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Prepublished online as a Blood First Edition Paper on January 16, 2003; DOI 10.1182/blood-2002-10-3208.
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Blood, 15 May 2003, Vol. 101, No. 10, pp. 4122-4130
NEOPLASIA
PDE4 inhibitors activate a mitochondrial apoptotic pathway in
chronic lymphocytic leukemia cells that is regulated by protein
phosphatase 2A
Eun-Yi Moon and
Adam Lerner
From the Evans Department of Medicine, Section of
Hematology and Oncology, Boston Medical Center, Boston, MA; and the
Department of Pathology, Boston University School of Medicine,
Boston, MA.
Chronic lymphocytic leukemia (CLL) cells, but not peripheral blood
T cells, undergo apoptosis following treatment with inhibitors of type
4 cyclic nucleotide phosphodiesterase (PDE4), a process that correlates
dose dependently with elevation of adenosine 3',5'-cyclic monophosphate (cAMP) in leukemic cells. We show that treatment of CLL cells with rolipram, a prototypic PDE4 inhibitor, and forskolin, an adenylate cyclase activator, induces mitochondrial depolarization, release of cytochrome c into the cytosol, caspase-9 and -3 activation, and cleavage of poly(adenosine diphosphate
[ADP]-ribose)polymerase. Inhibitors of caspase-9, but
not caspase-8, block rolipram/forskolin-induced CLL apoptosis.
In a subset of CLL patients, B-cell lymphoma 2 (Bcl-2)-associated death promoter homolog (Bad), a
proapoptotic Bcl-2 family member that when phosphorylated on
specific serine residues is sequestered in the cytosol by
14-3-3, was dephosphorylated at Ser112 following rolipram/forskolin
treatment of leukemic cells. Rolipram/forskolin treatment also induced
Bad to accumulate in CLL heavy-membrane fractions, consistent with Bad
translocation to mitochondria. To determine the mechanism for
rolipram/forskolin-induced Bad dephosphorylation, we examined CLL
phosphatase activity. Rolipram/forskolin treatment augmented protein
phosphatase 2A (PP2A) activity, as well as levels of immunoreactive
PP2A catalytic subunit. Treatment of CLL cells with a
concentration of okadaic acid (5 nM) that selectively inhibits PP2A,
reduced both rolipram/forskolin-induced mitochondrial cytochrome c
release and mitochondrial depolarization. Okadaic acid restored Bad
Ser112 phosphorylation and Bad association with 14-3-3 in
rolipram/forskolin-treated CLL cells. These results suggest that PDE4
inhibitors may induce CLL apoptosis by activating PP2A-induced
dephosphorylation of proapoptotic BH3-only Bcl-2 family members such as Bad.

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