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Prepublished online as a Blood First Edition Paper on September 4, 2003; DOI 10.1182/blood-2003-04-1161.

Submitted May 2, 2003
Accepted August 5, 2003
Microarray analysis reveals that TP53 and ATM mutant B-CLLs share a defect in activation of pro-apoptotic responses following DNA damage but are distinguished by major differences in activation of pro-survival responses
Tatjana Stankovic*, Mike Hubank, Debbie Cronin, Grant S Stewart, Danielle Fletcher, Colin R Bignell, Azra J Alvi, Belinda Austen, Victoria J Weston, Christopher Fegan, Philip J Byrd, Paul A H Moss, and A Malcolm R Taylor
Cancer Research UK Institute for Cancer Studies, University of Birmingham, Birmingham, United Kingdom
Department of Molecular Haematology, Institute of Child Health, University College London, London, United Kingdom
Department of Hematology, Birmingham Heartlands Hospital, Birmingham, United Kingdom
* Corresponding author; email: t.stankovic{at}bham.ac.uk.
The ATM/p53 dependent DNA damage response pathway plays an important role in the progression of lymphoid tumours. Inactivation of the ATM or TP53 gene is frequent in B cell lymphocytic leukaemia (B- CLL) and leads to aggressive disease. Although the ATM and p53 pathways are overlapping they are not congruent and it is not clear how the mechanism of tumour progression differs between ATM and p53 deficient tumours. Using microarray analysis of ATM mutant, TP53 mutant and ATM/TP53 wild type B-CLLs we show that following exposure to DNA damage transcriptional responses are entirely dependent on ATM function. The p53 pro-apoptotic responses comprise only a part of ATM regulated transcription and additionally ATM regulates pro-survival responses independently of p53. Consequently, the greater severity of the TP53 mutant B-CLLs compared with ATM mutant B-CLLs is consistent with the additive effect of defective apoptotic and elevated survival responses following DNA damage in these tumours. We also show that transcription expression profiles of ATM deficient, TP53 deficient and wild type B-CLLs are indistinguishable before irradiation. Therefore, damage induced transcriptional fingerprinting can be used to stratify tumours according to their biological differences and simultaneously identify potential targets for treatment of refractory tumours.

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