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Blood, 15 January 2007, Vol. 109, No. 2, pp. 703-710.
Prepublished online as a Blood First Edition Paper on September 14, 2006; DOI 10.1182/blood-2006-06-027755.


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NEOPLASIA

BAFF and APRIL support chronic lymphocytic leukemia B-cell survival through activation of the canonical NF-{kappa}B pathway

Tomoyuki Endo1, Mitsufumi Nishio1, Thomas Enzler2, Howard B. Cottam1, Tetsuya Fukuda1, Danelle F. James1, Michael Karin2, and Thomas J. Kipps1,

1 Moores Cancer Center and 2 Laboratory of Gene Regulation and Signal Transduction, Department of Pharmacology, School of Medicine, University of California at San Diego, La Jolla, CA

Chronic lymphocytic leukemia (CLL) B cells express BR3, the specific receptor for the B cell–activating factor of tumor necrosis factor family (BAFF). CLL cells also express 2 other receptors for BAFF, namely B-cell maturation antigen (BCMA) and the transmembrane activator and calcium modulator and cyclophilin ligand-interactor (TACI), which also bind a proliferation-inducing ligand (APRIL). We found that signaling through BR3, but not BCMA or TACI, activated the alternative nuclear factor of {kappa} B (NF-{kappa}B) pathway in CLL cells, whereas signaling through BCMA/TACI induced activation of the canonical NF-{kappa}B pathway. Blocking BR3 did not inhibit the capacity of BAFF to support CLL cell survival in vitro. On the other hand, specifically blocking the canonical NF-{kappa}B pathway with UTC, an inhibitor of I{kappa}B kinase ß (IKKß), or transfection of CLL cells with the I{kappa}B{alpha} super-repressor, blocked the capacity of BAFF and APRIL to promote CLL cell survival in vitro. This contrasts what is found with normal blood B cells, which apparently depend on activation of the alternative NF-{kappa}B pathway for BAFF-enhanced survival. These findings suggest that inhibitors of protein kinase IKKß, which is required for activation of the canonical NF-{kappa}B pathway, might have a therapeutic role in this disease.


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