Fbw7 regulates apoptosis in activated B-cell like diffuse large B-cell lymphoma by targeting Stat3 for ubiquitylation and degradation

Background The ubiquitin-ligase Fbw7 acts as a tumor suppressor, targeting lots of proto-oncogenes for proteolysis. However, the exact role of Fbw7 in diffuse large B-cell lymphoma (DLBCL) development remains unclear. Methods We evaluated Fbw7 expression in patient samples of DLBCL using immunohistochemical staining. The effect of Fbw7 overexpression on cell viability and apoptosis was investigated using activated B-cell (ABC) like DLBCL cell lines. The mechanism of Fbw7 activity in DLBCL was investigated using immunoprecipitation, ubiquitination, western blot and qualitative analyses. Results The non-germinal center B-cell-like subtype of DLBCL showed reduced Fbw7 expression compared with the germinal center B-cell (GBC) subtype, and low Fbw7 expression was associated with a worse prognosis. Fbw7 overexpression caused decreased cell viability and increased apoptosis rates in the ABC-DLBCL cell lines SU-DHL-2 and OCI-LY-3. Importantly, Stat3 and phospho-Stat3Tyr705 stability were reduced following Fbw7 overexpression in ABC-DLBCL cell lines. In HEK293T and SU-DHL-2 cells, we demonstrated that Fbw7 interacts with Stat3 and pStat3Tyr705 to regulate their ubiquitylation and degradation. Downstream anti-apoptotic target genes of activated Stat3, including Myc, Survivin, Mcl-1, Pim-1, Bcl-2 and Bcl-xl showed decreased mRNA expression following exogenous Fbw7 overexpression. The negative relationship between Fbw7 and pStat3Tyr705 levels was also confirmed in DLBCL patient samples. Conclusion The ubiquitin-ligase Fbw7 mediates apoptosis through targeting Stat3 for ubiquitylation and degradation in ABC-DLBCL. Thus, our study may offer a promising approach for ABC-DLBCL therapy through Stat3 inhibition. Electronic supplementary material The online version of this article (doi:10.1186/s13046-016-0476-y) contains supplementary material, which is available to authorized users.


Background
Diffuse large B-cell lymphoma (DLBCL) is the most common type of non-Hodgkin lymphoma in adults, contributing to nearly 40% of new diagnoses [1]. However, DLBCL is involuted both in clinical presentation and morphology. To resolve this problem, DLBCL is now classified as GCB-DLBCL and ABC-DLBCL by genetic profiling [2,3], and patients with the ABC subtype show a significantly poorer outcome compared with the GCB subtype [4]. Immunohistochemistry (IHC) for CD10, Bcl-6 and MUM1 can also differentiate between the GCB and non-GCB subtypes of DLBCL and predicts similar outcomes to genetic profiling [5]. Improved therapies are required for all patients with DLBCL but most urgently for those with the ABC subtype, which is the most chemoresistant and has a worse prognosis [6].
Fbw7, also known as CDC4, is a substrate recognition element of the evolutionarily conserved SCF-type ubiquitin ligase complex. Acting as a tumor suppressor in human cancer, Fbw7 substrates include several protooncogenes, which are ubiquitylated and tagged for proteasomal degradation [17][18][19][20][21][22][23][24][25][26]. Fbw7 genetic deletion results in developmental defects, embryonic lethality and genetic instability, and Fbw7 inactivation by loss of expression or mutation is associated with tumor development [27]. In the hematopoietic system, Fbw7 inactivation leads to hematopoietic stem cell (HSC) depletion by active cell cycling, which can initiate leukemia [28,29]. Another study showed that HSC differentiation was mediated by Fbw7 regulating Myc stability [30]. Although Fbw7 targets various substrates for degradation that have crucial roles in cell cycle, apoptosis and differentiation, the role of Fbw7-mediated degradation of such targets remains unclear.
Here, we investigate Fbw7 expression in DLBCL. Interestingly, Fbw7 showed lower expression in the non-GCB-DLBCL subtype compared with GCB-DLBCL. The major phenotype associated with Fbw7 overexpression in ABC-DLBCL cell lines was the regulation of cell apoptosis. Furthermore, we confirmed that Fbw7 targets Stat3 and pStat3 Tyr705 for ubiquitin-dependent degradation., and the downstream anti-apoptosis target genes of activated Stat3, including Pim1, Survivin, Mcl-1, Myc, Bcl2 and Bcl-xl showed reduced mRNA expression following exogenous Fbw7 overexpression, in a cell-dependent manner. Together, these results reveal an Fbw7-dependent mechanism that regulates Stat3 ubiquitylation and degradation, providing new insight into the tumor suppressor role of Fbw7, and suggesting that Fbw7 may offer a promising new approach to ABC-DLBCL therapy.

