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Blood, 1 May 2007, Vol. 109, No. 9, pp. 3929-3935.
Prepublished online as a Blood First Edition Paper on January 11, 2007; DOI 10.1182/blood-2006-11-056366.
Previous Article | Next Article 
Submitted November 7, 2006
Accepted December 21, 2006
Genome-wide identification of prednisolone-responsive genes in acute lymphoblastic leukemia cells
Wim J.E. Tissing, Monique L. Den Boer*, Jules P.P. Meijerink, Renee X. Menezes, Sigrid Swagemakers, Peter J. van der Spek, Stephen E. Sallan, Scott A. Armstrong, and Rob Pieters
Dept of Pediatric Oncology/Hematology, University Medical Centre Groningen, Beatrix Childrens Hospital, University of Groningen, Groningen, Netherlands
Dept of Pediatric Oncology/Hematology, Erasmus MC / Sophia Children's Hospital, Rotterdam, Netherlands
Center for Human & Clinical Genetics, Leiden University Medical Center, Leiden, Netherlands
Dept of Bioinformatics, Erasmus MC, Rotterdam, Netherlands
Dept of Pediatric Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, United States
* Corresponding author; email: m.l.denboer{at}erasmusmc.nl.
Glucocorticoids are keystone drugs in the treatment of childhood acute lymphoblastic leukemia (ALL). To get more insight in signal transduction pathways involved in glucocorticoid-induced apoptosis, Affymetrix U133A GeneChips were used to identify transcriptionally regulated genes upon 3 and 8 hours of prednisolone exposure in leukemic cells of 13 children as compared to non-exposed cells. Following 3 hours of exposure no significant changes in gene expression could be identified. Following 8 hours of exposure, 51 genes were differentially expressed (p < 0.0005 and false discovery rate < 10%) with 39 genes being upregulated (median 2.4-fold) and 12 genes downregulated (median 1.7-fold). Twenty-one of those genes have not been identified before to be transcriptionally regulated by prednisolone. Two of the three most highly upregulated genes were tumor suppressor genes, i.e. Thioredoxin interacting protein (TXNIP, 3.7-fold) and zinc finger and BTB domain containing 16 (ZBTB16, 8.8-fold). About 50% of the differentially expressed genes were functionally categorized in three major routes, namely MAPK pathways (9 genes), NF- B signaling (11 genes) and carbohydrate metabolism (5 genes). Biological characterization of these genes and pathways might elucidate the action of glucocorticoids in ALL cells, possibly suggesting causes of glucocorticoid resistance and new potential targets for therapy.

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