The FOXO transcription factors are involved in multiple signaling pathways and have tumor-suppressor functions. In acute myeloid leukemia (AML), deregulation of oncogenic kinases, including Akt, extra-signal-regulated kinase, or IB kinase, is frequently observed, which may potentially inactivate FOXO activity. We therefore investigated the mechanism underlying the regulation of FOXO3a, the only FOXO protein constantly expressed in AML blast cells. We show that in both primary AML samples and in a MV4-11/ FOXO3a-GFP cell line, FOXO3a is in a constant inactive state due to its cytoplasmic localization, and that neither PI3K/Akt nor extra-signal-regulated kinase-specific inhibition resulted in its nuclear translocation. In contrast, the anti-Nemo peptide that specifically inhibits IKK activity was found to induce FOXO3a nuclear localization in leukemic cells.
IntroductionAcute myeloid leukemia (AML) is a clonal hematopoietic stem cell disorder characterized by differentiation arrest and inappropriate proliferation and survival of immature myeloid progenitors. As the global prognosis for this disease remains particularly poor, major efforts have been made to both characterize the deregulated signal transduction pathways in AML cells 1 and to develop targeted therapies against these aberrant signals.The human FOXO transcription factors, which include FOXO1, FOXO3a, FOXO4, and FOXO6, 2 function as tumor suppressors by up-regulating genes involved in the control of the cell cycle (p27 and p21 Cip16 ) or in the induction of apoptosis (Fas ligand [Fas-L] 7 and Bim 5,8 ). The activity of the FOXO transcription factors is mainly regulated through posttranslational modifications (PTMs), resulting in changes in the subcellular localization of these proteins. Accordingly, activation of the PI3K/Akt signaling pathway downstream of growth factor receptors negatively regulates FOXO proteins. Indeed, by phosphorylating FOXO3a at 3 conserved sites (T 32 , S 253 , and S 315 ), Akt creates binding sites for the 14-3-3 chaperone proteins and thereby allows active export and sequestration of FOXO3a in the cytoplasm. 7 Nevertheless, in addition to Akt, other kinases, such as the serum and glucocorticoidinducible kinase (SGK), casein kinase (CK1), dual tyrosine phosphorylated regulated kinase 1 (DYRK1), extra-signal-regulated kinases 1 and 2 (ERK1/2) and IB Kinase  (IKK) can also phosphorylate FOXOs and therefore regulate their subcellular localization. 9 The activity of FOXOs is also regulated by ubiquitindependant protein degradation. Phosphorylation of FOXO1 by Akt (most notably on S 256 ) is necessary for its Skp2-mediated polyubiquitination and proteasome degradation. 10 Another E3 ubiquitin ligase, MDM2, has been reported to mediate FOXO3a ubiquitination and degradation after ERK-dependent phosphorylations. 11 Recently, perturbation of FOXO functions have been observed in a number of human cancers 12,13 thus emphasizing the tumorsuppressive roles of these transcription factors. Inactivation of FOXO proteins can occur throu...