Cell culture
The DLBCL cell lines SU-DHL-2 and OCI-LY-3 were cultured in RPMI-1640 supplemented with 10% fetal bovine serum (FBS; Gibco, Carlsbad, CA, USA), and HEK293T cells were cultured in DMEM supplemented with 10% FBS. Cells were maintained in a humidified chamber with 5% CO 2 at 37°C. The identity of cell lines was confirmed by short tandem repeats-polymerase chain reaction (STR-PCR) genotyping.

Tissue samples and IHC
From 2005 to 2011, 165 human DLBCL samples were collected at the Guangdong General Hospital. The study was approved by Guangdong general hospital Biomedical Research Ethics Committee, and written informed consent was obtained from all the patients. Patients with DLBCL have been followed up for at least 5 years with a intervals of 1-3 months until July 2016. The clinicopathological characteristics of the DLBCL patients are showed in Additional files 1 and 2.
Samples were probed using the indicated antibodies. Paraffin-embedded samples were made into a tissue microarray. Staining was evaluated by two blinded individuals, and the scoring criteria was: 0 (no staining), 1 (weak staining), 2 (intermediate staining) and 3 (strong staining). Two pathologist gave a score and the final score was the average.

Apoptosis analysis
Cells were first transfected with an Fbw7 expression plasmid or vector control, and then Doxorubicin (MP Biomedicals, Illkirch-Graffenstaden France) was used to induce apoptosis. We used the Annexin V-FITC Apoptosis Detection Kit (KeyGEN BioTECH, Nanjing, China), according to the manufacturer's instructions, and the percentage of apoptotic cells was detected by flow cytometry analysis.

Cell viability assay
For cell viability assay, 5 × 10 4 cells per well were plated in 96-well, and then incubated with the appropriate medium containing Doxorubicin for 24 h. Assays were performed using the Cell Titer-Glo Luminescent Cell Viability Assay kit (Promega, Madison, WI, USA), according to the manufacturer's instructions.

Western blotting
Cells were lysed in RIPA lysis buffer (0.1% SDS, 50 mM Tris containing 150 mM NaCl, 1% Triton X-100 and 1% sodium deoxycholate; pH 7.2) with cocktails inhibitor of protease and phosphatase (Merck, Kenilworth, NJ, USA) on ice for 30 min and centrifuged at 14 000 × g for 30 min. According to the protein concentration of BCA Assay (Pierce, Rockford, IL, USA), 40 μg of protein was loaded on 8% SDS-PAGE gels. And then protein was transferred to PVDF membranes (Millipore, Billerica, MA, USA). Following transfer, blots were blocked, incubated with primary and secondary antibodies and exposed to film using standard procedures.

Immunoprecipitation and ubiquitination assay
Cells were lysed in RIPA lysis buffer, and the lysates were immunoprecipitated with the indicated antibodies on protein A/G beads (Millipore) overnight. The beads were then washed and boiled in SDS loading buffer. Immunoprecipitated protein complexes were assessed using Western blotting. To detect ubiquitination of Stat3 and pStat3 Tyr705 , 10 mM N-ethylmaleimide was added in the lysis buffer.

