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Blood, Vol. 92 No. 4 (August 15), 1998: pp. 1334-1341

Impaired Activation of NFkappa B in T Cells From a Subset of Renal Cell Carcinoma Patients Is Mediated by Inhibition of Phosphorylation and Degradation of the Inhibitor, Ikappa Balpha

Weijun Ling, Patricia Rayman, Robert Uzzo, Peter Clark, Hyung Jin Kim, Raymond Tubbs, Andrew Novick, Ronald Bukowski, Thomas Hamilton, and James Finke

From the Departments of Immunology, Urology, Clinical Pathology, and Hematology-Oncology, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, OH.

Activation of the transcription factor NFkappa B in peripheral blood T cells from patients with renal cell carcinoma (RCC) is compromised. This impaired signaling function results from a failure of RelA and c-Rel to translocate to the nucleus though normal levels of Rel proteins are present in the cytoplasm. We demonstrate here in a subset of RCC patients that the defect in NFkappa B activation is attributable to the absence of phosphorylation and degradation of the inhibitor Ikappa Balpha . In patient T cells there was no stimulus dependent decrease in the cytoplasmic level of Ikappa Balpha . Coimmunoprecipitation studies showed that RelA was in complex with Ikappa Balpha and was not released after stimulation. Moreover, the phosphorylated form of Ikappa Balpha detected in normal T cells after activation is absent in patient T cells. Additional experiments showed that soluble products from RCCs (RCC-S) can reproduce the same phenotype in T cells from healthy individuals. Supernatant fluid from cultured explants of RCC, but not normal kidney, inhibited the stimulus dependent nuclear translocation of NFkappa B without altering the cytoplasmic levels of RelA, c-Rel, and NFkappa B1. Phosphorylation and degradation of Ikappa Balpha was also blocked by RCC-S. The mechanistic similarities between patient-derived T cells and normal T cells cultured with RCC-S suggest that the tumor-derived products may be the primary mediators of impaired T-cell function in this tumor system.

© 1998 by The American Society of Hematology.


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