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Prepublished online as a Blood First Edition Paper on August 29, 2002; DOI 10.1182/blood-2002-01-0189.
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Blood, 1 January 2003, Vol. 101, No. 1, pp. 278-285
NEOPLASIA
Rapamycin-induced G1 arrest in cycling B-CLL cells is
associated with reduced expression of cyclin D3, cyclin E, cyclin A,
and survivin
Thomas Decker,
Susanne Hipp,
Ingo Ringshausen,
Christian Bogner,
Madlene Oelsner,
Folker Schneller, and
Christian Peschel
From the 3rd Department of Medicine, Technical
University of Munich, Munich, Germany.
In B-cell chronic lymphocytic leukemia (B-CLL), malignant
cells seem to be arrested in the G0/early G1
phase of the cell cycle, and defective apoptosis might be involved in
disease progression. However, increasing evidence exists that
B-CLL is more than a disease consisting of slowly accumulating resting
B cells: a proliferating pool of cells has been described in lymph
nodes and bone marrow and might feed the accumulating pool in the
blood. Rapamycin has been reported to inhibit cell cycle progression in
a variety of cell types, including human B cells, and has shown
activity against a broad range of human tumor cell lines. Therefore, we
investigated the ability of rapamycin to block cell cycle progression
in proliferating B-CLL cells. We have recently demonstrated
that stimulation with CpG-oligonucleotides and interleukin-2 provides a
valuable model for studying cell cycle regulation in malignant B cells.
In our present study, we demonstrated that rapamycin induced cell cycle arrest in proliferating B-CLL cells and inhibited phosphorylation of
p70s6 kinase (p70s6k). In contrast to previous reports on
nonmalignant B cells, the expression of the cell cycle inhibitor p27
was not changed in rapamycin-treated leukemic cells. Treatment
with rapamycin prevented retinoblastoma protein (RB) phosphorylation in
B-CLL cells without affecting the expression of cyclin D2, but cyclin
D3 was no longer detectable in rapamycin-treated B-CLL cells.
In addition, rapamycin treatment inhibited cyclin-dependent
kinase 2 activity by preventing up-regulation of cyclin E and cyclin A. Interestingly, survivin, which is expressed in the proliferation
centers of B-CLL patients in vivo, is not up-regulated in
rapamycin-treated cells. Therefore, rapamycin interferes with the
expression of many critical molecules for cell cycle regulation in
cycling B-CLL cells. We conclude from our study that rapamycin might be
an attractive substance for therapy for B-CLL patients by inducing a
G1 arrest in proliferating tumor cells.

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