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Blood, Vol. 92 No. 4 (August 15), 1998:
pp. 1334-1341
Impaired Activation of NF B in T Cells From a Subset of Renal Cell
Carcinoma Patients Is Mediated by Inhibition of Phosphorylation and
Degradation of the Inhibitor, I B
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 NF 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 NF B activation is attributable to
the absence of phosphorylation and degradation of the inhibitor
I B . In patient T cells there was no stimulus dependent decrease
in the cytoplasmic level of I B . Coimmunoprecipitation studies
showed that RelA was in complex with I B and was not released
after stimulation. Moreover, the phosphorylated form of I B
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 NF B without altering the cytoplasmic levels of RelA, c-Rel, and
NF B1. Phosphorylation and degradation of I B 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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