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Pre-B cell receptor-mediated cell cycle arrest in Philadelphia chromosome-positive acute lymphoblastic leukemia requires IKAROS function.

The Journal of experimental medicine | 2009

B cell lineage acute lymphoblastic leukemia (ALL) arises in virtually all cases from B cell precursors that are arrested at pre-B cell receptor-dependent stages. The Philadelphia chromosome-positive (Ph(+)) subtype of ALL accounts for 25-30% of cases of adult ALL, has the most unfavorable clinical outcome among all ALL subtypes and is defined by the oncogenic BCR-ABL1 kinase and deletions of the IKAROS gene in >80% of cases. Here, we demonstrate that the pre-B cell receptor functions as a tumor suppressor upstream of IKAROS through induction of cell cycle arrest in Ph(+) ALL cells. Pre-B cell receptor-mediated cell cycle arrest in Ph(+) ALL cells critically depends on IKAROS function, and is reversed by coexpression of the dominant-negative IKAROS splice variant IK6. IKAROS also promotes tumor suppression through cooperation with downstream molecules of the pre-B cell receptor signaling pathway, even if expression of the pre-B cell receptor itself is compromised. In this case, IKAROS redirects oncogenic BCR-ABL1 tyrosine kinase signaling from SRC kinase-activation to SLP65, which functions as a critical tumor suppressor downstream of the pre-B cell receptor. These findings provide a rationale for the surprisingly high frequency of IKAROS deletions in Ph(+) ALL and identify IKAROS-mediated cell cycle exit as the endpoint of an emerging pathway of pre-B cell receptor-mediated tumor suppression.

Pubmed ID: 19620627 RIS Download

Research resources used in this publication

None found

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Associated grants

  • Agency: NCI NIH HHS, United States
    Id: T32 CA009659-16
  • Agency: NCI NIH HHS, United States
    Id: T32 CA009659
  • Agency: NCI NIH HHS, United States
    Id: R01 CA139032-02
  • Agency: NCI NIH HHS, United States
    Id: R01CA137060
  • Agency: NCI NIH HHS, United States
    Id: R01 CA137060-02
  • Agency: NCI NIH HHS, United States
    Id: R01 CA139032-01
  • Agency: NCI NIH HHS, United States
    Id: R01 CA139032
  • Agency: NCI NIH HHS, United States
    Id: R01 CA137060-01A1
  • Agency: NCI NIH HHS, United States
    Id: R01CA139032
  • Agency: NCI NIH HHS, United States
    Id: R01 CA137060
  • Agency: NCI NIH HHS, United States
    Id: R01 CA090321
  • Agency: NCI NIH HHS, United States
    Id: R01CA090321
  • Agency: NCI NIH HHS, United States
    Id: R21 CA152497
  • Agency: NCI NIH HHS, United States
    Id: R21 CA152497-01

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