title: A sustained activation of PI3K/NF-kappaB pathway is critical for the survival of chronic lymphocytic leukemia B cells.
abstract: The progressive rise of mature CD5+ B lymphocytes, despite the low proportion of proliferating cells, has led to the notion that B cell chronic lymphocytic leukemia (B-CLL) is primarily related to defective apoptosis. The microenvironment likely plays a prominent role because the malignant cells progressively accumulate in vivo, whereas they rapidly undergo spontaneous apoptosis when cultured in vitro. To assess microenvironment-mediated survival signals, B-CLL cells were cultured with a murine fibroblast cell line, Ltk-, with and without an agonistic antibody to CD40. Spontaneous apoptosis was associated with the loss of Akt and NF-kappaB activities. Interactions with fibroblasts sustained a basal level of Akt and NF-kappaB activities, which was dependent on phosphatidylinositol-3 kinase (PI3K). Constitutive activity of the PI3K pathway in B-CLL cells when cultured with fibroblasts prevented the downregulation of the prosurvival Bcl-2 family protein Bcl-xL and the caspase inhibitor proteins FLIPL and XIAP, and consequently caspase-3 activation and apoptosis. CD40 crosslinking in B-CLL cells did not further prevent murine fibroblasts-mediated apoptosis but induced cell proliferation, which was associated with an increase of Akt and NF-kappaB activation compared with cells cultured with fibroblasts alone. The PI3K pathway seems to play a pivotal role in B-CLL cell survival and growth.
authors.affiliation: Fundación LAIR, Madrid, Spain. paloma_perez@cilsp.com
authors.forename: S
authors.initials: S
authors.lastname: Cuní
authors.forename: P
authors.initials: P
authors.lastname: Pérez-Aciego
authors.forename: G
authors.initials: G
authors.lastname: Pérez-Chacón
authors.forename: J A
authors.initials: JA
authors.lastname: Vargas
authors.forename: A
authors.initials: A
authors.lastname: Sánchez
authors.forename: F M
authors.initials: FM
authors.lastname: Martín-Saavedra
authors.forename: S
authors.initials: S
authors.lastname: Ballester
authors.forename: J
authors.initials: J
authors.lastname: García-Marco
authors.forename: J
authors.initials: J
authors.lastname: Jordá
authors.forename: A
authors.initials: A
authors.lastname: Durántez
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D017209:Apoptosis; D001402:B-Lymphocytes / Q000473:pathology; D002455:Cell Division; D002470:Cell Survival; D018920:Coculture Techniques; D004789:Enzyme Activation; D005260:Female; D005347:Fibroblasts / Q000166:cytology; D006801:Humans; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000201:enzymology / Q000473:pathology*; D008297:Male; D051379:Mice; D008875:Middle Aged; D016328:NF-kappa B / Q000378:metabolism*; D019869:Phosphatidylinositol 3-Kinases / Q000378:metabolism*; D017346:Protein Serine-Threonine Kinases / Q000378:metabolism; D011518:Proto-Oncogene Proteins / Q000378:metabolism; D051057:Proto-Oncogene Proteins c-akt; D015398:Signal Transduction
chemical_list: D016328:NF-kappa B; D019869:Phosphatidylinositol 3-Kinases; D017346:Protein Serine-Threonine Kinases; D011518:Proto-Oncogene Proteins; D051057:Proto-Oncogene Proteins c-akt; C494918:AKT1 protein, human