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Expression and regulation of Bcl-2, Bcl-xl, and Bax correlate with p53
status and sensitivity to apoptosis in childhood acute lymphoblastic
leukemia
HW Findley, L Gu, AM Yeager and M Zhou
Division of Pediatric Hematology/Oncology/Bone Marrow Transplantation,
Emory University School of Medicine, Atlanta, GA 30322, USA.
Bcl-2 and its homologue, Bcl-x1, encode membrane-associated proteins that
protect neoplastic cells from DNA damage-induced apoptosis, whereas Bax is
a Bcl-2 antagonist that promotes cell death. In the present study, we
examined the expression and regulation of these genes at both the mRNA and
protein level in 22 pediatric acute lymphoblastic leukemia (ALL) cell
lines, as well as their sensitivity to apoptosis after exposure to ionizing
radiation (IR). Eleven of 22 lines expressed wild-type (wt) p53, 4
expressed mutant p53, and 7 did not express p53 (p53-null). Nine of 22
(41%) lines expressed Bcl-2; of these, 8 were wt- p53+ and 1 expressed
mutant p53. Bcl-2 was not expressed in any p53- null lines. In contrast,
all 22 lines were positive for Bcl-x1 and Bax, although expression level
varied. Treatment with IR (10 Gy) induced both downregulation of Bcl-2 and
upregulation of Bax at 2 to 5 hours post-IR in 5 of 8 (63%) wt-p53+ lines,
leading to apoptosis. Conversely, lines that failed to both downregulate
Bcl-2 and upregulate Bax after IR were resistant to apoptosis. Although
levels of Bcl-x1 expression varied among the 22 lines, high levels of
Bcl-x1 were observed in 5 of 7 (71%) p53- lines. There were no obvious
changes in the expression of Bcl-x1 in these lines after IR. However, among
the p53-null lines, resistance to IR was observed only in those expressing
high levels of Bcl-x1. These results suggest that expression of Bcl-2 but
not Bcl-x1 is p53-dependent and that IR-induced downregulation of Bcl-2 and
upregulation of Bax occur in most wt-p53+ lines and are associated with
radiosensitivity. Furthermore, high-level expression of Bcl-x1 occurs
predominantly in p53-null lines and is associated with resistance to
IR-induced apoptosis in these lines, indicating differential expression and
regulation of Bcl-2 and Bcl-x1 in pediatric ALL.
Volume 89,
Issue 8,
pp. 2986-2993,
04/15/1997
Copyright © 1997 by The American Society of Hematology

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