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Blood, 1 June 2007, Vol. 109, No. 11, pp. 4936-4943.
Prepublished online as a Blood First Edition Paper on February 6, 2007; DOI 10.1182/blood-2006-10-050294.


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Submitted October 6, 2006
Accepted February 1, 2007

p53 status dictates responses of B-lymphomas to monotherapy with proteasome inhibitors

Duonan Yu, Martin Carroll, and Andrei Thomas-Tikhonenko*

Department of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, United States
Division of Hematology-Oncology, School of Medicine, University of Pennsylvania, Philadelphia, PA, United States
Department of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, Philadephia, PA, United States

* Corresponding author; email: andreit{at}mail.vet.upenn.edu.

The pro-apoptotic function of p53 is thought to underlie most anti-cancer modalities and is also activated in response to oncogenic insults, such as overexpression of the Myc oncoprotein. Here we generated tractable B-lymphomas using retroviral transduction of the Myc oncogene into hematopoietic cells with two knock-in alleles encoding a fusion between p53 and 4OHT receptor (p53ERtam). In these polyclonal tumors, Myc is the only oncogenic lesion, and p53ERtam status can be rapidly toggled between "OFF" and "ON" with 4OHT, provided that the trp53 promoter has been independently activated. While 4OHT can trigger wide-spread apoptosis and overt tumor regression even in the absence of DNA-damaging agents, in tumors with high levels of Mdm2 these responses are blunted. However, co-treatment with proteasome inhibitors fully restores therapeutic effects in vivo. Similarly, human Burkitt's lymphomas with wild-type p53 and overexpression of Hdm2 are highly sensitive to proteasome inhibitors, unless p53 levels are reduced using the HPV-E6 ubiquitin ligase. Therefore, proteasome inhibitors could be highly effective as a monotherapy against Myc-induced lymphomas, with no need for adjuvant chemo- or radiation therapy. On the other hand, their efficacy is crucially dependent on the wild-type p53 status of the tumor, placing important restrictions on patient selection.


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