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Blood, 15 October 2007, Vol. 110, No. 8, pp. 2996-3004.
Prepublished online as a Blood First Edition Paper on June 11, 2007; DOI 10.1182/blood-2007-02-075614.
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Submitted February 21, 2007
Accepted May 29, 2007
The Myc-evoked DNA damage response accounts for treatment resistance in primary lymphomas in vivo
Maurice Reimann, Christoph Loddenkemper, Cornelia Rudolph, Ines Schildhauer, Bianca Teichmann, Harald Stein, Brigitte Schlegelberger, Bernd Dorken, and Clemens A. Schmitt*
Hematology/Oncology, Charite- Humboldt University, Campus Virchow, Berlin, Germany
Pathology, Charite-Humboldt University, Campus Benjamin Franklin, Berlin, Germany
Institute of Cell and Molecular Pathology, Hannover Medical School, Hannover, Germany
Max-Delbruck-Center of Molecular Medicine, Berlin, Germany
* Corresponding author; email: clemens.schmitt{at}charite.de.
In addition to the ARF/p53 pathway, the DNA damage response (DDR) has been recognized as another oncogene-provoked anti-cancer barrier in early human tumorigenesis leading to apoptosis or cellular senescence. DDR mutations may promote tumor formation, but their impact on treatment outcome remains unclear. In this study, we generated Atm (ataxia telangiectasia mutated)-proficient and -deficient B-cell lymphomas in Eµ-myc transgenic mice to examine the role of DDR defects in lymphomagenesis and treatment sensitivity. Atm inactivation accelerated development of lymphomas, and their DNA damage checkpoint defects were virtually indistinguishable from those observed in Atm+/+-derived lymphomas that spontaneously inactivated the pro-apoptotic Atm/p53 cascade in response to Myc-evoked reactive oxygen species. Importantly, acquisition of DDR defects, but not of selection against the ARF pathway, could be prevented by lifelong exposure to the ROS scavenger N-acetylcysteine (NAC) in vivo. Following anticancer therapy, DDR-compromised lymphomas displayed apoptotic, but, surprisingly, no senescence defects, and achieved a much poorer long-term outcome when compared to DDR-competent lymphomas treated in vivo. Hence, Atm eliminates pre-neoplastic lesions by converting oncogenic signaling into apoptosis, and selection against an Atm-dependent response promotes formation of lymphomas with predetermined treatment insensitivity.

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