RNA extraction and qPCR analysis
Total RNAs were purified using RNAiso Plus, and firststrand cDNA was generated with PrimeScript RT Master Mix (Takara, Shiga, Japan). qPCR was carried out using SYBR Premix Ex Taq (Takara) on an ABI 7500 PCR system (Applied Biosystems, Carlsbad, CA, USA). The PCR protocol was made up of 40 cycles of clocking at 95°C for 5 s and 60°C for 30 s. The data was represented relative to β-actin, calculated using the 2 −ΔΔCT method. The primers for PCR reactions are listed in Additional file 3.

Statistical analysis
Statistical analyses were carried out using the SPSS 16.0 statistical software (SPSS Inc., Chicago, IL, USA). Data are shown as mean ± SD. The relationships between Fbw7 expression and other clinicopathological factors were determined using Pearson χ 2 test. Kaplan-Meier survival analysis was applied to illustrate the outcome relevance of Fbw7 in univariate analysis. Each assay was performed in three repeated experiments. The Student t test was used to compare two groups of independent samples. Correlations between Fbw7 and pStat3 Tyr705 levels were confirmed using the Spearman rank correlation. Values of P < 0.05 were considered significant.

Decreased Fbw7 expression in non-GCB DLBCL compared with GCB-DLBCL is significantly correlated with poor survival
To investigate the role of Fbw7 in DLBCL, Fbw7 expression was first analyzed in DLBCL through IHC. Using the Hans program [5], 165 patients were divided into two groups (non-GCB and GCB) based on CD10, Bcl-6 and MUM1 expression by IHC during the clinical diagnosis of pathology; representative IHC images of GCB and non-GCB are shown (Fig. 1a). IHC showed that Fbw7 expression was decreased in the non-GCB group compared with the GCB group (P < 0.01; Fig. 1b). Low Fbw7 expression and high expression cases were shown (Fig. 1c). The correlation between Fbw7 expression and other clinicopathological features, such as patient sex, age, EB virus status and tumor stage showed no significant differences (P > 0.05; Additional file 1). Kaplan-Meier analysis indicated that patients with low Fbw7 expression showed a significantly worse outcome compared with those with high Fbw7 expression (Fig. 1d). The median survival time of DLBCL patients with low Fbw7 expression was 44 months, which was significantly shorter than those with high Fbw7 expression (81 months). Together, these results clearly show that Fbw7 expression is decreased in non-GCB-DLBCL compared with GCB-DLBCL, and low Fbw7 expression is associated with a worse prognosis.

Fbw7 regulates apoptosis in ABC-DLBCL
Based on the Hans algorithm, IHC can be used to differentiate the GCB and non-GCB subtypes of DLBCL, and this predicts survival similar to genetic profiling (GCB and ABC subtypes). The prevalence of Fbw7 downregulation in non-GCB subtype raises an intriguing possibility that Fbw7 overexpression may be a tumor-inhibiting event in ABC-DLBCL. To test this possibility, the ABC-DLBCL cell lines SU-DHL-2 and OCI-LY-3 were transfected with an Fbw7 expression plasmid, and western blotting confirmed that Fbw7 expression was greatly increased after transfection (Fig. 2a). Next, we investigated how Fbw7 affects the apoptotic response using Doxorubicin to induce apoptosis. To detect the percentage of apoptotic cells, we stained with Annexin-V-PE followed by flow cytometry analysis. As predicted, SU-DHL-2 and OCI-LY-3 cell lines were more sensitive to apoptotic stimuli after transfecting an Fbw7 plasmid compared with vector (Fig. 2b). To investigate the tumor inhibitory effect of Fbw7 in ABC-DLBCL, cells were transfected with the Fbw7 plasmid or vector and treated with Doxorubicin at different concentrations. As expected, cell viability decreased significantly in the Fbw7 overexpression group compared with the vector group (Fig. 2c). Although it's reported that Fbw7 also regulates proliferation by suppressing tumorigenesis in many cancers, our results of CCK8 assays and cell cycle showed no significant difference after Fbw7 overexpression in ABC-DLBCL cell lines (Additional file 4).

