Bone marrow stromal cells modulate mouse ENT1 activity and protect leukemia cells from cytarabine induced apoptosis

Despite a high response rate to chemotherapy, the majority of patients with acute myeloid leukemia (AML) are destined to relapse due to residual disease in the bone marrow (BM). The tumor microenvironment is increasingly being recognized as a critical factor in mediating cancer cell survival and dru...

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Veröffentlicht in:PloS one 2012-05, Vol.7 (5), p.e37203
Hauptverfasser: Macanas-Pirard, Patricia, Leisewitz, Andrea, Broekhuizen, Richard, Cautivo, Kelly, Barriga, Francisco M, Leisewitz, Francisco, Gidi, Victoria, Riquelme, Erick, Montecinos, Viviana P, Swett, Pilar, Besa, Pelayo, Ramirez, Pablo, Ocqueteau, Mauricio, Kalergis, Alexis M, Holt, Matthew, Rettig, Michael, DiPersio, John F, Nervi, Bruno
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container_issue 5
container_start_page e37203
container_title PloS one
container_volume 7
creator Macanas-Pirard, Patricia
Leisewitz, Andrea
Broekhuizen, Richard
Cautivo, Kelly
Barriga, Francisco M
Leisewitz, Francisco
Gidi, Victoria
Riquelme, Erick
Montecinos, Viviana P
Swett, Pilar
Besa, Pelayo
Ramirez, Pablo
Ocqueteau, Mauricio
Kalergis, Alexis M
Holt, Matthew
Rettig, Michael
DiPersio, John F
Nervi, Bruno
description Despite a high response rate to chemotherapy, the majority of patients with acute myeloid leukemia (AML) are destined to relapse due to residual disease in the bone marrow (BM). The tumor microenvironment is increasingly being recognized as a critical factor in mediating cancer cell survival and drug resistance. In this study, we propose to identify mechanisms involved in the chemoprotection conferred by the BM stroma to leukemia cells. Using a leukemia mouse model and a human leukemia cell line, we studied the interaction of leukemia cells with the BM microenvironment. We evaluated in vivo and in vitro leukemia cell chemoprotection to different cytotoxic agents mediated by the BM stroma. Leukemia cell apoptosis was assessed by flow cytometry and western blotting. The activity of the equilibrative nucleoside transporter 1 (ENT1), responsible for cytarabine cell incorporation, was investigated by measuring transport and intracellular accumulation of (3)H-adenosine. Leukemia cell mobilization from the bone marrow into peripheral blood in vivo using a CXCR4 inhibitor induced chemo-sensitization of leukemia cells to cytarabine, which translated into a prolonged survival advantage in our mouse leukemia model. In vitro, the BM stromal cells secreted a soluble factor that mediated significant chemoprotection to leukemia cells from cytarabine induced apoptosis. Furthermore, the BM stromal cell supernatant induced a 50% reduction of the ENT1 activity in leukemia cells, reducing the incorporation of cytarabine. No protection was observed when radiation or other cytotoxic agents such as etoposide, cisplatin and 5-fluorouracil were used. The BM stroma secretes a soluble factor that significantly protects leukemia cells from cytarabine-induced apoptosis and blocks ENT1 activity. Strategies that modify the chemo-protective effects mediated by the BM microenvironment may enhance the benefit of conventional chemotherapy for patients with AML.
doi_str_mv 10.1371/journal.pone.0037203
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The tumor microenvironment is increasingly being recognized as a critical factor in mediating cancer cell survival and drug resistance. In this study, we propose to identify mechanisms involved in the chemoprotection conferred by the BM stroma to leukemia cells. Using a leukemia mouse model and a human leukemia cell line, we studied the interaction of leukemia cells with the BM microenvironment. We evaluated in vivo and in vitro leukemia cell chemoprotection to different cytotoxic agents mediated by the BM stroma. Leukemia cell apoptosis was assessed by flow cytometry and western blotting. The activity of the equilibrative nucleoside transporter 1 (ENT1), responsible for cytarabine cell incorporation, was investigated by measuring transport and intracellular accumulation of (3)H-adenosine. Leukemia cell mobilization from the bone marrow into peripheral blood in vivo using a CXCR4 inhibitor induced chemo-sensitization of leukemia cells to cytarabine, which translated into a prolonged survival advantage in our mouse leukemia model. In vitro, the BM stromal cells secreted a soluble factor that mediated significant chemoprotection to leukemia cells from cytarabine induced apoptosis. Furthermore, the BM stromal cell supernatant induced a 50% reduction of the ENT1 activity in leukemia cells, reducing the incorporation of cytarabine. No protection was observed when radiation or other cytotoxic agents such as etoposide, cisplatin and 5-fluorouracil were used. The BM stroma secretes a soluble factor that significantly protects leukemia cells from cytarabine-induced apoptosis and blocks ENT1 activity. Strategies that modify the chemo-protective effects mediated by the BM microenvironment may enhance the benefit of conventional chemotherapy for patients with AML.