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Blood, 1 September 2005, Vol. 106, No. 5, pp. 1801-1807.
Prepublished online as a Blood First Edition Paper on May 10, 2005; DOI 10.1182/blood-2004-11-4513.


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Submitted November 30, 2004
Accepted May 1, 2005

A rapamycin derivative (everolimus) controls proliferation through down-regulation of truncated CCAAT enhancer binding protein {beta} and NF-{kappa}B activity in Hodgkin and anaplastic large cell lymphomas

Franziska Jundt*, Nina Raetzel, Christine Muller, Cornelis F Calkhoven, Katharina Kley, Stephan Mathas, Andreas Lietz, Achim Leutz, and Bernd Dorken

Department of Hematology and Oncology, Charite, Campus Virchow-Klinikum, University Medicine, Berlin, Germany; Max Delbruck Center for Molecular Medicine, Berlin, Germany
Department of Hematology and Oncology, Charite, Campus Virchow-Klinikum, University Medicine, Berlin, Germany
Max Delbruck Center for Molecular Medicine, Berlin, Germany

* Corresponding author; email: fjundt{at}mdc-berlin.de.

The immunosuppressive macrolide rapamycin and its derivate SDZ RAD (RAD, everolimus) inhibit the mammalian target of rapamycin (mTOR) signaling pathway. In this study, we provide evidence that RAD has profound anti-proliferative activity in vitro and in NOD/SCID mice in vivo against Hodgkin lymphoma (HL) and anaplastic large cell lymphoma (ALCL) cells. Moreover, we identified two molecular mechanisms that showed how RAD exerts anti-proliferative effects in HL and ALCL cells. RAD down-regulated the truncated isoform of the transcription factor CCAAT enhancer binding protein (C/EBP){beta}, that is known to disrupt terminal differentiation and induce a transformed phenotype. Furthermore, RAD inhibited constitutive NF-{kappa}B activity, that is a critical survival factor of HL cells. Pharmacological inhibition of the mTOR pathway by RAD therefore interferes with essential proliferation and survival pathways in HL and ALCL cells and might serve as a novel treatment option.


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