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Blood, Vol. 92 No. 11 (December 1), 1998:
pp. 4220-4229
Proteasome Inhibitors Induce Apoptosis in Glucocorticoid-Resistant
Chronic Lymphocytic Leukemic Lymphocytes
Joya Chandra,
Irina Niemer,
Joyce Gilbreath,
Kay-Oliver Kliche,
Michael Andreeff,
Emil J. Freireich,
Michael Keating, and
David J. McConkey
From the Departments of Cell Biology and Hematology, The University
of Texas, M.D. Anderson Cancer Center, Houston, TX.
Our previous work showed that the nuclear scaffold (NS) protease is
required for apoptosis of both thymocytes and chronic lymphocytic
leukemic (CLL) lymphocytes. Because partial sequencing of one of the
subunits of the NS protease revealed homology to the proteasome, we
tested the effects of classical proteasome inhibitors on apoptosis in
CLL cells. Here we report that proteasome inhibition caused high levels
of DNA fragmentation in all patients analyzed, including those
resistant to glucocorticoids or nucleoside analogs, in vitro.
Proteasome inhibitor-induced DNA fragmentation was associated with
activation of caspase/ICE family cysteine protease(s) and
was blocked by the caspase antagonist, zVADfmk. Analysis
of the biochemical mechanisms involved showed that proteasome inhibition resulted in mitochondrial dysregulation leading to the
release of cytochrome c and a drop in mitochondrial transmembrane potential ( ). These changes were associated with inhibition of
NF B, a proteasome-regulated transcription factor that has been
implicated in the suppression of apoptosis in other systems. Together,
our results suggest that drugs that target the proteasome might be
capable of bypassing resistance to conventional chemotherapy in CLL.

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