Fbw7 regulates the stability of Stat3
Previous studies have shown that Stat3 is constitutive activated in ABC-DLBCL, causing us to evaluate whether Fbw7 regulates Stat3 expression or activity. SU-DHL-2 and OCI-LY-3 cells were transfected with Fbw7 and Stat3 plasmids, and western blotting indicated that Fbw7 decreased the exogenous Stat3 protein level (Fig. 3a). Similarly, Fbw7 overexpression markedly decreased endogenous Stat3 and pStat3 Tyr705 levels in a dosedependent manner (Fig. 3b). To investigate whether and how Fbw7 regulates Stat3 stability, SU-DHL-2 cells were treated with an inhibitor of protein synthesis cycloheximide (CHX), and the stability of endogenous Stat3 and pStat3 Tyr705 was examined. The half-life of pStat3 Tyr705 decreased from 9 h to approximately 5 h upon Fbw7 overexpression (Fig. 3c). Similarly, Fbw7 overexpression in OCI-LY-3 cells significantly reduced pStat3 Tyr705 levels (Fig. 3d). These results reveal that Fbw7 reduced Stat3 signaling by promoting its degradation. Fig. 1 Fbw7 shows reduced expression in non-GCB DLBCL. a for 165 cases of DLBCLs, the classification of GCB and non-GCB groups was previously confirmed by clinical IHC of CD10, Bcl-6 and MUM1; representative IHC cases from GCB and non-GCB patients are shown. b bar chart of Fbw7 expression in the GCB (n = 43) and non-GCB (n = 122) groups. Statistical significance was determined by a two-tailed, Student t test. **, P < 0.01. c IHC staining of Fbw7 in DLBCL, "score ≤ 1" was defined as the low expression group and "score > 1" was defined as the high expression group. Low Fbw7 expression and high Fbw7 expression cases were shown. d Kaplan-Meier survival curve shows a significant association between low Fbw7 levels and poor survival in DLBCL patients (P = 0.004). Low Fbw7 (n = 30), high Fbw7 (n =134) and missing follow-up (n = 1)
Similarly, endogenous Fbw7 and pStat3 Tyr705 were immunoprecipitated from SU-DHL-2 cells, and the presence of endogenous pStat3 Tyr705 and Fbw7 was detected, respectively (Fig. 4c). Similar results were obtained in HEK293T cells (Additional file 5). Together, these results show that Fbw7 can interact with Stat3 and pStat3 Tyr705 .
Fbw7 is a ubiquitin-ligase that targets several proteins for ubiquitination and degradation. Therefore, we then speculated that Fbw7 might directly regulate Stat3 stability through this activity. To assess this possibility, Flag-Stat3 and HA-ubiquitin were co-expressed with and without Myc-Fbw7 in HEK293T cells. Immunoblotting showed that ubiquitination of Stat-3, and especially pStat3 Tyr705 , strongly increased after Fbw7 expression in the presence or absence of MG132, an inhibitor of the 26S proteasome ( Fig. 4d and e). Immunoblotting showed similar results for Annexin-V-PE staining, followed by flow cytometry analysis to detect the percentage of apoptotic cells. In the indicated ABC-DLBCL cell lines, Fbw7 was upregulated by transfection (pcDNA3.1 vector was used as a negative control) for 24 h. Cell lines were cultured with Doxorubicin (1.0 μM) for 24 h to induce apoptosis before flow cytometry. Statistical significance was determined by a two-tailed, paired Student t test. **, P < 0.01; ***, P < 0.001. c Cell viability assays show that ABC-DLBCL cell lines were more sensitive to Doxorubicin after transfection with Fbw7 plasmid. ABC-DLBCL cells with 24 h exogenous Fbw7 expression were cultured with the indicated concentrations of Doxorubicin for 24 h before cell viability assays were performed. Statistical significance was determined by a two-tailed Student t test. ***, P < 0.001. Data are presented as mean ± SD from three independent experiments pStat3 Tyr705 ubiquitination after cells were treated with IL-6 cytokines (Fig. 4e). These results conclusively indicate that Fbw7 regulates Stat3 protein levels through ubiquitination and proteasomal degradation.

