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Prepublished online as a Blood First Edition Paper on July 18, 2002; DOI 10.1182/blood-2002-01-0109.
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Blood, 15 November 2002, Vol. 100, No. 10, pp. 3767-3775
NEOPLASIA
BCR/ABL induces expression of vascular endothelial growth factor
and its transcriptional activator, hypoxia inducible factor-1 ,
through a pathway involving phosphoinositide 3-kinase and the mammalian
target of rapamycin
Matthias Mayerhofer,
Peter Valent,
Wolfgang R. Sperr,
James D. Griffin, and
Christian Sillaber
From the Department of Internal Medicine I, Division of
Hematology and Hemostaseology, The University of Vienna, Austria; and
the Department of Adult Oncology, Dana Farber Cancer Institute, Harvard
Medical School, Boston, MA.
Recent data suggest that vascular endothelial growth factor (VEGF),
a cytokine involved in autocrine growth of tumor cells and tumor
angiogenesis, is up-regulated and plays a potential role in myelogenous
leukemias. In chronic myelogenous leukemia (CML), VEGF is expressed at
high levels in the bone marrow and peripheral blood. We show here that
the CML-associated oncogene BCR/ABL induces VEGF gene
expression in growth factor-dependent Ba/F3 cells. Whereas starved
cells were found to contain only baseline levels of VEGF mRNA, Ba/F3
cells induced to express BCR/ABL exhibited substantial amounts of VEGF
mRNA. BCR/ABL also induced VEGF promoter activity and increased VEGF
protein levels in Ba/F3 cells. Moreover, BCR/ABL was found to promote
the expression of functionally active hypoxia-inducible factor-1
(HIF-1), a major transcriptional regulator of VEGF gene expression.
BCR/ABL-induced VEGF gene expression was counteracted by the
phosphoinositide 3-kinase (PI3-kinase) inhibitor LY294002 and
rapamycin, an antagonist of mammalian target of rapamycin (mTOR), but
not by inhibition of the mitogen-activated protein kinase pathway.
Similarly, BCR/ABL-dependent HIF-1 expression was inhibited by the
addition of LY294002 and rapamycin. Together, our data show that
BCR/ABL induces VEGF- and HIF-1 gene expression through a pathway
involving PI3-kinase and mTOR. BCR/ABL-induced VEGF expression may
contribute to the pathogenesis and increased angiogenesis in CML.

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