title: Identification of glucocorticoid-response genes in children with acute lymphoblastic leukemia.
abstract: The ability of glucocorticoids (GCs) to kill lymphoid cells led to their inclusion in essentially all chemotherapy protocols for lymphoid malignancies, particularly childhood acute lymphoblastic leukemia (ALL). GCs mediate apoptosis via their cognate receptor and subsequent alterations in gene expression. Previous investigations, including expression profiling studies with subgenome microarrays in model systems, have led to a number of attractive, but conflicting, hypotheses that have never been tested in a clinical setting. Here, we present a comparative whole-genome expression profiling approach using lymphoblasts (purified at 3 time points) from 13 GC-sensitive children undergoing therapy for ALL. For comparisons, expression profiles were generated from an adult patient with ALL, peripheral blood lymphocytes from GC-exposed healthy donors, GC-sensitive and -resistant ALL cell lines, and mouse thymocytes treated with GCs in vivo and in vitro. This generated an essentially complete list of GC-regulated candidate genes in clinical settings and experimental systems, allowing immediate analysis of any gene for its potential significance to GC-induced apoptosis. Our analysis argued against most of the model-based hypotheses and instead identified a small number of novel candidate genes, including PFKFB2, a key regulator of glucose metabolism; ZBTB16, a putative transcription factor; and SNF1LK, a protein kinase implicated in cell-cycle regulation.
authors.affiliation: Tyrolean Cancer Research Institute, Innrain 66, A-6020 Innsbruck, Austria.
authors.forename: Stefan
authors.initials: S
authors.lastname: Schmidt
authors.forename: Johannes
authors.initials: J
authors.lastname: Rainer
authors.forename: Stefan
authors.initials: S
authors.lastname: Riml
authors.forename: Christian
authors.initials: C
authors.lastname: Ploner
authors.forename: Simone
authors.initials: S
authors.lastname: Jesacher
authors.forename: Clemens
authors.initials: C
authors.lastname: Achmüller
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Presul
authors.forename: Sergej
authors.initials: S
authors.lastname: Skvortsov
authors.forename: Roman
authors.initials: R
authors.lastname: Crazzolara
authors.forename: Michael
authors.initials: M
authors.lastname: Fiegl
authors.forename: Taneli
authors.initials: T
authors.lastname: Raivio
authors.forename: Olli A
authors.initials: OA
authors.lastname: Jänne
authors.forename: Stephan
authors.initials: S
authors.lastname: Geley
authors.forename: Bernhard
authors.initials: B
authors.lastname: Meister
authors.forename: Reinhard
authors.initials: R
authors.lastname: Kofler
mesh_terms: D000293:Adolescent; D000368:Aged; D000818:Animals; D017209:Apoptosis / Q000187:drug effects* / Q000235:genetics; D002648:Child; D002675:Child, Preschool; D019008:Drug Resistance, Neoplasm / Q000187:drug effects / Q000235:genetics*; D005260:Female; D020869:Gene Expression Profiling / Q000379:methods; D015973:Gene Expression Regulation, Leukemic / Q000187:drug effects*; D005938:Glucocorticoids / Q000494:pharmacology* / Q000627:therapeutic use; D006801:Humans; D008297:Male; D051379:Mice; D009363:Neoplasm Proteins / Q000235:genetics*; D020411:Oligonucleotide Array Sequence Analysis / Q000379:methods; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000235:genetics*; D014407:Tumor Cells, Cultured
chemical_list: D005938:Glucocorticoids; D009363:Neoplasm Proteins