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Blood, 15 January 2007, Vol. 109, No. 2, pp. 703-710.
Prepublished online as a Blood First Edition Paper on September 14, 2006; DOI 10.1182/blood-2006-06-027755.
Previous Article | Next Article 
Submitted June 9, 2006
Accepted August 27, 2006
BAFF And APRIL Support Chronic Lymphocytic Leukemia B Cell
Survival Through Activation Of The Canonical NF- B
Pathway
Tomoyuki Endo, Mitsufumi Nishio, Thomas Enzler, Howard B. Cottam, Tetsuya Fukuda, Danelle F. James, Michael Karin, and Thomas J. Kipps*
Moores Cancer Center, University of California, San Diego, La Jolla, CA
Dept of Pharmacology, School of Medicine, University of California, San Diego, La Jolla, CA
* Corresponding author; email: tkipps{at}ucsd.edu.
Chronic lymphocytic leukemia (CLL) B cells express BR3, the specific receptor for the B cell-activating factor of tumor necrosis factor family (BAFF). CLL cells also express two other receptors for BAFF, namely: B-cell maturation antigen (BCMA) and the transmembrane activator and calcium modulator and cyclophilin ligand-interactor (TACI), which also bind a proliferation-inducing ligand (APRIL). We found that signaling through BR3, but not BCMA or TACI, activated the alternative nuclear factor of kappa B (NF- B) pathway in CLL cells, whereas signaling via BCMA/TACI induced activation of the canonical NF- B pathway. Blocking BR3 did not inhibit the capacity of BAFF to support CLL cell survival in vitro. On the other hand, specifically blocking the canonical NF- B pathway with UTC, an inhibitor of I B kinase beta (IKK ), or transfection of CLL cells with the I B super-repressor, blocked the capacity of BAFF and/or APRIL to promote CLL cell survival in vitro. This contrasts what is found with normal blood B cells, which apparently depend upon activation of the alternative NF- B pathway for BAFF-enhanced survival. These findings suggest that inhibitors of the protein kinase IKK , which is required for activation of the canonical NF- B pathway, might have therapeutic utility in this disease.

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