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Prepublished online as a Blood First Edition Paper on September 12, 2002; DOI 10.1182/blood-2002-01-0043.
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Blood, 15 January 2003, Vol. 101, No. 2, pp. 655-663
NEOPLASIA
The effects of Bcr-Abl on C/EBP transcription-factor
regulation and neutrophilic differentiation are reversed by the
Abl kinase inhibitor imatinib mesylate
Christine Schuster,
Karin Forster,
Henning Dierks,
Annika Elsässer,
Gerhard Behre,
Nicola Simon,
Susanne Danhauser-Riedl,
Michael Hallek, and
Markus Warmuth
From the Klinische Kooperationsgruppe Gentherapie,
GSF National Research Institute for Environment and Health, Munich,
Germany; Klinische Kooperationsgruppe Leukämie, GSF National
Research Institute for Environment and Health, Munich,
Germany; Medizinische Klinik III,
Ludwig-Maximilians-Universität Muenchen, Munich,
Germany; and the Gene Center,
Ludwig-Maximilians-Universität Muenchen, Munich,
Germany.
The clinical progression of chronic myeloid leukemia
(CML) from chronic phase to blast crisis is characterized by the
increasing failure of myeloid precursors to differentiate into mature
granulocytes. This study was undertaken to investigate the influence of
Bcr-Abl and of the small molecule Abl tyrosine-kinase inhibitor
imatinib mesylate on granulocyte colony-stimulating factor
(G-CSF)-induced neutrophilic differentiation. We show that
differentiation of 32Dcl3 cells into mature granulocytes is accompanied
by the increased expression of the antigens macrophage adhesion
molecule-1 (Mac-1) and Gr-1, of the G-CSF
receptor (G-CSFR), of myeloid transcription factors
(CCAAT/enhancer-binding protein- [C/EBP ], C/EBP ,
and PU.1), and of the cyclin-dependent kinase inhibitor
p27Kip1. In 32Dcl3 cells transfected with the
bcr-abl gene (32DBcr-Abl), G-CSF did not
trigger either granulocytic differentiation or the up-regulation of C/EBP , C/EBP , and the G-CSFR. This could be correlated to a defect in c-Myc down-regulation. In contrast, the
up-regulation of PU.1 and p27Kip1 by G-CSF was not affected
by Bcr-Abl. Importantly, incubation of 32DBcr-Ablwt
cells with the kinase inhibitor imatinib mesylate prior to G-CSF
stimulation completely neutralized the effects of Bcr-Abl on
granulocytic differentiation and on C/EBP and C/EBP expression.
Taken together, the results suggest that the Bcr-Abl kinase induces a
reversible block of the granulocytic differentiation program in
myeloid cells by disturbing regulation of hematopoietic transcription
factors such as C/EBP and C/EBP .

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