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Blood, 1 December 2008, Vol. 112, No. 12, pp. 4655-4664.
Prepublished online as a Blood First Edition Paper on August 6, 2008; DOI 10.1182/blood-2008-02-139105.


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Submitted February 12, 2008
Accepted July 9, 2008

Leukemic challenge unmasks a requirement for PI3K{delta} in NK-cell-mediated tumor surveillance

Eva Zebedin, Olivia Simma, Christian Schuster, Eva Maria Putz, Sabine Fajmann, Wolfgang Warsch, Eva Eckelhart, Dagmar Stoiber, Eva Weisz, Johannes A Schmid, Winfried F Pickl, Christian Baumgartner, Peter Valent, Roland P Piekorz, Michael Freissmuth, and Veronika Sexl*

Institute of Pharmacology, Medical University of Vienna, Vienna, Austria
Ludwig Boltzmann Institute for Cancer Research, Vienna, Austria
Institute of Immunology, Medical University of Vienna, Vienna, Austria
Institute of Internal Medicine I, Medical University of Vienna, Vienna, Austria
Institute of Biochemistry and Molecular Biology II, Heinrich-Heine-University, Duesseldorf, Germany

* Corresponding author; email: veronika.sexl{at}meduniwien.ac.at.

Specific inhibitors of PI3K-isoforms are currently evaluated for their therapeutic potential in leukemia. We found that bcr/abl-positive human leukemic cells express PI3K{delta} and therefore explored its impact on leukemia development. Using PI3K{delta}-deficient mice we define a dual role of PI3K{delta} in leukemia. We observed a growth-promoting effect in tumor cells and an essential function in NK-cell-mediated tumor surveillance: Abelson-transformed PI3K{delta}-deficient cells induced leukemia in RAG2-deficient mice with an increased latency indicating that PI3K{delta} accelerated leukemia progression in vivo. However, the absence of PI3K{delta} also affected NK-cell-mediated tumor surveillance. PI3K{delta}-deficient NK-cells failed to lyse a large variety of target cells because of defective degranulation as also documented by capacitance recordings. Accordingly, transplanted leukemic cells killed PI3K{delta}-deficient animals more rapidly. As a net effect, no difference in disease latency in vivo was detected if both - leukemic cells and NK-cells - lack PI3K{delta}. Other tumor models confirmed that PI3K{delta}-deficient mice succumbed more rapidly when challenged with T- or B-lymphoid leukemic or B16 melanoma cells. Thus, the action of PI3K{delta} in the NK-compartment is as relevant to survival of the mice as the delayed tumor progression. This dual function must be taken into account when employing PI3K{delta}-inhibitors as anti-leukemic agents in clinical trials.


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