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Updated: Mar 26, 2026

Proliferation and Differentiation of Murine Myeloid Precursor 32D/G-CSF-R Cells
Published on: February 21, 2018
Adrenomedullin in the growth modulation and differentiation of acute myeloid leukemia cells
Rosa Di Liddo1, Deborah Bridi1, Michele Gottardi2
1Department of Pharmaceutical and Pharmacological Sciences, University of Padova, Padova, Italy.
Abstract:
Adrenomedullin (ADM) is a regulatory peptide endowed with multiple biological effects, including the regulation of blood pressure, cell growth and innate host defence. In the present study, we demonstrated that ADM signaling could be involved in the impaired cellular differentiation of myeloid leukemia cells to mature granulocytes or monocytes by modulating RAMPs/CRLR expression, PI3K/Akt cascade and the ERK/MAPK signaling pathway. When exogenously administered to in vitro cultures of HL60 promyelocytic leukemia cells, ADM was shown to exert a strong proliferative effect with minimal upregulation in the expression level of monocyte antigen CD14. Notably, the experimental inhibition of ADM signaling with inhibitor ADM22-52 promoted a differentiative stimulation towards monocytic and granulocytic lineages. Moreover, based on the expression of CD31 relative to CD38, we hypothesized that an excess of ADM in bone marrow (BM) niche could increase the transendothelial migration of leukemia cells while any inhibitory event of ADM activity could raise cell retention in hyaluronate matrix by upregulating CD38. Taken into consideration the above evidence, we concluded that ADM and ADM22-52 could differently affect the growth of leukemia cells by autocrine/paracrine mechanisms and may have clinical relevance as biological targets for the intervention of tumor progression.
Insights
Adrenomedullin (ADM) impacts myeloid leukemia cell differentiation. Inhibiting ADM signaling promotes cell maturation, suggesting ADM as a potential therapeutic target for leukemia.
Area of Science:
- Molecular Biology
- Cancer Research
- Hematology
Background:
- Adrenomedullin (ADM) is a peptide hormone regulating blood pressure, cell growth, and innate immunity.
- Leukemia involves impaired differentiation of myeloid cells.
- ADM signaling pathways, including RAMPs/CRLR, PI3K/Akt, and ERK/MAPK, are implicated in cellular processes.
Purpose of the Study:
- To investigate the role of Adrenomedullin (ADM) signaling in myeloid leukemia cell differentiation.
- To explore the effects of ADM and its inhibitor (ADM22-52) on leukemia cell proliferation and differentiation.
- To assess the potential of ADM signaling as a therapeutic target in leukemia.
Main Methods:
- In vitro culture of HL60 promyelocytic leukemia cells.
- Exogenous administration of ADM and ADM22-52.
- Analysis of cell differentiation markers (e.g., CD14, CD31, CD38) and signaling pathways (RAMPs/CRLR, PI3K/Akt, ERK/MAPK).
Main Results:
- ADM promoted proliferation of HL60 cells with minimal CD14 upregulation.
- ADM inhibition using ADM22-52 stimulated differentiation towards monocytic and granulocytic lineages.
- ADM excess in bone marrow niche may enhance leukemia cell migration; ADM inhibition may increase cell retention.
Conclusions:
- ADM and ADM22-52 differentially affect leukemia cell growth via autocrine/paracrine mechanisms.
- ADM signaling plays a crucial role in regulating myeloid leukemia cell differentiation.
- ADM and its inhibitors represent potential therapeutic targets for leukemia intervention.
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