Impaired apoptosis is a cancer hallmark, and some types of lymphomas and other cancers harbor mutations that directly affect key cell death regulators, such as Bcl-2 family members. However, because the majority of tumors seem to lack such mutations, we are examining the hypothesis that tumorigenesis can be sustained at least initially by the normal expression of specific endogenous pro-survival Bcl-2 family members. We previously demonstrated that the lymphomagenesis in ⌭-myc transgenic mice, which constitutively overexpress the c-Myc oncoprotein in B-lymphoid cells and develop pre-B and B-cell lymphomas, does not require endogenous Bcl-2. In striking contrast, we report here that loss in these mice of its close relative Bcl-
IntroductionImpaired apoptosis is considered a prerequisite for the development of most, if not all, cancers, 1-3 yet the mechanisms that promote the survival of most nascent malignant cells during the process of neoplastic transformation remain unknown. Apoptosis is regulated by opposing factions of the Bcl-2 family, which include both proteins essential for cell survival and those that drive cell death. 4,5 Despite very similar biochemical functions, the pro-survival family members (Bcl-2, Bcl-x L , Bcl-w, Mcl-1, and A1) have proven to have essential functions in specific cell types. 5 The critical initiators of apoptosis are the "BH3-only" proteins (eg, Bim, Puma, Bid), so-called because they share only a single Bcl-2 homology (BH) domain with other family members. They are activated by developmental cues and diverse stress stimuli, including cytokine deprivation, DNA damage and activation of oncogenes, such as c-Myc. 6-10 A second proapoptotic Bcl-2 sub-family, principally represented by the multi-BH domain proteins Bax and Bak, mediates the pivotal downstream step of mitochondrial outer membrane permeabilization (MOMP), which evokes activation of the caspase cascade that demolishes the cell. 4,11 The BH3-only proteins may provoke activation of Bax and Bak by their direct engagement, by sequestering pro-survival relatives or both ways. 4,5,[12][13][14] Studies using transgenic mice have established that overexpression of Bcl-2 15-18 or its antiapoptotic relatives, including and 20,21 or loss of proapoptotic Bcl-2 family members, such as Bim 10 or Puma, 22-24 contribute to tumor development, particularly in conjunction with mutations that deregulate cell cycle control, such as enforced c-Myc expression. Importantly, lymphomas evoked by combined overexpression of Bcl-2 and c-Myc require sustained Bcl-2 overexpression, 25 most likely to counter the apoptosis promoted by c-Myc overexpression under stress conditions, such as limiting supply of growth factors. [26][27][28][29] However, because only a proportion of cancers contain cytogenetic alterations (chromosomal translocations or somatically acquired copy number alterations) that directly promote the overexpression of Bcl-2 or one of its homologs, 2,3,30 we surmise that most cells undergoing neoplastic transformation are sustained (at ...