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Blood, 15 July 2007, Vol. 110, No. 2, pp. 735-742.
Prepublished online as a Blood First Edition Paper on April 26, 2007; DOI 10.1182/blood-2006-12-060947.


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NEOPLASIA

Inhibition of glycogen synthase kinase-3 activity leads to epigenetic silencing of nuclear factor {kappa}B target genes and induction of apoptosis in chronic lymphocytic leukemia B cells

Andrei V. Ougolkov1, Nancy D. Bone2, Martin E. Fernandez-Zapico3, Neil E. Kay2, and Daniel D. Billadeau1

Divisions of1 Oncology Research and 2 Hematology and 3 Gastroenterology Research Unit, Mayo Clinic College of Medicine, Rochester, MN

Chronic lymphocytic leukemia (CLL) is commonly defined as a disease of failed apoptosis of B cells and remains an incurable disease. The mechanism of resistance to apoptosis in CLL is complex and influenced by numerous factors, including nuclear factor {kappa}B (NF{kappa}B)-mediated expression of antiapoptotic molecules. Recent evidence indicates that glycogen synthase kinase-3ß (GSK-3ß) positively regulates NF{kappa}B-mediated gene transcription and cell survival. Using malignant B cells collected from patients with CLL, we find that both GSK-3ß and NF{kappa}B accumulate in the nucleus of CLL B cells, and pharmacologic inhibition of GSK-3 results in decreased expression of two NF{kappa}B target genes Bcl-2 and XIAP and a subsequent increase in CLL B-cell apoptosis ex vivo. Furthermore, we observed that inhibition of GSK-3 leads to a decrease in NF{kappa}B-mediated gene transcription but does not affect the nuclear accumulation of NF{kappa}B in CLL B cells. Last, using chromatin immunoprecipitation, we show that GSK-3 inhibition abrogates NF{kappa}B binding to its target gene promoters (XIAP, Bcl-2), in part through epigenetic modification of histones. Our results establish that inhibition of GSK-3 abrogates NF{kappa}B binding to its target gene promoters through an epigenetic mechanism, enhances apoptosis in CLL B cells ex vivo and identifies GSK-3 as a potential therapeutic target in the treatment of CLL.


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