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Blood, 1 November 2004, Vol. 104, No. 9, pp. 2873-2878.
Prepublished online as a Blood First Edition Paper on July 8, 2004; DOI 10.1182/blood-2003-10-3720.


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Submitted November 4, 2003
Accepted June 4, 2004

Enhancement of stress-induced apoptosis in B-lineage cells by caspase-9 inhibitor

Nisha Shah, Rebecca J Asch, Alana S Lysholm, and Tucker W LeBien*

Cancer Center, University of Minnesota, Minneapolis, MN, USA

* Corresponding author; email: lebie001{at}umn.edu.

We have established human B-lineage (BLIN) acute lymphoblastic leukemia cell lines that retain a dependency on fibroblast monolayers for survival and proliferation. Eight hours following removal from adherent cell contact BLIN cells undergo a decrease in mitochondrial transmembrane potential and an increase in Annexin V binding. Unexpectedly, the caspase-9 inhibitor (C9i) Z-LEHD-fmk enhanced the appearance of apoptotic cells within 8 hours following removal of BLIN cells from fibroblast monolayers. C9i enhancement of apoptosis was dose-dependent, and did not occur with irreversible inhibitors of caspases-2, 3, 6, and 8. C9i also enhanced apoptosis in cord blood-derived CD19+ B-lineage cells (but not myeloid cells) removed from murine stromal cells. Longer exposure (>18 hours) to C9i culminated in apoptosis in a panel of B-lineage ALL cell lines in the presence or absence of fibroblast monolayers, as well as in two proliferating leukemic cell lines (RAMOS and CEM). BLIN-4L cells made deficient in caspase-9 by RNA interference exhibited no resistance to apoptotic signals, and actually showed increased apoptotic sensitivity to staurosporine. These collective results suggest that a four amino acid caspase inhibitor of caspase-9 can promote apoptosis, and that at least some types of apoptotic pathways in B-lineage ALL do not require caspase-9.


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