Diffuse large B-cell lymphoma (DLBCL) is a common and often fatal malignancy. Advances in the treatment of this disease will require the identification of novel therapeutic targets. We previously defined an expression signature of outcome in DLBCL and found that the phosphodiesterase PDE4B was overexpressed in fatal/refractory tumors. Phosphodiesterase 4B (PDE4B) inactivates the second messenger cyclic adenosine 3,5 monophosphate (cAMP) and abrogates its inhibitory effects in B lymphocytes. Hence, DLBCLs that express high PDE4B levels may be resistant to cAMP-induced apoptosis, contributing to their less favorable outcome. Herein, we confirmed the riskrelated expression of PDE4B in an independent series of primary DLBCLs and defined the enzyme's role in modulating cAMP-induced apoptosis in parental DLBCL cell lines or those reconstituted with wild-type or mutant PDE4B. The cAMP-mediated apoptosis of DLBCLs was largely independent of the previously described cAMP effectors, protein kinase A (PKA) and exchange protein directly activated by cAMP (EPAC), but associated with inhibition of the phosphatidylinosi-
IntroductionDiffuse large B-cell lymphoma (DLBCL) is a common and heterogeneous B-lymphoid malignancy. 1 Although a subset of patients with DLBCL are cured with combination chemotherapy, the remainder die of their disease. Therefore, additional understanding of the molecular and cellular heterogeneity of DLBCL and identification of potential rational therapeutic targets are needed. Recently, transcriptional profiling of DLBCL has been used to highlight similarities between subsets of tumors and normal B cells 2 and to identify features associated with unfavorable responses to empiric combination chemotherapy. 2,3 In a pilot study of DLBCL outcome signatures, 3 one of the most prominently overexpressed genes in fatal/refractory DLBCL was the phosphodiesterase, PDE4B.Phosphodiesterases (PDEs) catalyze the hydrolysis of cyclic adenosine 3Ј,5Ј monophosphate (cAMP) and cyclic guanosine 3Ј,5Ј monophosphate (cGMP), inactivating these second messengers. 4 The PDE superfamily is subgrouped into 11 families that include at least 20 different genes and 50 unique isoforms. Of these PDE gene families, 3 are cAMP specific: PDE4, PDE7, and PDE8. 5 Isoforms of the PDE4 family are the major inactivators of cellular cAMP and the predominant phosphodiesterases in lymphocytes. 5,6 There are 4 PDE4 proteins, A to D, encoded by different genes and at least 3 different isoforms of PDE4B, PDE4B1, B2, and B3. These isoforms contain variable numbers of highly conserved amino terminal regions, PDE4B1 and B3 (long forms) including upstream conserved regions 1 and 2 (UCR1 and 2), and PDE4B2 (short form) containing only UCR2. The UCR1/UCR2 regions function as regulatory domains that control the conformation and activity of the catalytic domain, at least in part via the phosphorylation of a single serine residue at the amino terminus of UCR1 by protein kinase A (PKA). 5,6 Further details on the structure and regulation of the PDE4 family c...