Interleukin (IL)-1 is a proinflammatory cytokine that plays a pivotal
role in driving the in vitro proliferation of leukemic cells through a
utocrine or paracrine pathways. Both IL-l genes, IL-1 alpha and the pr
ominent IL-1 beta, produce 31 kDa proteins. Whereas the precursor (pro
) 31 kDa form of IL-1 alpha is biologically active, pro-IL-1 beta is i
nactive unless cleaved to its mature form by a cytoplasmic cysteine pr
otease termed IL-1 beta converting enzyme (ICE). Although ICE was firs
t thought to be a unique enzyme with a single biologic activity, sever
al investigators have demonstrated that ICE shares sequence homology w
ith the protein product of ced-3, the gene for cell death of the nemat
ode Caenorhabditis elegans, and can induce apoptosis in different cell
ular systems. However, recent data indicate that ICE is a member of an
increasingly recognized family of ICE-related molecules whose other m
embers, such as CPP32, do not cleave pro-IL-1 beta but rather are effe
ctive inducers of apoptotic cell death. We recently investigated the e
ffect of ICE inhibition on acute myelogenous leukemia (AML) colony gro
wth. We found that inhibition of ICE reduced the production of mature
IL-1 beta and suppressed the proliferation of AML colony-forming units
, confirming the central role of IL-1 beta in AML progenitor prolifera
tion. These data suggest that the primary role of ICE in AML cells is
cleavage of pro-IL-1 beta rather than induction of apoptosis and that
the antileukemic activity of specific ICE inhibitors warrants further
exploitation.