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Blood, 1 December 2005, Vol. 106, No. 12, pp. 3898-3906.
Prepublished online as a Blood First Edition Paper on August 23, 2005; DOI 10.1182/blood-2005-01-0355.
Previous Article | Next Article 
Submitted January 26, 2005
Accepted May 22, 2005
Notch signaling is a potent inducer of growth arrest and apoptosis in a wide range of B cell malignancies
Patrick A Zweidler-McKay, Yiping He, Lanwei Xu, Carlos G Rodriguez, Fredrick G Karnell, Andrea C Carpenter, Jon C Aster, David Allman, and Warren S Pear*
Abramson Family Cancer Research Institute, University of Pennsylvania, Philadelphia, PA, USA; Institute for Medicine and Engineering, University of Pennsylvania, Philadelphia, PA, USA; Divisions of Hematology & Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, USA
Department of Pathology & Laboratory Medicine, University of Pennsylvania, Philadelphia, PA, USA; Abramson Family Cancer Research Institute, University of Pennsylvania, Philadelphia, PA, USA; Institute for Medicine and Engineering, University of Pennsylvania, Philadelphia, PA, USA
Department of Pathology & Laboratory Medicine, University of Pennsylvania, Philadelphia, PA, USA; Institute for Medicine and Engineering, University of Pennsylvania, Philadelphia, PA, USA
Department of Pathology, Brigham & Women's Hospital and Harvard Medical School, Boston, MA, USA
Department of Pathology & Laboratory Medicine, University of Pennsylvania, Philadelphia, PA, USA; Abramson Family Cancer Research Institute, University of Pennsylvania, Philadelphia, PA, USA
* Corresponding author; email: wpear{at}mail.med.upenn.edu.
Although Notch receptor expression on malignant B-cells is widespread, the effect of Notch signaling in these cells is poorly understood. To investigate Notch signaling in B-cell malignancy, we assayed the effect of Notch activation in multiple murine and human B-cell tumors, representing both immature and mature subtypes. Expression of constitutively-active, truncated forms of the four mammalian Notch receptors (ICN1-4) inhibited growth and induced apoptosis in both murine and human B-cell lines, but not T-cell lines. Similar results were obtained in human precursor B-cell acute lymphoblastic leukemia lines when Notch activation was achieved by co-culture with fibroblasts expressing the Notch ligands Jagged1 or Jagged2. All four truncated Notch receptors, as well as the Jagged ligands, induced Hes1 transcription. Retroviral expression of Hes1 recapitulated the Notch effects suggesting that Hes1 is an important mediator of Notch-induced growth arrest and apoptosis in B-cells. Among the B-cell malignancies that were susceptible to Notch-mediated growth inhibition/apoptosis were mature B-cell and therapy-resistant B-cell malignancies including Hodgkins, myeloma and MLL-translocated cell lines. These results suggest that therapies capable of activating Notch/Hes1 signaling may have therapeutic potential in a wide range of human B-cell malignancies.

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