Fbw7 inhibits apoptosis regulators downstream of Stat3
Constitutively active Stat3 signaling leads to the upregulation of many downstream target genes in ABC-DLBCL, and our data indicate that Fbw7 could inhibit the expression of these genes through degradation of activated Stat3. To test this hypothesis, SU-DHL-2 and OCI-LY-3 cells were transduced with Fbw7 plasmid, and by qPCR showed upregulation of Fbw7 mRNA at the indicated time points (Fig. 5a). No significant change in Stat3 mRNA levels were detected (Fig. 5b), demonstrating that Fbw7 did not affect Stat3 mRNA. However, qPCR revealed that Fbw7 overexpression resulted in a downregulation of several Stat3 target genes that regulate apoptosis, in a cell-dependent manner (Fig. 5c). Results showed a significant reduction in Survivin, Pim-1 and Bcl-2 mRNA levels in SU-DHL-2 cells (right), as well as a significant reduction in Myc, Survivin, Mcl-1, Bcl-2 and Bcl-xl mRNA levels in OCI-LY-3 cells (left). Thus, our results suggest that Fbw7 promotes apoptosis by downregulating these anti-apoptotic genes in ABC-DLBCL.
To demonstrate whether Fbw7 promotes apoptosis through regulating Stat3, siRNA of Stat3, plasmids of Fbw7 and Stat3 was transfected as instructed in ABC-DLBCL cell lines, using Doxorubicin to induce apoptosis and staining with Annexin-V-PE followed by flow cytometry analysis. As predicted, SU-DHL-2 and OCI-LY-3 cell lines were more sensitive to apoptotic stimuli after transfecting siRNA of Stat3 or Fbw7 plasmid compared with control groups, and co-expression of Stat3 and Fbw7 plasmids reversed apoptosis compared with Fbw7 groups.

Fbw7 expression is negatively correlated with pStat3 Tyr705 levels in DLBCL patient samples
To further evaluate the relationship between Fbw7 and Stat3, the expression of Fbw7 and Stat3 was analyzed in 56 cases of DLBCL. IHC staining showed that high Fbw7 expression was associated with low pStat3 Tyr705 expression in Case 1. Inversely, low Fbw7 expression was associated with high pStat3 Tyr705 levels in Case 2 (Fig. 6a). Spearman rank correlation analysis further confirmed that Fbw7 expression was negatively associated with pStat3 Tyr705 expression (Fig. 6b). These results demonstrated that high Fbw7 expression was associated with reduced levels of active Stat3 in human tumor samples, supporting our in vitro data.

