Homeostasis of the hematopoietic system requires tight control of proliferation, differentiation, and survival of progenitor cells (1-5). Combinations of cytokines acting on a progenitor cell initiate a specific developmental program through activation of distinct downstream signal-transduction pathways (6).Interference with this highly regulated process can lead to the development of hematopoietic malignancies. Myeloid transformation is often associated with chromosomal translocations and somatic mutations, affecting gene expression in ways that lead to defects in normal programs of cell proliferation, differentiation, and survival (7-12). For instance, chronic myeloid leukemia (CML) 9 is a lethal hematopoietic stem cell malignancy characterized by the t(9,22) chromosomal translocation, a translocation between the long arms of chromosomes 9 and 22, resulting in the formation of the Philadelphia (ph) chromosome and the fusion of a truncated bcr gene to the 5Ј-upstream sequences of the second exon of c-abl (9, 13). The bcr-abl fusion gene is known to be essential to the pathogenesis of CML, and the Bcr-Abl protein demonstrates constitutively active kinase activity, which is essential and sufficient for malignant transformation (9, 13, 14). Bcr-Abl exerts diverse actions on hematopoietic cells in terms of cellular transforming activity, inhibition of apoptosis, cell cycle progression, altered cell migration, and adhesion to extracellular matrix (9, 13, 14). Expression of Bcr-Abl results in growth factor independence of cells and activates multiple signaling cascades, including the phosphatidylinositol 3-kinase (PI3K)/protein kinase B (PKB/c-Akt) signaling pathway (15,16).In non-malignant cells activation of the PI3K/PKB-signaling module is stimulated by growth factors and cytokines and has been linked to regulation of cellular proliferation and survival in a diverse variety of cell systems (17)(18)(19). Recently, it has been demonstrated that the members of the FOXO subfamily of transcription factors FOXO1, FOXO3a, and FOXO4 are directly phosphorylated by PKB (20,21). In the absence of growth or survival factors FOXOs are unphosphorylated, localized in the nucleus, and transcriptionally active. Upon stimulation with growth factors or cytokines, PKB activity is induced, and it translocates to the nucleus and phosphorylates FOXOs, leading to inhibition of transcriptional activity and nuclear export (22). We and others have demonstrated that FOXO transcription factors can regulate a variety of genes that influence cellular proliferation (e.g. p27 Kip1 and cyclin D), survival * This work was supported in part by the Dutch Scientific Organization (Grant NWO-90128139). The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. 31-30-250-4305; E-mail: P.J.Coffer@umcutrecht.nl. 9 The abbreviations used are: CML, chronic myeloid leukemia; PEPCK, phosphoenolpyruvate carboxykinase; PI3K, phosphatidyli...