Human neutrophils were found to express members of the inhibitor of apoptosis (IAP) family, namely cellular IAP1 (cIAP1), cIAP2, and X-linked IAP. Among these members, cIAP2 expression was selectively up-regulated by stimulation with
granulocyte colony-stimulating factor (
G-CSF), but not with granulocyte-macrophage CSF. The increased expression of cIAP2
mRNA was detected as early as 30 minutes after in vitro stimulation with
G-CSF, and the elevated level of
cIAP2 protein was detected at 1 hour. The elevated level of
cIAP2 protein was also detected in peripheral blood neutrophils obtained from healthy donors receiving
G-CSF administration.
G-CSF-induced up-regulation of cIAP2
mRNA and
protein, phosphorylation of
signal transducer and activator of transcription 3 (STAT3), and the antiapoptotic effects were inhibited by pretreatment of cells with
AG490, a specific inhibitor of
Janus kinase 2 (JAK2). Mature neutrophils from a patient with
chronic neutrophilic leukemia exhibited remarkable overexpression of cIAP2
mRNA and prolongation of survival, whereas cIAP2
mRNA expression and survival in mature neutrophils from patients with
chronic myelogenous leukemia were essentially similar to those in normal neutrophils. These findings suggest that cIAP2 expression is up-regulated by
G-CSF through activation of the JAK2-STAT3 pathway, and increased expression of
cIAP2 protein may contribute to
G-CSF-mediated antiapoptosis. In addition, overexpression of cIAP2 may be partly responsible for sustained neutrophilia at least in some cases of
chronic neutrophilic leukemia.