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Blood, 16 July 2009, Vol. 114, No. 3, pp. 572-579.
Prepublished online as a Blood First Edition Paper on May 13, 2009; DOI 10.1182/blood-2009-02-204230.


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IMMUNOBIOLOGY

A single nucleotide polymorphism determines protein isoform production of the human c-FLIP protein

Nana Ueffing1,2,*, Kusum K. Singh1,*, Andrea Christians3, Christoph Thorns4, Alfred C. Feller4, Florian Nagl5, Falko Fend5, Sebastian Heikaus6, Alexander Marx7, Rainer B. Zotz8, Joachim Brade9, Wolfgang A. Schulz10, Klaus Schulze-Osthoff1,11,{dagger}, Ingo Schmitz1,2,{dagger}, and Christian Schwerk1,12,{dagger}

1 Institute of Molecular Medicine and 2 Institute of Medical Microbiology and Hospital Hygiene, University of Duesseldorf, Duesseldorf; 3 Institute for Pathology, Remscheid; 4 Institute of Pathology, University of Luebeck, Luebeck; 5 Department of Pathology, University of Tuebingen, Tuebingen; 6 Institute of Pathology, University of Duesseldorf, Duesseldorf; 7 Department of Pathology, Mannheim Medical Faculty, University of Heidelberg, Mannheim; 8 Department of Hemostasis and Transfusion Medicine, University of Duesseldorf, Duesseldorf; 9 Department of Statistics, Mannheim Medical Faculty, University of Heidelberg, Mannheim; 10 Department of Urology, Urological Hospital, University of Duesseldorf, Duesseldorf; 11 Interfaculty Institute for Biochemistry, University of Tuebingen, Tuebingen; and 12 Childrens Hospital, Mannheim Medical Faculty, University of Heidelberg, Mannheim, Germany

The cellular FLICE-inhibitory protein (c-FLIP) is a modulator of death receptor-mediated apoptosis and plays a major role in T- and B-cell homeostasis. Three different isoforms have been described on the protein level, including the long form c-FLIPL as well as 2 short forms, c-FLIPS and the recently identified c-FLIPR. The mechanisms controlling c-FLIP isoform production are largely unknown. Here, we identified by sequence comparison in several mammals that c-FLIPR and not the widely studied c-FLIPS is the evolutionary ancestral short c-FLIP protein. Unexpectedly, the decision for production of either c-FLIPS or c-FLIPR in humans is defined by a single nucleotide polymorphism in a 3' splice site of the c-FLIP gene (rs10190751A/G). Whereas an intact splice site directs production of c-FLIPS, the splice-dead variant causes production of c-FLIPR. Interestingly, due to differences in protein translation rates, higher amounts of c-FLIPS protein compared with c-FLIPR are produced. Investigation of diverse human cell lines points to an increased frequency of c-FLIPR in transformed B-cell lines. A comparison of 183 patients with follicular lymphoma and 233 population controls revealed an increased lymphoma risk associated with the rs10190751 A genotype causing c-FLIPR expression.


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