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Blood, 1 May 2004, Vol. 103, No. 9, pp. 3503-3510.
Prepublished online as a Blood First Edition Paper on December 11, 2003; DOI 10.1182/blood-2003-07-2340.

Submitted July 10, 2003
Accepted December 4, 2003
Notch-1 signaling is involved in bone marrow stroma mediated de novo drug resistance of myeloma and other malignant lymphoid cell lines
Yulia Nefedova, Pingyan Cheng, Melissa Alsina, William S Dalton, and Dmitry I Gabrilovich*
H. Lee Moffitt Cancer Center, University of South Florida, Tampa, FL, USA
* Corresponding author; email: dgabril{at}moffitt.usf.edu.
The bone marrow (BM) microenvironment plays a critical role in growth, survival, and response to chemotherapy in hematologic malignancies. However, mechanisms associated with this environmental influence remain unclear. In this study, we investigated the role of Notch family proteins in myeloma and other malignant lymphoid cell lines growth and response to chemotherapeutic drugs. All eight tested cell lines expressed Notch-3 and Notch-4, seven cell lines expressed Notch-1, and six expressed Notch-2 proteins. Interaction with BM stroma (BMS) activated Notch signaling in tumor cells. However, activation of only Notch-1, but not Notch-2, resulted in protection of tumor cells from melphalan- and mitoxantrone-induced apoptosis. This protection was associated with up-regulation of p21WAF/Cip and growth inhibition of cells. Overexpression of Notch-1 in Notch-1 negative U266 myeloma cells up-regulated p21 and resulted in protection from drug-induced apoptosis. Thus, this is a first report demonstrating that Notch-1 signaling may be a primary mechanism mediating the BMS influence on hematologic malignant cell growth and survival.

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