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Blood, 15 April 2006, Vol. 107, No. 8, pp. 3295-3302.
Prepublished online as a Blood First Edition Paper on December 27, 2005; DOI 10.1182/blood-2005-07-2730.
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Submitted July 11, 2005
Accepted November 24, 2005
NF- B is essential for progression of KSHV- and EBV-infected lymphomas in vivo
Shannon A Keller, Denise Hernandez-Hopkins, Jelena Vider, Vladimir Ponomarev, Elizabeth Hyjek, Elaine J Schattner, and Ethel Cesarman*
Department of Pathology and Laboratory Medicine, Weill Medical College of Cornell University, New York, NY, USA
Department of Molecular Pharmacology and Chemistry, Memorial Sloan-Kettering Cancer Center, New York, NY, USA
Department of Medicine, Division of Hematology and Oncology, Weill Medical College of Cornell University, New York, NY, USA
* Corresponding author; email: ecesarm{at}med.cornell.edu.
Activated NF- B is a critical mechanism by which lymphoma cells infected by Epstein-Barr virus (EBV/HHV-4) and Kaposi's sarcoma herpesvirus (KSHV/HHV-8) are protected from apoptotic stress. Selective pharmacological inhibition of constitutive NF- B activity induces apoptosis in both KSHV and EBV infected lymphoma cells. In both tumor types, pharmacologic inhibition of NF- B in vitro induced identical mitochondrially-mediated apoptotic cascades. Assessment of gene regulation by microarray analysis revealed that inhibition of NF- B in tumor cells results in down-regulation of a distinct group of pro-survival genes including cIAP-1, cIAP-2, cFLIP and IL-6. Using EBV and KSHV-associated lymphomas in a murine system, we demonstrate that Bay 11-7082, a selective pharmacological inhibitor of NF- B, prevents or delays tumor growth and prolongs disease-free survival. Inhibition of NF- B activity and tumor growth responses were further documented using a traceable reporter KSHV-positive cell line and in vivo imaging. These findings indicate that specific NF- B regulated survival factors work cooperatively to protect KSHV and EBV infected lymphoma cells from apoptotic stimuli, such that they promote establishment and progression of both KSHV and EBV-associated lymphomas in mice. They also support the use of selective NF- B inhibitors in the treatment of herpesvirus-associated lymphomas.

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