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Blood, 15 October 2007, Vol. 110, No. 8, pp. 2996-3004.
Prepublished online as a Blood First Edition Paper on June 11, 2007; DOI 10.1182/blood-2007-02-075614.


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NEOPLASIA

The Myc-evoked DNA damage response accounts for treatment resistance in primary lymphomas in vivo

Maurice Reimann1, Christoph Loddenkemper2, Cornelia Rudolph3, Ines Schildhauer1, Bianca Teichmann1, Harald Stein2, Brigitte Schlegelberger3, Bernd Dörken1,4, and Clemens A. Schmitt1,4

1 Charité–Humboldt University, Campus Virchow, Department of Hematology/Oncology, Berlin; 2 Charité–Humboldt University, Campus Benjamin Franklin, Department of Pathology, Berlin; 3 Institute of Cell and Molecular Pathology, Hannover Medical School, Hannover; and 4 Max-Delbrück-Center for Molecular Medicine, Berlin, Germany

In addition to the ARF/p53 pathway, the DNA damage response (DDR) has been recognized as another oncogene-provoked anticancer barrier in early human tumorigenesis leading to apoptosis or cellular senescence. DDR mutations may promote tumor formation, but their impact on treatment outcome remains unclear. In this study, we generated ataxia telangiectasia mutated (Atm)–proficient and -deficient B-cell lymphomas in Eµ-myc transgenic mice to examine the role of DDR defects in lymphomagenesis and treatment sensitivity. Atm inactivation accelerated development of lymphomas, and their DNA damage checkpoint defects were virtually indistinguishable from those observed in Atm+/+-derived lymphomas that spontaneously inactivated the proapoptotic Atm/p53 cascade in response to Myc-evoked reactive oxygen species (ROS). Importantly, acquisition of DDR defects, but not selection against the ARF pathway, could be prevented by lifelong exposure to the ROS scavenger N-acetylcysteine (NAC) in vivo. Following anticancer therapy, DDR-compromised lymphomas displayed apoptotic but, surprisingly, no senescence defects and achieved a much poorer long-term outcome when compared with DDR-competent lymphomas treated in vivo. Hence, Atm eliminates preneoplastic lesions by converting oncogenic signaling into apoptosis, and selection against an Atm-dependent response promotes formation of lymphomas with predetermined treatment insensitivity.


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