cancer<br/>agents targeting epigenetic regulation.<br/><br/>This thesis addresses the interaction between histone deacetylase inhibitors<br/>and anti-CD20 monoclonal antibodies, including Rituximab, both in vitro and<br/>in vivo. The initial approach identified synergistic induction of apoptosis in a<br/>number of B cell lines. In a Ramos xenograft model, combination treatment<br/>with suberoylanilide hydroxamic acid (SAHA) and Rituximab reduced tumour<br/>growth compared to either agent alone, without discernable toxicity. This<br/>effect appears specific to CD20 since monoclonal antibodies directed to other<br/>surface molecules (CD32b, CD22, CD37) did not exhibit cooperative effect.<br/>Analysis of apoptotic pathways demonstrated that PARP cleavage and<br/>caspase processing is significantly higher in cells receiving both treatments.<br/>Co-treatment of Ramos cells with the pan caspase inhibitor QVD-OPH<br/>abolished the synergy observed with CD20 monoclonal antibodies,<br/>suggesting that caspase processing is necessary for synergy. Treatment of<br/>Ramos cells stably transfected to overexpress Bcl-2 resulted in loss of<br/>synergy with Rituximab, but not with the type II CD20 mAb B1 (Tositumomab).<br/><br/>Gene expression array analysis of Ramos cells was performed. Geneset<br/>enrichment analysis identified significant regulation of NF?B target genes in<br/>some genesets (Rituximab Vs control, p&lt;0.001) with a number associated<br/>with apoptosis and B cell activation (Bcl2A1, LTA, CD69) which were<br/>confirmed using RT-Q-PCR.<br/><br/>This novel combination elicits the induction of apoptosis in vitro, potentially<br/>through regulation of Bcl-2 family proteins and should be tested in a phase<br/>I/II clinical trial."],"dc:format":["text"],"dc:identifier.uri":["https://eprints.soton.ac.uk/162661/1/Luke_Nolan_PhD_thesis_final.pdf"],"dc:publisher.department":["Cancer Sciences (pre 2011 reorg)","School of Medicine"],"dc:publisher.institution":["University of Southampton"],"dc:relation.isreferencedby":["https://eprints.soton.ac.uk/162661/"],"dc:title":["The synergistic interaction between CD20 monoclonal antibodies and Histone Deacetylase inhibitors in B cell Non Hodgkin’s Lymphoma"],"dc:type":["Thesis"],"dc:type.qualificationlevel":["doctoral"],"dc:type.qualificationname":["Ph.D."]},"updated_at":"2026-07-24T04:36:17Z"}