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Journal of Virology, February 2005, p. 1367-1378, Vol. 79, No. 3
0022-538X/05/$08.00+0 doi:10.1128/JVI.79.3.1367-1378.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Division of Molecular Virology and Oncology, Graduate School of Medicine,1 Division of Child Health and Welfare,2 Division of Endocrinology and Metabolism, Faculty of Medicine, University of the Ryukyus, Nishihara,4 Department of Internal Medicine, Naha Prefectural Hospital, Naha, Okinawa,5 Department of Immunology, Juntendo University School of Medicine, Tokyo, Japan,6 Department of Cancer Biology, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, Ohio3
Received 29 March 2004/ Accepted 7 September 2004
Adult T-cell leukemia (ATL), a CD4+-T-cell malignancy caused by human T-cell leukemia virus type 1 (HTLV-1), is difficult to cure, and novel treatments are urgently needed. Apo2 ligand (Apo2L; also tumor necrosis factor-related apoptosis-inducing ligand [TRAIL]) has been implicated in antitumor therapy. We found that HTLV-1-infected T-cell lines and primary ATL cells were more resistant to Apo2L-induced apoptosis than uninfected cells. Interestingly, HTLV-1-infected T-cell lines and primary ATL cells constitutively expressed Apo2L mRNA. Inducible expression of the viral oncoprotein Tax in a T-cell line up-regulated Apo2L mRNA. Analysis of the Apo2L promoter revealed that this gene is activated by Tax via the activation of NF-
B. The sensitivity to Apo2L was not correlated with expression levels of Apo2L receptors, intracellular regulators of apoptosis (FLICE-inhibitory protein and active Akt). NF-
B plays a crucial role in the pathogenesis and survival of ATL cells. The resistance to Apo2L-induced apoptosis was reversed by N-acetyl-L-leucinyl-L-leucinyl-L-norleucinal (LLnL), an NF-
B inhibitor. LLnL significantly induced the Apo2L receptors DR4 and DR5. Our results suggest that the constitutive activation of NF-
B is essential for Apo2L gene induction and protection against Apo2L-induced apoptosis and that suppression of NF-
B may be a useful adjunct in clinical use of Apo2L against ATL.
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