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0037203</identifier><identifier>PMID: 22629369</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>5-Fluorouracil ; Acute myeloid leukemia ; Adenosine ; Analysis ; Animals ; Antimetabolites, Antineoplastic - pharmacology ; Antimetabolites, Antineoplastic - therapeutic use ; Apoptosis ; Apoptosis - drug effects ; Apoptosis - physiology ; Biology ; Bone marrow ; Bone Marrow Cells - drug effects ; Bone Marrow Cells - metabolism ; Cancer ; Cancer prevention ; Cancer research ; Cancer therapies ; Cell Line, Tumor ; Cell Proliferation - drug effects ; Cell survival ; Cell Survival - drug effects ; Chemoprotection ; Chemotherapy ; Cisplatin ; CXCR4 protein ; Cytarabine ; Cytarabine - pharmacology ; Cytarabine - therapeutic use ; Cytometry ; Cytotoxic agents ; Cytotoxicity ; Drug resistance ; Equilibrative Nucleoside Transporter 1 - metabolism ; Etoposide ; Flavonoids ; Flow cytometry ; Humans ; Immunology ; Immunotherapy ; Leukemia ; Leukemia, Myeloid, Acute - drug therapy ; Leukemia, Myeloid, Acute - metabolism ; Leukemia, Myeloid, Acute - pathology ; Medicine ; Mice ; Myeloid leukemia ; Nucleoside transporter ; Nucleosides ; Oncology ; Patients ; Peripheral blood ; Proteins ; Radiation ; Stromal cells ; Stromal Cells - drug effects ; Stromal Cells - metabolism ; Survival ; Transporter ; Tumor Cells, Cultured ; Western blotting</subject><ispartof>PloS one, 2012-05, Vol.7 (5), p.e37203</ispartof><rights>COPYRIGHT 2012 Public Library of Science</rights><rights>2012 Macanas-Pirard et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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The tumor microenvironment is increasingly being recognized as a critical factor in mediating cancer cell survival and drug resistance. In this study, we propose to identify mechanisms involved in the chemoprotection conferred by the BM stroma to leukemia cells. Using a leukemia mouse model and a human leukemia cell line, we studied the interaction of leukemia cells with the BM microenvironment. We evaluated in vivo and in vitro leukemia cell chemoprotection to different cytotoxic agents mediated by the BM stroma. Leukemia cell apoptosis was assessed by flow cytometry and western blotting. The activity of the equilibrative nucleoside transporter 1 (ENT1), responsible for cytarabine cell incorporation, was investigated by measuring transport and intracellular accumulation of (3)H-adenosine. Leukemia cell mobilization from the bone marrow into peripheral blood in vivo using a CXCR4 inhibitor induced chemo-sensitization of leukemia cells to cytarabine, which translated into a prolonged survival advantage in our mouse leukemia model. In vitro, the BM stromal cells secreted a soluble factor that mediated significant chemoprotection to leukemia cells from cytarabine induced apoptosis. Furthermore, the BM stromal cell supernatant induced a 50% reduction of the ENT1 activity in leukemia cells, reducing the incorporation of cytarabine. No protection was observed when radiation or other cytotoxic agents such as etoposide, cisplatin and 5-fluorouracil were used. The BM stroma secretes a soluble factor that significantly protects leukemia cells from cytarabine-induced apoptosis and blocks ENT1 activity. Strategies that modify the chemo-protective effects mediated by the BM microenvironment may enhance the benefit of conventional chemotherapy for patients with AML.</description><subject>5-Fluorouracil</subject><subject>Acute myeloid leukemia</subject><subject>Adenosine</subject><subject>Analysis</subject><subject>Animals</subject><subject>Antimetabolites, Antineoplastic - pharmacology</subject><subject>Antimetabolites, Antineoplastic - therapeutic use</subject><subject>Apoptosis</subject><subject>Apoptosis - drug effects</subject><subject>Apoptosis - physiology</subject><subject>Biology</subject><subject>Bone marrow</subject><subject>Bone Marrow Cells - drug effects</subject><subject>Bone Marrow Cells - metabolism</subject><subject>Cancer</subject><subject>Cancer prevention</subject><subject>Cancer research</subject><subject>Cancer therapies</subject><subject>Cell Line, Tumor</subject><subject>Cell Proliferation - drug effects</subject><subject>Cell survival</subject><subject>Cell Survival - 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pharmacology</topic><topic>Antimetabolites, Antineoplastic - therapeutic use</topic><topic>Apoptosis</topic><topic>Apoptosis - drug effects</topic><topic>Apoptosis - physiology</topic><topic>Biology</topic><topic>Bone marrow</topic><topic>Bone Marrow Cells - drug effects</topic><topic>Bone Marrow Cells - metabolism</topic><topic>Cancer</topic><topic>Cancer prevention</topic><topic>Cancer research</topic><topic>Cancer therapies</topic><topic>Cell Line, Tumor</topic><topic>Cell Proliferation - drug effects</topic><topic>Cell survival</topic><topic>Cell Survival - drug