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Blood, 15 October 2004, Vol. 104, No. 8, pp. 2376-2384.
Prepublished online as a Blood First Edition Paper on July 13, 2004; DOI 10.1182/blood-2003-02-0635.


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Submitted February 27, 2003
Accepted June 30, 2004

A20 protects endothelial cells from TNF, FAS and NK mediated cell death by inhibiting caspase 8 activation

Soizic Daniel, Maria B Arvelo, Virendra I Patel, Christopher R Longo, Gautam Shrikhande, Tala Shukri, Jerome Mahiou, David W Sun, Christina Mothley, Shane T Grey, and Christiane Ferran*

Department of Surgery and Medicine, Immunobiology Research Center and Division of Vascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
Division of Immunology, Beth Israel Deaconess Medical Center , Harvard Medical School, Boston, MA, USA
Arthritis and Inflammation, The Garvan Institute of Medical Research, Dar Linghurst, Australia

* Corresponding author; email: cferran{at}caregroup.harvard.edu.

A20 is a stress response gene in endothelial cells (EC). A20 serves a dual cytoprotective function, protecting from TNF mediated apoptosis and inhibiting inflammation via blockade of the transcription factor NF-{kappa}B. In this study, we evaluated the molecular basis of the cytoprotective function of A20 in EC cultures and questioned whether its protective effect extends beyond TNF to other apoptotic and necrotic stimuli. Our data demonstrate that A20 targets the TNF apoptotic pathway by inhibiting proteolytic cleavage of apical caspases 8 and 2, executioner caspases 3 and 6, Bid cleavage and release of cytochrome c thus preserving mitochondrion integrity. A20 also protects from FAS and significantly blunts natural killer cells mediated EC apoptosis by inhibiting caspase 8 activation. In addition to protecting EC from apoptotic stimuli, A20 safeguards EC from complement-mediated necrosis. These data demonstrate, for the first time, that the cytoprotective effect of A20 in EC is not limited to TNF triggered apoptosis. Rather, A20 affords broad EC protective functions by effectively shutting down cell death pathways initiated by inflammatory and immune offenders.


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