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Prepublished online as a Blood First Edition Paper on October 3, 2002; DOI 10.1182/blood-2002-05-1505.
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Blood, 1 February 2003, Vol. 101, No. 3, pp. 1164-1171
PHAGOCYTES
Expression of the inhibitor of apoptosis (IAP) family members in
human neutrophils: up-regulation of cIAP2 by granulocyte
colony-stimulating factor and overexpression of cIAP2 in chronic
neutrophilic leukemia
Taro Hasegawa,
Kenichi Suzuki,
Chikahiko Sakamoto,
Kensuke Ohta,
Saori Nishiki,
Masayuki Hino,
Noriyuki Tatsumi, and
Seiichi Kitagawa
From the Departments of Physiology and Clinical
Hematology, Osaka City University Medical School, Japan.
Human neutrophils were found to express members of the inhibitor of
apoptosis (IAP) family, namely cellular IAP1 (cIAP1), cIAP2, and
X-linked IAP. Among these members, cIAP2 expression was selectively
up-regulated by stimulation with granulocyte colony-stimulating factor
(G-CSF), but not with granulocyte-macrophage CSF. The increased expression of cIAP2 mRNA was detected as early as 30 minutes after in
vitro stimulation with G-CSF, and the elevated level of cIAP2 protein
was detected at 1 hour. The elevated level of cIAP2 protein was also
detected in peripheral blood neutrophils obtained from healthy donors
receiving G-CSF administration. G-CSF-induced up-regulation of cIAP2
mRNA and protein, phosphorylation of signal transducer and activator of
transcription 3 (STAT3), and the antiapoptotic effects were inhibited
by pretreatment of cells with AG490, a specific inhibitor of Janus
kinase 2 (JAK2). Mature neutrophils from a patient with chronic
neutrophilic leukemia exhibited remarkable overexpression of cIAP2 mRNA
and prolongation of survival, whereas cIAP2 mRNA expression and
survival in mature neutrophils from patients with chronic myelogenous
leukemia were essentially similar to those in normal neutrophils. These
findings suggest that cIAP2 expression is up-regulated by
G-CSF through activation of the JAK2-STAT3 pathway, and increased
expression of cIAP2 protein may contribute to G-CSF-mediated
antiapoptosis. In addition, overexpression of cIAP2 may be partly
responsible for sustained neutrophilia at least in some cases of
chronic neutrophilic leukemia.

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