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Blood, 1 April 2004, Vol. 103, No. 7, pp. 2443-2451.
Prepublished online as a Blood First Edition Paper on October 30, 2003; DOI 10.1182/blood-2003-08-2834.

Submitted August 26, 2003
Accepted October 16, 2003
Vav1 - an oncogene that regulates specific transcriptional activation of T cells
Shulamit Katzav*
Hubert H. Humphrey Center for Experimental Medicine & Cancer Research, The Hebrew University/Hadassah Medical School, Jerusalem, Israel
* Corresponding author; email: katzav{at}cc.huji.ac.il.
The nuclear factor of activated T cells (NFAT) proteins are a family of transcription factors whose activation is controlled by calcineurin, a Ca2-dependent phosphatase. Once dephosphorylated, these proteins move to the nucleus where they interact with co-factors to form transcription factor complexes. Inhibition of NFAT proteins by immunosuppressants such as cyclosporin A (CsA) and FK506, is used clinically to prevent transplant rejection. Although these drugs have revolutionized organ transplant, their use is associated with severe side effects in other organs in which NFAT proteins are important. One of the signal transducers that controls NFAT activity is Vav1, which is exclusively expressed in the hematopoietic system. Vav1 contains numerous modular domains that enable its function as a guanine exchange factor (GEF) towards RhoGTPases, as well as participate in protein-protein interactions. This review focuses on the mechanisms by which Vav1 regulates NFAT through GEF dependent and independent cascades, emphasizing the newly assigned role of Vav1 in the regulation of Ca2 release. Because of its restriction to hematopoietic cell lineages and its importance in the regulation of NFAT, targeting Vav1 and, in particular, its association with other proteins, may offer a highly selective means of modifying T-cell behaviour, thus allowing the development of more specific immunosuppressive therapies.

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