Chronic myelogenous leukemia (CML) is a human malignancy marked by the presence of a distinct cytogenetic abnormality that results from a translocation between chromosomes 9 and 22, known as the Philadelphia chromosome (
17). This translocation causes aberrant expression of Bcr-Abl, a constitutively active tyrosine kinase that has been directly linked to the pathogenesis of CML. Moreover, Bcr-Abl expression is sufficient to cause malignant transformation of hematopoietic cell lines (
15). Bcr-Abl is thought to promote malignant transformation by altering cellular adhesion properties, stimulating mitogenic signaling pathways, and inhibiting programmed cell death (apoptosis) (
5,
17,
35). The potent ability of Bcr-Abl to inhibit cell death limits the efficacy of apoptosis-inducing chemotherapeutics in the treatment of CML (
4). Although STI-571, a specific inhibitor of Bcr-Abl, has shown remarkable success in the treatment of CML (
45), the prevalence of STI-571-resistant leukemias has been steadily increasing. This resistance arises most often from mutations in the kinase domain of Bcr-Abl that render it insensitive to STI-571 (
25) or from overexpression of the Bcr-Abl protein (
31). Therefore, an understanding of the mechanisms used by Bcr-Abl to inhibit apoptotic signaling pathways is crucial to the development of alternative pharmacologic agents for the chemotherapeutic treatment of CML.
In response to cellular stress such as DNA damage induced by chemotherapeutic drugs, the cell's mitochondria are triggered to release cytochrome
c (a component of the electron transport chain) into the cytosol. Once released, cytochrome
c plays a critical role in the formation of a proteolytic cell death machine known as the apoptosome. The formation of the apoptosome results in the activation of a group of zymogenic cysteine proteases (caspases), which carry out the cell death program (
23,
38,
57). Cytosolic cytochrome
c initiates apoptosome formation by binding to the adaptor protein Apaf-1 and promoting its oligomerization into a higher-ordered structure (
61). Oligomerization of Apaf-1 then allows binding of the initiator caspase 9, which results in dimerization-induced self-activation (
55). Once activated, caspase 9 can cleave and activate effector caspases 3 and 7, which subsequently cleave a number of cellular substrates. This results in orderly dismantling of the cell and the hallmark features of apoptosis (
60). The release of cytochrome
c from the mitochondria is tightly regulated by Bcl-2 proteins, a family comprising both proapoptotic (e.g., Bax and Bak) and antiapoptotic (e.g., Bcl-2 and Bcl-X
L) family members (
16). These proteins act as mitochondrial gatekeepers and regulate apoptosis by governing the release of cytochrome
c. Proapoptotic members such as Bak and Bax promote mitochondrial cytochrome
c release, while the antiapoptotic Bcl-2 and Bcl-X
L proteins maintain the integrity of the mitochondria to prevent the release of cytochrome
c.
Alterations of apoptotic signaling pathways at a number of loci allow malignant cells to evade cell death, a phenomenon thought, in many cases, to be critical for tumor development (
24). Although regulation of caspase activation upstream of cytochrome
c release has been subject to intense scrutiny, the regulation of apoptosis downstream of mitochondrial cytochrome
c release is only beginning to be understood. One mode of caspase regulation post cytochrome
c release involves direct binding and inhibition of active caspases by the IAP (inhibitor of apoptosis) family of proteins (
20,
47). Kinase signaling pathways have also been shown to impinge upon the proper functioning of the apoptosome. For example, both Akt and ERK, two kinases commonly active in cancer cells, can phosphorylate caspase 9 and subsequently inhibit its enzymatic activity (
1,
12,
56). Furthermore, several additional proteins have been identified which can inhibit apoptosis by binding to either Apaf-1 or caspase 9 (e.g., Hsp70 and Aven) to prevent proper functioning of the apoptosome (
6-
8,
13,
46,
49).
Prior to cytochrome
c release, Bcr-Abl can inhibit apoptosis through regulation of Bcl-2 family members (
3). Specifically, Bcr-Abl increases expression of antiapoptotic Bcl-2 family members such as Bcl-2 and Bcl-X
L through activation of the transcription factor STAT5 (
3,
27,
48,
50). Additionally, Bcr-Abl has also been shown to prevent mitochondrial cytochrome
c release through a posttranslational mechanism by signaling through the phosphatidylinositol 3-kinase (PI3K)/Akt pathway to phosphorylate and inhibit Bad (
26,
36,
52). However, Bcr-Abl has recently been reported to be a more effective inhibitor of apoptosis than either Bcl-2 or Bcl-X
L. As the Bcl-2 and Bcl-x
L proteins can potently suppress mitochondrial cytochrome
c release, these data suggested that Bcr-Abl might act at additional sites, perhaps downstream of the mitochondria (
9). We report here that Bcr-Abl can act through posttranslational signaling mechanisms to prevent apoptosis downstream of mitochondrial cytochrome
c release. Our data indicate that Bcr-Abl protection from cytochrome
c differs from that reported for other apoptosome-inhibiting kinases (ERK and Akt) in that caspase 9 phosphorylation does not seem to underlie the protection. Rather, despite unperturbed binding to cytochrome
c, Apaf-1 from Bcr-Abl-expressing cells appears to be defective in the ability to recruit the caspase 9 prodomain. Collectively, these results demonstrate a novel role for Bcr-Abl in apoptotic signaling and present a potential target for the development of apoptosis-inducing chemotherapeutics.