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Blood, 15 January 2005, Vol. 105, No. 2, pp. 804-811.
Prepublished online as a Blood First Edition Paper on September 28, 2004; DOI 10.1182/blood-2004-04-1463.


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NEOPLASIA

Targeting NF-{kappa}B activation via pharmacologic inhibition of IKK2-induced apoptosis of human acute myeloid leukemia cells

Catherine Frelin, Véronique Imbert, Emmanuel Griessinger, Annie-Claude Peyron, Nathalie Rochet, Patrick Philip, Christian Dageville, Anne Sirvent, Michaël Hummelsberger, Etienne Bérard, Michel Dreano, Nicolas Sirvent, and Jean-François Peyron

From the Institut National de la Santé et de la Recherche Médicale (INSERM) U526, Physiopathologie de la Survie et de la Mort Cellulaires et Infections Virales, France; Centre National de la Recherche Scientifique (CNRS) Unité Mixté de Recherche (UMR) 6549, Instabilité et Altération des Génomes, France; Service de Pédiatrie and Service d'Hématologie, Hôpital de l'Archet II, Nice, France; Serono International, Geneva, Switzerland; Unité d'exploration fonctionnelle cellulaire et tissulaire (UEFCT), Hôpital Pasteur, Nice, France; and Institut Fédératif de Recherche (IFR) 50, Génétique et Signalisation Moléculaires, Faculté de Médecine Pasteur, Nice, France.

Acute myeloid leukemia (AML) cells are characterized by a constitutive and abnormal activation of the nuclear factor-{kappa}B (NF-{kappa}B) transcription factor. This study, conducted in vitro on 18 patients, shows that targeting the IKB kinase 2 (IKK2) kinase with the specific pharmacologic inhibitor AS602868 to block NF-{kappa}B activation led to apoptosis of human primary AML cells. Moreover, AS602868 potentiated the apoptotic response induced by the current chemotherapeutic drugs doxorubicin, cytarabine, or etoposide (VP16). AS602868-induced cell death was associated with rupture of the mitochondrial transmembrane potential and activation of cellular caspases. NF-{kappa}B inhibition did not affect normal CD34+ hematopoietic precursors, suggesting that it could represent a new adjuvant strategy for AML treatment.


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