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Blood, 15 August 2005, Vol. 106, No. 4, pp. 1346-1354.
Prepublished online as a Blood First Edition Paper on April 28, 2005; DOI 10.1182/blood-2004-04-1322.


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Submitted April 8, 2004
Accepted April 6, 2005

Ectopic and IFN-induced expression of Fas overcomes resistance to Fas-mediated apoptosis in multiple myeloma cells

Lina Y Dimberg, Anna I Dimberg, Karolina Ivarsson, Thomas Stromberg, Anders Osterborg, Kenneth Nilsson, Fredrik Oberg, and Helena Jernberg Wiklund*

Department of Genetics and Pathology, Rudbeck Laboratory, Uppsala University, Uppsala, Sweden
Department of Hematology and Oncology, Karolinska Hospital, Stockholm, Sweden

* Corresponding author; email: helena.jernberg_wiklund{at}genpat.uu.se.

Multiple myeloma (MM) is an as yet incurable B cell malignancy. Increased survival in vitro is a hallmark of MM cells, implying that a therapeutic potential may lie in circumventing anti-apoptotic signals. We have previously reported that interferons (IFNs) sensitize MM cells to Fas/CD95-mediated apoptosis 1. In the present study, we explore the mechanism underlying this effect. In a wide screening of apoptosis-related genes, Apo2L/TRAIL and Fas were identified as IFN-targets. Sensitization to Fas-mediated apoptosis by IFNs was not affected by blocking Apo2L/TRAIL, suggesting that Apo2L/TRAIL is not a key mediator in this process. In contrast, we found that an elevated Fas expression was functionally linked to increased susceptibility to Fas-mediated apoptosis. This was further supported by the finding that IFN-treatment enhanced Fas-mediated caspase-8 activation, one of the earliest signaling events down-stream receptor activation. In addition, IFN treatment attenuated the IL-6 dependent activation of Stat3, interfering with a known survival-pathway in MM that has previously been linked with resistance to Fas-mediated apoptosis. Taken together, our results show that IFN-induced up-regulation of Fas sensitizes MM cells to Fas-mediated apoptosis and suggest that attenuation of Stat3 activation may be a potentially important event in this process.


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