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Blood, 1 May 2007, Vol. 109, No. 9, pp. 3982-3988.
Prepublished online as a Blood First Edition Paper on December 21, 2006; DOI 10.1182/blood-2006-10-053959.


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NEOPLASIA

NF-{kappa}B–independent down-regulation of XIAP by bortezomib sensitizes HL B cells against cytotoxic drugs

Hamid Kashkar1,2, Anke Deggerich1, Jens-Michael Seeger1, Benjamin Yazdanpanah1, Katja Wiegmann1, Dirk Haubert1, Carola Pongratz1, and Martin Krönke1,2

1 Institute for Medical Microbiology, Immunology and Hygiene and 2 the Center for Molecular Medicine Cologne, University of Cologne, Germany

The proteasome inhibitor bortezomib has been shown to possess promising antitumor activity and significant efficacy against a variety of malignancies. Different studies demonstrated that bortezomib breaks the chemoresistance in different tumor cells basically by altering nuclear factor–{kappa}B (NF-{kappa}B) activity. NF-{kappa}B has been shown to be constitutively active in most primary Hodgkin-Reed-Sternberg (H-RS) cells in lymph node sections and in Hodgkin lymphoma (HL) cell lines and was suggested to be a central molecular switch in apoptosis resistance in HL. Here we report a bimodal effect of bortezomib in HL cells. Whereas high-dose bortezomib induced direct cytotoxicity that correlated with decreased NF-{kappa}B activity, low-dose bortezomib sensitized HL cells against a variety of cytotoxic drugs without altering NF-{kappa}B action. Strikingly, bortezomib induced marked XIAP down-regulation at the posttranslational level that was independent of the NF-{kappa}B status. Similarly, RNA interference (RNAi)–mediated XIAP down-regulation generated susceptibility to cytostatic agents. The results identify XIAP as an NF-{kappa}B–independent target of bortezomib action that controls the chemoresistant phenotype of HL cells.


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