IntroductionCommitment of hematopoietic stem cells (HSCs) toward the Blymphocyte lineage is tightly controlled by a myriad of transcription factors, including E26 transformation-specific family factor, PU.1, basic helix-loop-helix family factor, E2A (encodes E12 and E47 proteins), early B-cell factor (EBF), and paired box gene 5 (Pax5) [1]. These proteins initiate a differentiation program [4,5], establishing that Pax5 expression is essential to maintain the cell identity of the B-cell lineage.Disruption of the expression or function of transcription factors may account for the occurrence of lineage switching during malignancies. Indeed, deletion of Pax5 from mature B cells in mice leads to the development of aggressive progenitor lymphomas that are indistinguishable from Pax5 −/− pro-B cells, except that they possess rearranged heavy and light chain gene loci [4,5]. Recent studies have indicated that Pax5 is mutated or targeted for chromosomal translocation in a number of human B-cell malignancies underlining the importance of establishing that proteins are responsible for regulating Pax5 function [7,8].Protein kinase C (PKC) represents a family of serine/threonine protein kinases that are essential for regulation of proliferation, apoptosis, differentiation, and migration in normal cells [9,10]. Isoforms comprising the mammalian PKC family share a common catalytic domain, and are classified based on their regulatory domain structure, which dictates cofactor dependence for activation: classical cPKCs (α, βI, βII, γ) are activated by phospholipids, diacylglycerol (DAG), and Ca 2+ ; novel nPKCs (δ, ε, η, θ)by phospholipids and DAG, but not Ca 2+ ; and atypical aPKCs (ζ, ι/λ) are activated independently of Ca 2+ and DAG [11,12].Early studies utilizing the DAG analogues, phorbol esters, to modulate PKC activity in transformed cells suggested that PKC behaves as a rheostat for cell fate decision: no/low activity enabling cells to maintain a progenitor state; moderate activity resulting in the adoption of a myeloid lineage; and high PKC activation leading to eosinophil lineage commitment [13][14][15]. Although these experiments were insufficient to define a clear role for PKC in modulating lineage decisions, due to the ability of phorbol esters to regulate DAG-binding proteins such as , additional studies showed that PKC-α specifically influences the ability of human bone marrow (BM) cells to differentiate toward erythroid lineage cells [13]. This suggests that the PKC family plays a role in cell fate decisions. During the course of our studies assessing the role of the PKC family in early development of B lymphocytes, we established that expression of a dominant negative PKC-α K 368 R (PKC-α-KR) construct in HSC-enriched populations resulted in the outgrowth of transformed B-lineage cells that resemble chronic lymphocytic leukemia (CLL) [17]. Closer analysis reveals that PKC-α-KR expression can also provoke lineage plasticity in B-committed precursors, enabling CD19 + cells to differentiate toward the myeloid and N...