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Blood, 15 September 2007, Vol. 110, No. 6, pp. 2027-2033.
Prepublished online as a Blood First Edition Paper on April 12, 2007; DOI 10.1182/blood-2007-02-074203.


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Submitted February 16, 2007
Accepted April 1, 2007

Novel RUNX1 isoforms determine the fate of acute myeloid leukemia cells by controlling CD56 expression

Stefan Gattenloehner*, Sergei Chuvpilo, Claudia Langebrake, Dirk Reinhardt, Hans-Konrad Muller-Hermelink, Edgar Serfling, Angela Vincent, and Alexander Marx

Institute of Pathology, University of Wuerzburg, Wuerzburg, Germany
Department of Pediatric Hematology and Oncology, University Children's Hospital Hannover, Hannover, Germany
Neurosciences Group, Weatherall Inst. of Molecular Medicine, John Radcliffe Hospital, University of Oxford, Oxford, United Kingdom
Inst. of Pathology, University of Heidelberg, University Hospital Mannheim, Mannheim, Germany

* Corresponding author; email: stefan.gattenloehner{at}mail.uni-wuerzburg.de.

CD56high acute myeloid leukemias (AMLs) have a poor prognosis but it has been unclear how CD56 expression is controlled and how it relates to clinical aggressiveness. We show here that CD56 expression on AML cells correlates with an abnormal expression pattern of RUNX1 isoforms. Whereas full-length p48 RUNX1 (p48) upregulated CD56 in AML cells, three previously unknown shorter RUNX1 isoforms, p38a, p30 and p24, suppressed CD56 expression. Both p48 and CD56 induced nuclear translocation of NF-{kappa}B and increased bcl2L12 expression, and inhibition of this pathway by siRNA-mediated p48 knock-down or NF-{kappa}B blockade, substantially increased apoptosis in CD56(+) AML cell lines. These findings indicate the potential for new therapy of CD56high AML by suppression of the "overactive" RUNX1/CD56/NF-{kappa}B signalling pathway(s).


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