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Blood, 15 July 2004, Vol. 104, No. 2, pp. 526-534.
Prepublished online as a Blood First Edition Paper on March 23, 2004; DOI 10.1182/blood-2003-12-4357.
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Submitted December 23, 2003
Accepted March 8, 2004
The peripheral cannabinoid receptor Cb2, frequently expressed on AML blasts, either induces a neutrophilic differentiation block or confers abnormal migration properties in a ligand-dependent manner
Meritxell Alberich Jorda, Nazik Rayman, Marjolein Tas, Sandra E Verbakel, Natalia Battista, Kirsten van Lom, Bob Lowenberg, Mauro Maccarrone, and Ruud Delwel*
Hematology, ErasmusMC, Rotterdam, The Netherlands
Department of Experimental Medicine and Biochemical Sciences, University of Rome Tor Vergata, Rome, Italy
Department of Biomedical Sciences, University of Teramo, Teramo, Italy; Mondino-Tor Vergata- Santa Lucia Center for Experimental Neurobiology, IRCCS C. Mondino, Rome, Italy
* Corresponding author; email: h.delwel{at}erasmusmc.nl.
Cb2, the gene encoding the peripheral cannabinoid receptor, is located in a common virus integration site and is overexpressed in retrovirally-induced murine myeloid leukemias. Here we show that this G protein-coupled receptor (GPCR) is also aberrantly expressed in a high percentage of human acute myeloid leukemias. We investigated the mechanism of transformation by Cb2 and demonstrate that aberrant expression of this receptor on hematopoietic precursor cells results in distinct effects depending on the ligand used. Cb2-expressing myeloid precursors migrate upon stimulation by the endocannabinoid 2-arachidonoylglycerol and are blocked in neutrophilic differentiation upon exposure to another ligand, CP55,940. Both effects depend on the activation of G i proteins and require the MEK/ERK pathway. Downregulation of cAMP levels upon G i activation is important for migration induction, but is irrelevant for the maturation arrest. Moreover, the highly conserved G protein interacting DRY-motif, present in the second intracellular loop of GPCRs, is critical for migration, but unimportant for the differentiation block. This suggests that the Cb2-mediated differentiation block requires interaction of G i proteins with other currently unknown motifs. This indicates a unique mechanism by which a transforming GPCR, in a ligand-dependent manner, causes two distinct oncogenic effects, i.e. altered migration and block of neutrophilic development.

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