MIF-Induced Stromal PKCβ/IL8 Is Essential in Human Acute Myeloid Leukemia

Amina M Abdul-Aziz1, Manar S Shafat1, Tarang K Mehta2

  • 1Department of Molecular Haematology, Norwich Medical School, University of East Anglia, Norwich, United Kingdom.

Cancer Research
|November 23, 2016
PubMed

Insights

Bone marrow mesenchymal stromal cells (BM-MSCs) protect acute myeloid leukemia (AML) cells from apoptosis. A novel bidirectional mechanism involving macrophage migration inhibitory factor (MIF) and IL8 promotes AML survival within the tissue microenvironment.

Area of Science:

  • Hematology
  • Cancer Biology
  • Cellular Microenvironment

Background:

  • Acute myeloid leukemia (AML) cells show high in vitro apoptosis but prolonged in vivo survival, suggesting a critical role for the tissue microenvironment.
  • Bone marrow mesenchymal stromal cells (BM-MSCs) are known to protect AML blasts from apoptosis.
  • A novel interaction benefiting AML proliferation and survival was investigated.

Purpose of the Study:

  • To elucidate a novel, bidirectional, prosurvival mechanism between AML blasts and BM-MSCs.
  • To identify key molecular players in the AML-BM-MSC interaction.
  • To provide a biologic rationale for targeting the AML microenvironment therapeutically.

Main Methods:

  • Cytokine profiling of AML cells alone and co-cultured with BM-MSCs.
  • Investigated the role of macrophage migration inhibitory factor (MIF) and IL8 in the AML-BM-MSC interaction.
  • Utilized recombinant MIF, MIF inhibitor ISO-1, and IL8 shRNA to probe the mechanism.
  • Examined the involvement of CD74 receptor and Protein Kinase C beta (PKCβ).

Main Results:

  • Primary AML cells highly expressed MIF; co-culture with BM-MSCs increased IL8 expression.
  • Recombinant MIF upregulated IL8 in BM-MSCs via CD74, a process regulated by PKCβ.
  • The MIF inhibitor ISO-1 reduced AML-induced IL8 expression and BM-MSC-mediated AML survival.
  • Targeted IL8 inhibition abrogated BM-MSC-induced AML cell survival.

Conclusions:

  • A novel bidirectional prosurvival pathway exists between AML blasts and BM-MSCs involving MIF and IL8.
  • This interaction is mediated by MIF secreted by AML cells, which induces IL8 production in BM-MSCs.
  • Targeting the MIF/IL8 axis within the bone marrow microenvironment represents a potential therapeutic strategy for AML.