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Circulation Research. 2001;88:282-290

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(Circulation Research. 2001;88:282.)
© 2001 American Heart Association, Inc.


Molecular Medicine

xIAP Induces Cell-Cycle Arrest and Activates Nuclear Factor-{kappa}B

New Survival Pathways Disabled by Caspase-Mediated Cleavage During Apoptosis of Human Endothelial Cells

Bodo Levkau, Kyle J. Garton, Nicola Ferri, Kerstin Kloke, Jerzy-Roch Nofer, Hideo A. Baba, Elaine W. Raines, Günter Breithardt

From the Institute of Arteriosclerosis Research (B.L., K.K., J.-R.N., G.B.), Department of Pathology (H.A.B.), and Department of Cardiology and Angiology (G.B.), University of Münster, Münster, Germany, and Department of Pathology (K.J.G., N.F., E.W.R.), University of Washington, Seattle, Wash.

Correspondence to Elaine W. Raines, Department of Pathology, Harborview Medical Center, 325 9th Ave, Box 359675, Seattle, WA 98104-2499. E-mail ewraines{at}u.washington.edu

Abstract—Survival of human vascular endothelial cells depends on their ability to activate the transcription factor nuclear factor-{kappa}B (NF-{kappa}B), a regulator of antiapoptotic genes, such as the X chromosome–linked inhibitor of apoptosis protein (xIAP). In the present study, we demonstrated expression of xIAP in the endothelial lining of normal human arteries and veins and elevated levels in highly malignant human endothelial tumors. Using retroviral infection of human endothelial cells, we identified two novel survival mechanisms mediated by xIAP in endothelial cells. First, xIAP can activate the transcription factor NF-{kappa}B, a known survival factor for human endothelial cells. This positive feedback loop induced by xIAP is mediated via phosphorylation and sustained degradation of inhibitor (I) {kappa}B{alpha}. Second, xIAP can inhibit cell proliferation via downregulation of cyclins A and D1 and induction of the cyclin-dependent kinase inhibitors p21Cip1/Waf1 and p27Kip1. Cleavage of xIAP by caspases during endothelial cell apoptosis disables both of these biological functions of xIAP. Thus, caspase-mediated cleavage of xIAP interrupts a positive regulatory cytoprotective loop between NF-{kappa}B and xIAP and increases the vulnerability of the cell to apoptosis by releasing it from an xIAP-mediated quiescent state.


Key Words: apoptosis • caspases • cleavage • retrovirus




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