effects</topic><topic>Chemoprotection</topic><topic>Chemotherapy</topic><topic>Cisplatin</topic><topic>CXCR4 protein</topic><topic>Cytarabine</topic><topic>Cytarabine - pharmacology</topic><topic>Cytarabine - therapeutic use</topic><topic>Cytometry</topic><topic>Cytotoxic agents</topic><topic>Cytotoxicity</topic><topic>Drug resistance</topic><topic>Equilibrative Nucleoside Transporter 1 - metabolism</topic><topic>Etoposide</topic><topic>Flavonoids</topic><topic>Flow cytometry</topic><topic>Humans</topic><topic>Immunology</topic><topic>Immunotherapy</topic><topic>Leukemia</topic><topic>Leukemia, Myeloid, Acute - 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Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Macanas-Pirard, Patricia</au><au>Leisewitz, Andrea</au><au>Broekhuizen, Richard</au><au>Cautivo, Kelly</au><au>Barriga, Francisco M</au><au>Leisewitz, Francisco</au><au>Gidi, Victoria</au><au>Riquelme, Erick</au><au>Montecinos, Viviana P</au><au>Swett, Pilar</au><au>Besa, Pelayo</au><au>Ramirez, Pablo</au><au>Ocqueteau, Mauricio</au><au>Kalergis, Alexis M</au><au>Holt, Matthew</au><au>Rettig, Michael</au><au>DiPersio, John F</au><au>Nervi, Bruno</au><au>Bunting, Kevin D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bone marrow stromal cells modulate mouse ENT1 activity and protect leukemia cells from cytarabine induced apoptosis</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2012-05-22</date><risdate>2012</risdate><volume>7</volume><issue>5</issue><spage>e37203</spage><pages>e37203-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Despite a high response rate to chemotherapy, the majority of patients with acute myeloid leukemia (AML) are destined to relapse due to residual disease in the bone marrow (BM). The tumor microenvironment is increasingly being recognized as a critical factor in mediating cancer cell survival and drug resistance. In this study, we propose to identify mechanisms involved in the chemoprotection conferred by the BM stroma to leukemia cells. Using a leukemia mouse model and a human leukemia cell line, we studied the interaction of leukemia cells with the BM microenvironment. We evaluated in vivo and in vitro leukemia cell chemoprotection to different cytotoxic agents mediated by the BM stroma. Leukemia cell apoptosis was assessed by flow cytometry and western blotting. The activity of the equilibrative nucleoside transporter 1 (ENT1), responsible for cytarabine cell incorporation, was investigated by measuring transport and intracellular accumulation of (3)H-adenosine. Leukemia cell mobilization from the bone marrow into peripheral blood in vivo using a CXCR4 inhibitor induced chemo-sensitization of leukemia cells to cytarabine, which translated into a prolonged survival advantage in our mouse leukemia model. In vitro, the BM stromal cells secreted a soluble factor that mediated significant chemoprotection to leukemia cells from cytarabine induced apoptosis. Furthermore, the BM stromal cell supernatant induced a 50% reduction of the ENT1 activity in leukemia cells, reducing the incorporation of cytarabine. No protection was observed when radiation or other cytotoxic agents such as etoposide, cisplatin and 5-fluorouracil were used. The BM stroma secretes a soluble factor that significantly protects leukemia cells from cytarabine-induced apoptosis and blocks ENT1 activity. Strategies that modify the chemo-protective effects mediated by the BM microenvironment may enhance the benefit of conventional chemotherapy for patients with AML.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>22629369</pmid><doi>10.1371/journal.pone.0037203</doi><tpages>e37203</tpages><oa>free_for_read</oa></addata></record>
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subjects 5-Fluorouracil
Acute myeloid leukemia
Adenosine
Analysis
Animals
Antimetabolites, Antineoplastic - pharmacology
Antimetabolites, Antineoplastic - therapeutic use
Apoptosis
Apoptosis - drug effects
Apoptosis - physiology
Biology
Bone marrow
Bone Marrow Cells - drug effects
Bone Marrow Cells - metabolism
Cancer
Cancer prevention
Cancer research
Cancer therapies
Cell Line, Tumor
Cell Proliferation - drug effects
Cell survival
Cell Survival - drug effects
Chemoprotection
Chemotherapy
Cisplatin
CXCR4 protein
Cytarabine
Cytarabine - pharmacology
Cytarabine - therapeutic use
Cytometry
Cytotoxic agents
Cytotoxicity
Drug resistance
Equilibrative Nucleoside Transporter 1 - metabolism
Etoposide
Flavonoids
Flow cytometry
Humans
Immunology
Immunotherapy
Leukemia
Leukemia, Myeloid, Acute - drug therapy
Leukemia, Myeloid, Acute - metabolism
Leukemia, Myeloid, Acute - pathology
Medicine
Mice
Myeloid leukemia
Nucleoside transporter
Nucleosides
Oncology
Patients
Peripheral blood
Proteins
Radiation
Stromal cells
Stromal Cells - drug effects
Stromal Cells - metabolism
Survival
Transporter
Tumor Cells, Cultured
Western blotting
title Bone marrow stromal cells modulate mouse ENT1 activity and protect leukemia cells from cytarabine induced apoptosis
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