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Advances in Brief |
Department of Pediatrics/Hematology-Oncology, University of California, San Diego, California 92103 [M. O-M., M. B. D., A. B., R. C. C., L. J. B., A. L. Y.]; The Scripps Research Institute, San Diego, California 92037 [J. Y.]; The University of Mississippi, Jackson, Mississippi 39216 [J. P.]; and Cook Childrens Medical Center, Fort Worth, Texas 76104 [W. P. B.]
p16/p15
regulate the cell cycle pathway by inhibiting the cyclin Ds-CDK4/6
mediated phosphorylation of pRb. We reported previously that in T-cell
acute lymphoblastic leukemia (T-ALL), p16 and p15 were frequently
(
70%) inactivated at the DNA level by deletion, mutation, or
hypermethylation. Therefore, we hypothesize that inactivation of the
cell cycle regulatory pathway may be essential in the pathogenesis of
T-ALL, and that the remaining T-ALL with a wild-type
p16/p15 gene likely harbor inactivation of these
genes at RNA or protein levels. Alternatively, the downstream
components of the pathway including CDK4/6, cyclin Ds, and pRb may be
deregulated. In 124 primary T-ALLs, we found inactivation of the
p16 and p15 genes at the DNA level in 79
(64%) and 64 (52%) samples, respectively. Only 9 of the 45 samples
with wild-type p16 expressed p16 protein, whereas the
remaining 36 lacked p16 expression at the RNA or protein level. In the
60 samples with an intact p15 gene, only 2 expressed p15
mRNA, and the only one analyzed lacked p15 protein. Overall, the
abrogation rates for p16 and p15 at DNA/RNA/protein levels were 93%
(115 of 124) and 99% (123 of 124), respectively. Although no
alterations were evident in cyclin Ds or CDK4/6, pRb was
hyperphosphorylated in the majority of samples investigated.
These findings strongly support that both p16 and p15 are specific
targets in the deregulation of the cell cycle pathway in T-ALL and that
the inactivation of these genes is most likely essential in the
pathogenesis of this disease.
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