
Blood, 1 May 2003, Vol. 101, No. 9, pp. 3343-3343
Acute promyelocytic leukemia fusion proteins: up to new tricks
In this issue, Kawasaki and colleagues (page 3668) demonstrate
that the nuclear-matrix-associated protein, promyelocytic
leukemia protein (PML), binds to and inhibits Stat3 transcriptional
activity. The region of Stat3 bound by PML includes its DNA binding
domain. Overexpression of PML inhibited ligand-activated Stat3
DNA binding, suggesting that PML may decrease Stat3 transcriptional
activity, at least in part, through this mechanism. The authors also
demonstrate that the fusion gene product PML-RAR
, which results from
t(15, 17) in acute promyelocytic leukemia (APL), enhances Stat3
transcriptional activity, confirming the findings of our group
regarding cross talk between Stat3 and APL fusion proteins including
PML-RAR
(Dong and Tweardy, Blood. 2002;99:2637-2646). They
also extend these findings in important ways by demonstrating that
the enhanced activity of Stat3 by PML-RAR
is mediated, in part, by
release of PML suppression of Stat3 activity and demonstrating that
these effects on Stat3 are biologically relevant:
Stat3dependent growth of Ba/F3 cells was inhibited
by PML and enhanced by PML-RAR
.
APL cells are characterized by a block in myeloid differentiation at
the promyelocytic stage and by resistance to apoptosis. In addition to
PML-RAR
, 4 alternative fusion partners for
RAR
in APL have been identified, including
PLZF (promyelocytic leukemia zinc finger) on chromosome 11, nucleophosmin (NPM) on chromosome 5, NuMA
(nuclear mitotic apparatus protein) gene on chromosome 11, and signal
transducer and activator of transcription 5b (STAT5b) on
chromosome 17. Each of the APL fusion proteins blocks myeloid differentiation through inhibition of normal RAR
-mediated
transcription. The mechanism for apoptosis resistance in APL, however,
is unknown. Apoptosis resistance in a number of hematopoietic and
nonhematopoietic tumors has been linked to increased Stat3 activity.
The ability of PML-RAR
and other APL fusion proteins to augment
Stat3 transcriptional activity supports the hypothesis that apoptosis
resistance in APL may be mediated through the effects of APL fusion
proteins on Stat3 and suggests the possibility that targeting Stat3 may be a useful adjunctive treatment strategy in this disease.
David J. Tweardy
Baylor College of
Medicine