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Blood, 15 April 2005, Vol. 105, No. 8, pp. 3255-3262.
Prepublished online as a Blood First Edition Paper on December 21, 2004; DOI 10.1182/blood-2004-10-3984.
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Submitted October 15, 2004
Accepted December 10, 2004
Evidence for a protective role of Mcl-1 in proteasome inhibitor-induced apoptosis
Alessio Nencioni*, Fei Hua, Christopher P Dillon, Rayka Yokoo, Christoph Scheiermann, Eleonora Barbieri, Ilaria Rocco, Anna Garuti, Sebastian Wesselborg, Claus Belka, Peter Brossart, Franco Patrone, and Alberto Ballestrero
Department of Biology, Center for Cancer Research, Massachusetts Institute of Technology, Cambridge, MA, USA; Department of Internal Medicine, University of Genova, Genova, Italy
Department of Biology, Center for Cancer Research, Massachusetts Institute of Technology, Cambridge, MA, USA
Department of Internal Medicine, University of Genova, Genova, Italy
Department of Internal Medicine I, University of Tubingen, Tubingen, Germany
Department of Radiation Oncology, University of Tubingen, Tubingen, Germany
Department of Hematology, Oncology and Immunology, University of Tubingen, Tubingen, Germany
* Corresponding author; email: A.Nencioni{at}gmx.net.
Proteasome inhibitors exhibit antitumor activity against malignancies of different histology. Yet, the mechanisms underlying this effect are poorly understood. Recent evidence indicates that antiapoptotic factors may also accumulate as a consequence of exposure to these drugs, possibly reducing their cytotoxicity. These include the Bcl-2 family member Mcl-1, whose downregulation has been proposed to initiate apoptosis in response to genotoxic stimuli. In this study, we found that proteasome inhibitors release cyotochrome c and SMAC/Diablo and trigger the subsequent apoptotic cascade in spite of concomitant Mcl-1 increase. However, our data indicate that subtraction of Mcl-1 during apoptosis, while not required for early release of proapoptotic factors, is probably relevant in speeding up cell demise, since RNA interference-mediated Mcl-1 silencing is lethal in lymphoma cells. Consistent with this, the cytotoxic effects of proteasome inhibitors are enhanced when Mcl-1 increase is impeded. Thus, this study identifies Mcl-1 accumulation as an unwanted molecular consequence of exposure to proteasome inhibitors, which slows down their proapoptotic effects. Pharmacological or genetic approaches targeting Mcl-1, including therapeutic RNAi, may increase the effectiveness of these compounds.

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