In accord with the recently described DNA damage/ATM/NEMO pathway, SUMOylation site mutant NEMO (K277A or K309A) cells exposed to LBH-589 displayed diminished ATM/NEMO association, NEMO and p65/RelA nuclear localization/activation, and MnSOD2 up-regulation. These events were accompanied by increased ROS production, ␥-H2AX formation, and cell death. Together, these findings indicate that in human leukemia cells, HDACIs activate the cytoprotective NF-B pathway through an ATM/NEMO/SUMOylation-dependent process involving the induction of ROS and DNA damage and suggest that blocking NF-B activation via the atypical ATM/NEMO nuclear pathway can enhance HDACI antileukemic activity.Chromatin structure and gene expression are regulated by reversible acetylation of lysine residues in histone tails, a process comprising a component of the histone code (1). Histone acetylation is regulated reciprocally by histone deacetylases (HDACs) 2 and histone acetylase transferases (2). Histone deacetylase inhibitors, a group of structurally diverse compounds, have shown encouraging activity in certain hematopoietic malignancies, including cutaneous T-cell lymphoma and acute leukemia (3,4). Numerous mechanisms have been proposed to account for HDACI-mediated lethality, including oxidative damage, up-regulation of death receptors or proapoptotic proteins (e.g. Bim), down-regulation of anti-apoptotic proteins, and more recently, DNA damage induction and/or interference with DNA repair proteins (3,5,6).HDACIs also increase acetylation of various non-histone proteins including chaperone proteins (7), DNA repair proteins (e.g. Ku70) (8), and transcription factors, e.g. YY-1, E2F, and NF-B (9, 10). Of the latter, NF-B is a particularly important determinant of HDACI actions, particularly proliferation, differentiation, and cell death (11-13). NF-B consists of a family of proteins including p65/RelA, RelB, c-Rel, p105, p100, p52, and p50, which form homo-and heterodimers, of which p65/ p50 is the most abundant (14). Various cytokines (e.g. TNF␣, interleukin-1, and lipopolysaccharides) and environmental stresses trigger the classical NF-B pathway by activating the IKK complex, which consists of IKK␣, IKK, and IKK␥/NEMO (NF-B-essential modulator) (15). This leads to phosphorylation (Ser-32/Ser-36), ubiquitination, and proteasomal degradation of IB␣, resulting in p65 nuclear translocation, DNA binding, and activation of prosurvival genes, including . Other stimuli (e.g. CD-40 ligation, lymphotoxin-, and B-cell-activating factor (BAFF)) activate the alternative (noncanonical) NF-B pathway through a complex consisting of NF-B-inducing kinase (NIK) and IKK␣ but not IKK (16). A third, atypical, UV light-associated pathway activates p65 via p38 mitogen-activated protein kinase (MAPK) and CSII * This work was supported, in whole or in part, by National Institutes of Health Grants CA63753, CA93738, and CA100866 from the National Cancer Institute, the Leukemia and Lymphoma Society of America, and Lymphoma SPORE Award 1P50 CA130805. This work was al...