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Prepublished online as a Blood First Edition Paper on September 26, 2002; DOI 10.1182/blood-2002-06-1688.

Submitted June 7, 2002
Accepted September 17, 2002
Rapamycin specifically interferes with GM-CSF signaling in human dendritic cells leading to apoptosis via increased p27KIP1 expression
Andrea M Woltman*, Sandra W van der Kooij, Paul J Coffer, Rienk Offringa, Mohamed R Daha, and Cees van Kooten
Department of Nephrology, Leiden University Medical Center, Leiden, The Netherlands
Department of Pulmonary Diseases, University Medical Center Utrecht, Utrecht, The Netherlands
Department of Immunohematology and Blood Transfusion, Leiden University Medical Center, Leiden, The Netherlands
* Corresponding author; email: A.M.Woltman{at}lumc.nl.
The longevity of dendritic cells (DCs) is a critical regulatory factor influencing the outcome of immune responses. Recently, we demonstrated that the immunosuppressive drug rapamycin (Rapa) specifically induces apoptosis in DCs, but not in other myeloid cell types. The present study unraveled the mechanism used by Rapa to induce apoptosis in human monocyte-derived DCs. Our data demonstrate that GM-CSF preserves DC survival specifically via the PI3K/mTOR signaling pathway, which is abrogated by Rapa at the level of mTOR. Disruption of this GM-CSF signaling pathway, induced loss of mitochondrial membrane potential, phosphatidyl-serine exposure and nuclear changes. Apoptosis of these non-proliferating DCs was preceded by an upregulation of the cell cycle inhibitor p27KIP1. Overexpression of p27KIP1 in DCs using adenoviral gene transduction revealed that apoptosis is directly regulated by p27KIP1. Furthermore, both overexpression of p27KIP1 and disruption of the GM-CSF/PI3K/mTOR signaling pathway decreased the expression of the anti-apoptotic protein mcl-1. This mTOR/p27KIP1/mcl-1 survival seems unique for DCs and may provide novel opportunities to influence immune responses by specific interference with the life-span of these cells.

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