Discussion
The ubiquitin-ligase Fbw7 targets several protooncogenes for ubiquitination and degradation and acts as a tumor suppressor in many human malignancies. However, the Fbw7 substrates that have important roles in the development of specific cancers are unknown. Here, we investigated Fbw7 in ABC-DLBCL and found that Fbw7 targets Stat3 for ubiquitylation and degradation, and that Fbw7 inhibits downstream anti-apoptotic targets of Stat3.
DLBCL is attributable for nearly 40% of all non-Hodgkin lymphoma diagnoses and has been divided into the molecular subtypes GCB and ABC by genetic profiling. Overall survival is significantly reduced in the ABC-DLBCL compared with the GCB-DLBCL. In our study, we found that Fbw7 expression was reduced in DLBCL associated with the ABC subtype (Fig. 1b). Low Fbw7 expression also correlated with a poor prognosis (Fig. 1d). We also demonstrate that Fbw7 is an apoptosis regulator through flow cytometry analysis and cell viability assays ( Fig. 2b and c). Previous studies have shown that Fbw7 targets c-Jun and Mcl-1, regulating apoptosis [18,20], and these data interested us to investigate its molecular mechanism for regulating apoptosis in ABC-DLBCL.
Stat3, an important transcript factor in many human cancers, shows a high level of expression and activation in ABC-DLBCL [15]. Constitutive Stat3 activation is also a biomarker for poor prognosis after R-CHOP therapy [16]. Previous studies demonstrated Stat3 siRNA or kinase inhibitors reduced tumor proliferation in vitro [31]. These reports suggest targeting Stat3 could be a promising approach to therapy in ABC-DLBCL. Our data confirmed Fbw7 targets Stat3 for ubiquitylation and degradation, especially Stat3 phosphorylated at tyrosine 705. First, we found Fbw7 influenced the stability of Stat3 and pStat3 Tyr705 in a dose-dependent manner (Fig. 3b). Further, we showed that Fbw7 interacts with Stat3 and pStat3 Tyr705 in ABC-DLBCL cells by coimmunoprecipitation (Fig. 4a-c). Moreover, Fbw7 interacts with Stat3 and pStat3 Tyr705 to regulate their Fig. 4 Fbw7 interacts with and ubiquitinates Stat3. a Fbw7 interacts with Stat3 at exogenous levels. Immunoblotting analysis of lysates after immunoprecipitation from HEK293T cells transfected with Myc-Fbw7 and Flag-Stat3. b Fbw7 interacts with Stat3 at endogenous levels. Cell lysates from SU-DHL-2 cells were immunoprecipitated with anti-Fbw7 or anti-Stat3 antibody, followed by immunoblotting with anti-Fbw7 or anti-Stat3 antibody, respectively. IgG was used as a control. c Fbw7 interacts with pStat3 Tyr705 at endogenous levels. Cell lysates from SU-DHL-2 cells were immunoprecipitated with anti-Fbw7 or anti-pStat3 Tyr705 antibody, followed by immunoblotting with anti-Fbw7 or anti-pStat3 Tyr705 antibody, respectively. d and e, Flag-Stat3 and HA-ubiquitin were co-expressed with Myc-Fbw7 in HEK293T cells. After cells were treated with or without 10 mM MG132 for 6 h, Stat3 and pStat3 Tyr705 were immunoprecipitated with anti-Flag or anti-pStat3 Tyr705 antibody, and the polyubiquitination status of Stat3 and pStat3 Tyr705 was detected by immunoblotting. f similar to E, cells were treated with 10 ng/L IL6 for 6 h to activate Stat3 signaling. The experiments were repeated three times, and representative images of blots are shown ubiquitylation and degradation. It has been reported that Fbw7 binds to its substrates after they have been phosphorylated within conserved phospho-degron motifs, called Cdc4 phospho-degrons (CPDs) [32]. Several studies have demonstrated that Fbw7 targets phosphorylated substrates, including Myc, c-Jun, Mcl-1, Notch and KLF2 [17,18,[20][21][22]. The ability of Fbw7 to degrade these oncogenes, specifically, makes it a tumor suppressor. Our results showed that Fbw7 interacts with and degrades Stat3 in ABC-DLBCL, and therefore; may be a viable target for Stat3-directed therapy.
