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Blood, 1 May 2007, Vol. 109, No. 9, pp. 3982-3988.
Prepublished online as a Blood First Edition Paper on December 21, 2006; DOI 10.1182/blood-2006-10-053959.
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Submitted October 23, 2006
Accepted December 12, 2006
NF-kB independent down-regulation of XIAP by bortezomib sensitizes HL B-cells against cytotoxic drugs
Hamid Kashkar*, Anke Deggerich, Jens-Michael Seeger, Benjamin Yazdanpanah, Katja Wiegmann, Dirk Haubert, Carola Pongratz, and Martin Kronke
Institute for Medical Microbiology, Immunology and Hygiene, and Center for Molecular Medicine Cologne (CMMC), University of Cologne, Cologne, Germany
* Corresponding author; email: h.kashkar{at}uni-koeln.de.
The proteasome inhibitor, bortezomib, has been shown to possess promising anti-tumor activity and significant efficacy against a variety of malignancies. Different studies demonstrated that bortezomib breaks the chemoresistance in different tumor cells basically by altering nuclear factor-kB (NF-kB) activity. NF-kB has been shown to be constitutively active in the vast majority of primary Hodgkin-Reed-Sternberg (H-RS) cells in lymph node sections and in Hodgkin's lymphoma (HL) cell lines and was suggested to be a central molecular switch in apoptosis resistance in HL. Here we report a bimodal effect of bortezomib in HL cells. Whereas high-dose bortezomib induced direct cytotoxicity which correlated with decreased NF-kB activity, low-dose bortezomib sensitized HL cells against a variety of cytotoxic drugs without altering NF-kB action. Strikingly, bortezomib induced marked XIAP down-regulation at the post-translational level which was independent of the NF-kB status. Similarly, RNA interference (RNAi)-mediated XIAP down-regulation generated susceptibility to cytostatic agents. The results identify XIAP as an NF-kB independent target of bortezomib action that controls the chemoresistant phenotype of HL cells.

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