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Blood, 15 November 2007, Vol. 110, No. 10, pp. 3695-3705.
Prepublished online as a Blood First Edition Paper on August 1, 2007; DOI 10.1182/blood-2006-11-058941.


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Submitted November 21, 2006
Accepted July 25, 2007

CDDO induces granulocytic differentiation of myeloid leukemic blasts through translational upregulation of p42 CCAAT enhancer binding protein alpha

Steffen Koschmieder*, Francesco D'Alo, Hanna Radomska, Christine Schoneich, Ji Suk Chang, Marina Konopleva, Susumu Kobayashi, Elena Levantini, Nanjoo Suh, Annalisa Di Ruscio, Maria Teresa Voso, Julie C. Watt, Ramasamy Santhanam, Bulent Sargin, Hagop Kantarjian, Michael Andreeff, Michael B. Sporn, Danilo Perrotti, Wolfgang E. Berdel, Carsten Muller-Tidow, Hubert Serve, and Daniel G. Tenen

Department of Medicine, Hematology and Oncology, University of Munster, Munster, Germany
Istituto di Ematologia, Universita' Cattolica del Sacro Cuore, Rome, Italy
Department of Hematology/Oncology, Harvard Institutes of Medicine and Beth Israel Deaconess Medical Center, Boston, MA, United States
Human Cancer Genetics Program, The Ohio State University Medical Center, Columbus, OH, United States
Department of Leukemia, The University of Texas M.D. Anderson Cancer Center, Houston, TX, United States
Department of Chemical Biology, Ernest Mario School of Pharmacy, Rutgers, The State University of New Jersey, Piscataway, NJ, United States
Department of Pharmacology and Toxicology, Dartmouth Medical School, Hanover, NH, United States

* Corresponding author; email: steffen.koschmieder{at}ukmuenster.de.

2-Cyano-3,12-dioxooleana-1,9-dien-28-oic acid (CDDO) induces differentiation and apoptosis of tumor cells in vitro and in vivo. Here we assessed the effects of CDDO on CCAAT enhancer binding protein alpha (CEBPA), a transcription factor critical for granulocytic differentiation. In HL60 acute myeloid leukemia (AML) cells, CDDO (0.01 to 2 µM) induces apoptotis in a dose-dependent manner. Conversely, subapoptotic doses of CDDO promote phagocytic activity and granulocytic-monocytic differentiation of HL60 cells through increased de novo synthesis of p42 CEBPA protein. CEBPA translational upregulation is required for CDDO-induced granulocytic differentiation and depends on the integrity of the CEBPA upstream open reading frame (uORF). Moreover, CDDO in-creases the ratio of transcriptionally active p42 and the inactive p30 CEBPA isoform which, in turn, leads to transcriptional activation of CEBPA-regulated genes (e.g GSCFR) and is associated with dephosphorylation of eIF2{alpha} and phosphorylation of eIF4E. In concordance with these results, CDDO induces a CEBPA ratio change and differentiation of primary blasts from patients with acute myeloid leukemia (AML). Because AML is characterized by arrested differentiation, our data suggest the inclusion of CDDO in the therapy of AML characterized by dysfunctional CEBPA expression.


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