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Author Spotlight: Analyzing Bone Marrow Microenvironment in Murine Hematological Malignancies
Published on: November 10, 2023
PO-46 - Influence of extracellular vesicles derived from AML patients on stem cells and their microenvironment
I Tzoran1, A Rebibo-Sabbah2, B Brenner2
1Department of Hematology and Bone Marrow Transplantation, Rambam Health Care Campus; Internal Medicine C, Rambam Health Care Campus; Bruce Rappaport Faculty of Medicine, Technion, Israel Institute of Technology; Haifa, Israel.
Introduction:
Acute myeloid leukemia (AML) is characterized by rapid growth of leukemic blast cells. Extracellular vesicles (EVs) are shed from normal and pathologic cells and express membrane proteins and antigens, reflecting their cellular origin.
Aim:
To explore whether bone marrow EVs of AML patients originate from blast cells and are capable of influencing hematopoietic stem cells (HSC) in a pseudo-natural microenvironment obtained by co-culture of HSC with mesenchymal stem cells (MSC).
Materials And Methods:
Bone marrow (BM) samples were collected from healthy controls and patients with newly diagnosed AML at three time points: diagnosis, nadir and remission. EV concentration, cell origin and expression of coagulation proteins were characterized by FACS. Stem cells were obtained from Ficoll gradient of cord blood (CB) followed by CD34+ isolation. Cord blood stem cells with or without MSC were co-incubated with AML EVs. EV internalization was demonstrated by FACS-AMNIS and confocal microscopy. Mir-125b and -155 expressions in the cells were analyzed by RT-PCR.
Results:
AML patients were enrolled in the study. The total BM-EVs number was higher in patients at first remission compared to controls, while blast EV counts (labeled with anti-CD34, CD33, CD117) were higher in patients at diagnosis compared to controls and to patients in remission. Internalization of CD117+/CD33+ BM-EVs to cord blood stem cells in the presence or absence of MSC was evaluated by FACS-AMNIS. Confocal microscopy of CD33+ stained EVs strengthens the findings and shows presence of EVs even in the cytoplasm and the nucleus. Quantitative analysis of mir-125b and mir-155 expression in cord blood stem cells incubated with AML EVs revealed a clear tendency of increased expression in case of cell exposure to AML EVs in comparison to healthy control EVs. This tendency was emphasized in the presence of MSC.
Conclusions:
EVs of AML patients are generated from blast cells. By internalization into naïve stem cells they can influence their differentiation. Moreover, the presence of mesenchymal stem cells is likely to be essential to the process.
Insights
Extracellular vesicles (EVs) from acute myeloid leukemia (AML) blast cells can influence hematopoietic stem cells (HSCs). Mesenchymal stem cells (MSCs) appear crucial for this process, highlighting a novel mechanism in AML progression.
Area of Science:
- Hematology
- Cell Biology
- Cancer Research
Background:
- Acute myeloid leukemia (AML) is a rapidly progressing cancer characterized by uncontrolled growth of leukemic blast cells.
- Extracellular vesicles (EVs) are released by cells and carry surface proteins and antigens that reflect their cell of origin, including in pathological conditions like AML.
Purpose of the Study:
- To investigate if bone marrow EVs from AML patients originate from blast cells.
- To determine if these AML-derived EVs can affect hematopoietic stem cells (HSCs).
- To explore this interaction within a co-culture system of HSCs and mesenchymal stem cells (MSCs), simulating a pseudo-natural microenvironment.
Main Methods:
- Bone marrow samples were collected from AML patients and healthy controls at different disease stages.
- EVs were characterized for concentration, origin, and protein expression using flow cytometry (FACS).
- HSCs were isolated from cord blood and co-incubated with AML EVs in the presence or absence of MSCs, with EV internalization assessed by FACS-AMNIS and confocal microscopy. MicroRNA expression (mir-125b, mir-155) was analyzed via RT-PCR.
Main Results:
- AML patients exhibited higher blast EV counts compared to controls and patients in remission.
- Internalization of AML-derived EVs (CD117+/CD33+) into HSCs was confirmed, with EVs found within cell cytoplasm and nuclei.
- Exposure to AML EVs, particularly in the presence of MSCs, showed a tendency to increase mir-125b and mir-155 expression in HSCs.
Conclusions:
- Bone marrow EVs in AML patients are indeed derived from blast cells.
- These EVs can influence the differentiation of naive stem cells through internalization.
- Mesenchymal stem cells appear to play a significant role in mediating the effects of AML EVs on stem cells.
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