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Blood, 15 June 2004, Vol. 103, No. 12, pp. 4520-4526.
Prepublished online as a Blood First Edition Paper on March 2, 2004; DOI 10.1182/blood-2003-06-2118.

Submitted June 26, 2003
Accepted February 7, 2004
Lipopolysaccharide initiates a TRAF6-mediated endothelial survival signal
Fred Wong, Christopher Hull, Rachel Zhande, Jennifer Law, and Aly Karsan*
Medical Biophysics, British Columbia Cancer Agency, Vancouver, BC, Canada; Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada
Pathology and Laboratory Medicine, British Columbia Cancer Agency, Vancouver, BC, Canada; Medical Biophysics, British Columbia Cancer Agency, Vancouver, BC, Canada; Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada
* Corresponding author; email: akarsan{at}bccrc.ca.
Similar to tumor necrosis factor (TNF), bacterial lipopolysaccharide (LPS) elicits parallel apoptotic and anti-apoptotic pathways in endothelial cells. The overall result is that there is minimal endothelial cell death in response to LPS without inhibition of the cytoprotective pathway. While the TNF-induced death and survival pathways have been relatively well elucidated, much remains to be learned about LPS signaling events in this regard. It is known that the transcription factor NF- B provides a critical cell survival signal in response to TNF, but is not an essential component of the LPS-induced survival pathway. The TNF receptor-associated factor (TRAF)6 is a major effector of multiple LPS-induced signals, including a c-Jun N-terminal kinase (JNK)-mediated apoptotic response. In this report we demonstrate that following LPS stimulation, TRAF6 also transmits an important endothelial cell survival signal in a situation of complete NF- B blockade. In response to LPS, TRAF6 activates the phosphatidylinositol 3'-kinase (PI3K)/Akt pathway, but not ERK1/2 mitogen-activated protein kinases (MAPK) in endothelial cells. Activation of PI3K signals a critical anti-apoptotic pathway in response to LPS in endothelial cells, whereas ERK1/2 do not. Thus TRAF6 acts as a bifurcation point of the LPS-initiated death and survival signals in endothelial cells.

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