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Blood, 1 July 2005, Vol. 106, No. 1, pp. 235-240.
Prepublished online as a Blood First Edition Paper on March 24, 2005; DOI 10.1182/blood-2004-09-3748.
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Submitted September 27, 2004
Accepted February 25, 2005
Azidothymidine inhibits NF- B and induces Epstein-Barr virus gene expression in Burkitt lymphoma
Motoki Kurokawa, Subrata K Ghosh, Juan C Ramos, Abdul M Mian, Ngoc L Toomey, Lisa Cabral, Denise Whitby, Glen N Barber, Dirk P Dittmer, and William J Harrington, Jr.*
Department of Dermatology, Medical College, University of Miyazaki, Miyazaki, Japan
Department of Medicine, University of Miami School of Medicine, Miami, FL, USA
Viral Epidemiology Section, AIDS Vaccine Program, SAIC-Frederick, National Cancer Institute, Frederick, MD, USA
Department of Microbiology and Immunology, University of Miami School of Medicine, Miami, FL, USA
Department of Microbiology and Immunology, The University of North Carolina, Chapel Hill, NC, USA
* Corresponding author; email: wharring{at}med.miami.edu.
The antiviral Azidothymidine (AZT), alone or in combination with other agents, induces apoptosis in early passage Epstein Barr Virus positive Burkitt lymphoma (EBV+ BL) lines and has clinical activity in EBV+ BL. We report here a mechanism of AZT's anti-tumor activity. The nucleus of these cells contains activated NF- B subunits p50, c-Rel, RelB, and p52, but not p65. Treatment of primary EBV+ BL lines with AZT inhibited NF- B within one to two hours. This was followed by upregulation of EBV gene expression including viral thymidine kinase (vTK) and apoptosis. Subclones of EBV+ BL cells that demonstrated activated p65 were resistant to AZT. In EBV+ BLs, AZT but not Ganciclovir (GCV), was highly phosphorylated to its monophosphate form (AZT-MP). Phosphorylation, as well as apoptosis, was markedly enhanced in the presence of hydroxyurea. AZT inhibits NF- B and upregulates EBV gene expression in primary EBV+ BLs. AZT with hydroxyurea may represent an inexpensive, targeted regimen for endemic BL.

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