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Prepublished online as a Blood First Edition Paper on July 12, 2002; DOI 10.1182/blood-2002-02-0539.

Submitted February 20, 2002
Accepted June 25, 2002
Constitutively activated phosphatidylinositol-3 kinase (PI-3K) is involved in the defect of apoptosis in B-CLL: association with Proteinkinase C
Ingo Ringshausen*, Folker Schneller, Christian Bogner, Susanne Hipp, Justus Duyster, Christian Peschel, and Thomas Decker
IIIrd Department of Medicine, Technical University of Munich, Munich, Germany, Munich, Germany
* Corresponding author; email: i.ringshausen{at}lrz.tum.de.
In the present study we analyzed the role of phophatidylinositol-3 kinase (PI-3K) in B-CLL cells. PI-3 kinase is activated by many stimuli and is linked to several different signaling pathways. We demonstrated that inhibition of PI-3 kinase by a specific inhibitor LY294002 induced apoptosis in B-CLL cells in vitro. This effect was specific for the inhibition of PI-3 kinase as inhibition of other signaling pathways like extracellular signaling-regulated kinase (ERK), p38 or p70S6 kinase did not affect spontaneous apoptosis. Furthermore PI-3 kinase was constitutively activated in freshly isolated B-CLL cells. Corresponding to enhanced apoptosis, LY294002 downregulated expression of the antiapoptotic proteins XIAP and Mcl-1. Next we investigated which factors downstream of PI-3 kinase were activated in B-CLL cells. We demonstrated that Proteinkinase B/Akt is expressed in all tested CLL samples but no activation of Akt was detected. In contrast, we observed a constitutive activation of PKC in freshly isolated B-CLL cells. PKC is linked to PI-3 kinase and phosphorylated at threonine 505 in response to PI-3 kinase activation. We further demonstrated that tyrosinephosphorylation and activity of PKC were depending on PI-3 kinase activity in B-CLL cells. Inhibition of PKC by the specific inhibitor Rottlerin strikingly enhanced apoptosis. In contrast, peripheral blood B-cells of healthy donors were resistant to inhibition of PI-3K or PKC . We conclude that activated PI-3 kinase might be important in the pathogenesis of B-CLL and survival signals might be mediated via PKC . Therefore inhibition of PI-3 kinase or PKC may be an innovative approach to treat B-CLL.

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