IntroductionA link between proteasomal degradation and cancer development has been established and a general proteasome inhibitor, Velcade (bortezomib), is in clinical use for the treatment of multiple myeloma and mantle cell lymphoma. 1,2 Deregulation of E3 ubiquitin ligases can be sufficient to suppress the expression and function of key tumor suppressors. For example, the inhibition of p53 as a consequence of Mdm2 amplification is frequently observed in human sarcomas and retinoblastoma. [3][4][5] Interestingly, in human papilloma virus (HPV)-infected cells the suppression of p53 is not achieved by Mdm2, but rather by the cellular E6AP (E6-associated protein) ubiquitin ligase, which is recruited to p53 by the HPV-E6 protein. [6][7][8] E6AP is encoded by the UBE3A locus, which is mutated in Angelman syndrome (AS), a human neuro-developmental disorder. 9 E6AP was the first mammalian ubiquitin E3 ligase to be identified. It is the prototype of the subfamily of E3 ligases that covalently bind ubiquitin and are characterized by a C-terminal HECT (homologous to the E6AP C terminus) domain. 10 We recently demonstrated that E6AP regulates the stability of the promyelocytic leukemia (PML) protein and the formation of PML nuclear bodies (PML-NBs). 11 PML is a tumor suppressor that was identified as a consequence of the chromosomal translocation of its gene in acute promyelocytic leukemia (APL). 12 Consistent with the role of PML as a tumor suppressor, PML deficient mice showed abnormally increased susceptibility to carcinogen 13,14 and oncogene-induced tumorigenesis. 15 Importantly, PML expression was found to be down-regulated or lost in a variety of human cancer types, including prostate, breast, and colon adenocarcinomas. 16,17 PML protein and the PML-NBs were found to play critical roles in cellular stress responses, including those that elicit apoptosis or cellular senescence. 18-21 Cellular senescence is emerging as an important mechanism for tumor suppression. 22,23 It represents a profound arrest of cellular proliferation, accompanied by a distinct set of alterations in the cellular phenotype, such as the formation of senescence-associated heterochromatin foci (SAHF, eg, H3K9me3) and up-regulation of certain inhibitors of cell growth, such as p21, PAI-1, and p16. 24 In this study, we explored the role of the E6AP-PML axis in HPV-independent cancer development. We chose pre-B/B-cell lymphomagenesis as a model For personal use only. on May 7, 2018. by guest www.bloodjournal.org From because of the high frequency of PML down-regulation in nonHodgkin lymphomas (NHLs). 16 For this purpose we used the well established E-myc transgenic mice, a mouse model for Burkitt lymphoma and other NHLs. 25 We found that the loss of one allele of E6AP significantly delayed Myc-driven B-cell lymphomagenesis and this was accompanied by elevated PML expression and the induction of cellular senescence. Importantly, E6AP expression was observed to be elevated in human Burkitt lymphoma and cell lines derived from these tumors. Our findi...