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Blood, 15 July 2007, Vol. 110, No. 2, pp. 735-742.
Prepublished online as a Blood First Edition Paper on April 26, 2007; DOI 10.1182/blood-2006-12-060947.
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Submitted December 4, 2006
Accepted April 22, 2007
Inhibition of GSK-3 activity leads to epigenetic silencing of NF B target genes and induction of apoptosis in CLL B-Cells
Andrei V Ougolkov, Nance D Bone, Martin E Fernandez-Zapico, Neil E. Kay, and Daniel D. Billadeau*
Division of Oncology Research, Mayo Clinic College of Medicine, Rochester, MN, United States
Division of Hematology, Mayo Clinic College of Medicine, Rochester, MN, United States
Gastrointestinal Research unit, Mayo Clinic College of Medicine, Rochester, MN, United States
* Corresponding author; email: billadeau.daniel{at}mayo.edu.
Chronic lymphocytic leukemia (CLL) is commonly defined as a disease of failed apoptosis of B-cells and remains an incurable disease. The mechanism of resistance to apoptosis in CLL is complex and influenced by numerous factors, including NF B-mediated expression of antiapoptotic molecules. Recent evidence indicates that glycogen synthase kinase-3 (GSK-3) positively regulates nuclear NF B-mediated gene transcription and cell survival. Using malignant B-cells collected from CLL patients, we find that both GSK-3 and NF B accumulate in the nucleus of CLL B-cells, and pharmacological inhibition of GSK-3 results in decreased expression of two NF B target genes Bcl-2 and XIAP and a subsequent increase in CLL B-cell apoptosis ex vivo. Furthermore, we observe that inhibition of GSK-3 leads to a decrease in NF B-mediated gene transcription, but does not affect the nuclear accumulation of NF B in CLL cells. Lastly, using chromatin immunoprecipitation, we show that GSK-3 inhibition abrogates NF B binding to its target gene promoters (XIAP, Bcl-2), in part through epigenetic modification of histones. Our results establish that inhibition of GSK-3 abrogates NF B binding to its target gene promoters through an epigenetic mechanism, enhances apoptosis in CLL cells ex vivo and identifies GSK-3 as a potential therapeutic target in the treatment of CLL.

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