SHMT2 enzymatic activity is essential for BL cell growth and viability. (A) Immunohistochemical staining of SHMT2 in lymphoma biopsies and lymph nodes from healthy individuals. Magnification is indicated with 20× and 63×, respectively. Scale bar for 100 µM is indicated. (B) Quantification of IHC with classification into negative, moderate, or strong expression. GC, germinal center; LN, lymph node; MZ, marginal zone. (C) Competitive growth assay of BL cell lines expressing a constitutive shRNA vector targeting SHMT2 (shSHMT2#1) or a nontargeting control shRNA (shCtrl) together with RFP in coculture with wild-type cells. Percentages of RFP-positive cells were measured at indicated times, and obtained values were normalized to the values of control shRNA expressing cells (mean ± standard error of the mean [SEM]; n = 3; P < .001 compared with nontargeting control shRNA transduced cells [two-way ANOVA]). (D) Cell cycle analyses of the BL cell lines BL60 and Ramos constitutively expressing an shRNA against SHMT2 (shSHMT2#1) or a nontargeting control shRNA (shCtrl) (mean ± SEM is shown; n = 4 to 5; ***P < .001 in Student t test). (E) Western blot analyses of cleaved PARP (cPARP), total PARP, and cleaved and total Caspase-3 in BL60 and Ramos cells constitutively expressing an shRNA against SHMT2 (shSHMT2#2) or a nontargeting control shRNA (shCtr). GAPDH or β-actin served as loading controls (n = 3-4). For quantification see supplemental Figure 2F. (F) Rescue experiment in which BL60 cells carrying a doxycycline-inducible shRNA against SHMT2 (shSHMT2#2) or a nontargeting control shRNA (shCtrl) with GFP as fluorescent reporter were transduced with a lentiviral vector coding for the fluorescent reporter BFP only (empty vector) or BFP and an shRNA-resistant version of SHMT2 (SHMT2res) or a catalytically inactive mutant thereof (SHMT2res-K280A). Percentages of GFP/BFP positive cells were determined over time by flow cytometry and normalized to the values of day 2 after doxycycline induction of shRNA expression. The diagram displays the values obtained at day 6 after induction of knockdown (mean ± SEM; n = 3). ***P < .001 in Student t test. Western blot validation for successful SHMT2 reconstitution is shown below. GAPDH served as loading control (n = 3; for empty vector/shCtrl vs shSHMT2 P < .001 in paired Student t test; for SHMT2res and SHMT2res-K280A, P = ns in paired Student t test; P = .51 and P = .37, respectively). (G) Tumor volume in NSG mice that were subcutaneously transplanted with BL60 carrying a doxycycline-inducible shRNA against SHMT2 (shSHMT2#2) or a nontargeting control shRNA (shCtrl). Tumor volumes were measured upon intraperitoneal doxycycline induction (once per day) of shRNAs (mean ± SEM; n = 5; P < .01 in two-way ANOVA; **P < .01 in Bonferroni posttest; ***P < .001 in Bonferroni posttest).