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Blood, 15 November 2006, Vol. 108, No. 10, pp. 3450-3457.
Prepublished online as a Blood First Edition Paper on June 1, 2006; DOI 10.1182/blood-2006-04-017749.
Previous Article | Next Article 
Submitted April 18, 2006
Accepted May 2, 2006
CD154 induces P73 to overcome the resistance to apoptosis
of chronic lymphocytic leukemia cells lacking functional
P53
Frank Dicker, Arnon P. Kater, Carlos E. Prada, Tetsuya Fukuda, Januario E. Castro, Guizhen Sun, Jean Y. Wang, and Thomas J. Kipps*
MLL Munich Leukemia Laboratory GmbH, Munich, Germany
Academic Medical Center, University of Amsterdam, the Netherlands
Moores Cancer Center, University of California San Diego
Tokyo Medical and Dental University, Tokyo, Japan
Moores Cancer Center, University of California, San Diego
Moores Cancer Center, University of California, San Dieg
* Corresponding author; email: tkipps{at}ucsd.edu.
Abstract
Intravenous infusion of autologous chronic lymphocytic
leukemia (CLL) cells transduced with an adenovirus
encoding CD40-ligand (CD154) caused rapid reductions in
leukemia-cell counts and lymph-node size. We
hypothesized
that CD40-ligation via CD154 sensitized CLL cells to
death-receptor-mediated apoptosis. We found that
CD154-expressing cells induced expression of CD95 and the
BH3-interacting-domain death agonist (Bid) in CLL,
regardless of whether the leukemia cells had functional
p53. Such treatment also induced p73, a p53-related
transcription factor regulated by c-Abl kinase, and
enhanced the sensitivity to fludarabine (F-ara-A) of CLL
cells lacking functional p53. Transduction of CLL cells
with an adenovirus encoding p73 also induced Bid and CD95
and enhanced the sensitivity to F-ara-A of p53-deficient
CLL cells. However, inhibition of c-Abl with imatinib
suppressed CD154-induced expression of p73, p73-induced
expression of Bid and CD95, and blocked the sensitization
of p53-deficient CLL cells to CD95-mediated or
F-ara-A-induced apoptosis. Conversely, CLL cells
transduced with an imatinib-resistant c-Abl mutant could
be induced by CD154 to express p73 and Bid even when
treated with imatinib. These results indicate that CD154
can sensitize leukemia cells to apoptosis via the
c-Abl-dependent activation of p73 and mitigate the
resistance of p53-deficient CLL cells to anti-cancer drug
therapy.

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