Stat3 is required for tumor cell proliferation, infiltration, differentiation and apoptosis inhibition. Stat3 is activated by phosphorylation, which produces a molecule that spontaneously dimerizes, binds to DNA and activates transcription of downstream target genes [10,11], Fig. 5 Fbw7 inhibits downstream Stat3 target genes that block apoptosis. a-d, qPCR analysis of the relative mRNA expression in ABC-DLBCL cell lines at the indicated time intervals. mRNA levels were normalized to the geometric mean of the housekeeping gene β-actin and calculated using the 2 −ΔΔCT method. The experiments were repeated three times. Statistical analysis was performed using a two-tailed unpaired Student t test.*, P < 0.05; **, P < 0.01; ***, P < 0.001. a (right), cells were transfected with Fbw7 and compared with vector control to detect Fbw7 expression. b (left), cells were transfected with Fbw7 and compared with vector control to detect Stat3 expression. c and d, qPCR analysis of the relative Myc, Survivin, Mcl-1, Pim-1, Bcl-2 and Bcl-xl mRNA levels after transfecting Fbw7 for 48 h in SU-DHL-2 and OCI-LY-3 cells, respectively. e siRNA of Stat3, plasmids of Fbw7 and Stat3 was transfected as instructed for 24 h in ABC-DLBCL cell lines. And then cell lines were cultured with Doxorubicin (1.0 μM) for 24 h to induce apoptosis before flow cytometry. Statistical significance was determined by a two-tailed, unpaired Student t test. ***, P < 0.001 some of which block apoptosis, including Myc, Survivin, Bcl-2, Mcl-1, Pim-1 and Bcl-xl [33][34][35][36]. Our results also revealed that Fbw7 overexpression reduced mRNA levels of these target genes in a cell-dependent manner in ABC-DLBCL cell lines. There was a significant reduction in Survivin, Pim-1 and Bcl-2 mRNA levels in SU-DHL-2 cells (Fig. 5c, right), as well as a significant reduction in Myc, Survivin, Mcl-1, Bcl-2 and Bcl-xl mRNA levels in OCI-LY-3 cells (Fig. 5c, left). Thus, both our clinical and experimental data suggest Fbw7 regulates Stat3 stability and downstream signaling, making it a promising target for therapy. Although it is well known that cyclin D1 is the target gene of Stat3 which regulates cell proliferation and cell cycle, qPCR revealed that Fbw7 overexpression did not result in significant reduction of cyclin D1 (Additional file 6). And the results of CCK8 proliferation assays and cell cycle did not show significant difference after Fbw7 overexpression in ABC-DLBCL cell lines (Additional file 4). It's reported that only 2.1% of patients in total of 1435 express cyclin D1 in DLBCL [37]. Therefore our negative results of cyclin D1 may be related to its missing expression. Moreover, Fbw7induced degradation of STAT3 is more important than other reported tumorigenesis including Myc, Notch, Jun, DEK and MCL1 in ABC-DLBCL (Additional file 7).
Fbw7 regulates a proliferative network that includes several oncogenes, and therefore, is considered a tumor suppressor in human cancers. There may be a viable approach for therapies directed at Fbw7 and its substrates. Studies have shown that Fbw7 expression is regulated by upstream proteins including p53, EBP2, Numb4, Pin1 and Hes-5 [38][39][40][41]. In addition, multiple microRNAs, including miR-25, miR-129-5p and miR-223 have also been demonstrated to regulate Fbw7 expression [42][43][44]. Together, these factors comprise a complex regulatory network that controls Fbw7 expression. However, exploiting this regulatory network for a means to restore or increase Fbw7 expression requires a deeper understanding of its transcriptional and posttranscriptional regulation. Further research into the upstream pathways that phosphorylate Stat3, marking it for Fbw7-mediated ubiquitylation, could also be a promising approach for drug discovery in ABC-DLBCL.

Conclusions
In this study, we investigated the role of Fbw7 in ABC-DLBCL, and found it showed reduced expression in non-GCB DLBCL, which was associated with a poor outcome. Fbw7 expression promotes apoptosis in ABC-DLBCL cell lines. Furthermore, we demonstrated that Fbw7 targets Stat3 and especially activated Stat3 for ubiquitylation to regulate its stability. QPCR analysis also demonstrated that the downstream target genes of Stat3 which mediate anti-apoptotic effects were downregulated following Fbw7 expression in ABC-DLBCL. Together, our data clearly show that the ubiquitin-ligase