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Updated: Jul 13, 2025

Intracellular Phosphoflow Cytometry of Acute Myeloid Leukemia Patient-Derived Xenotransplants
Published on: June 6, 2025
Downregulation of stromal syntenin sustains AML development
Raphael Leblanc1, Rania Ghossoub1, Armelle Goubard2
1Team Spatio-Temporal Regulation of Cell Signaling-Scaffolds and Phosphoinositides, Equipe Labellisée Ligue 2018, Centre de Recherche en Cancérologie de Marseille (CRCM), Institut Paoli-Calmettes, Aix-Marseille Université, Inserm, CNRS, Marseille, France.
Abstract:
The crosstalk between cancer and stromal cells plays a critical role in tumor progression. Syntenin is a small scaffold protein involved in the regulation of intercellular communication that is emerging as a target for cancer therapy. Here, we show that certain aggressive forms of acute myeloid leukemia (AML) reduce the expression of syntenin in bone marrow stromal cells (BMSC). Stromal syntenin deficiency, in turn, generates a pro-tumoral microenvironment. From serial transplantations in mice and co-culture experiments, we conclude that syntenin-deficient BMSC stimulate AML aggressiveness by promoting AML cell survival and protein synthesis. This pro-tumoral activity is supported by increased expression of endoglin, a classical marker of BMSC, which in trans stimulates AML translational activity. In short, our study reveals a vicious signaling loop potentially at the heart of AML-stroma crosstalk and unsuspected tumor-suppressive effects of syntenin that need to be considered during systemic targeting of syntenin in cancer therapy.
Insights
Aggressive acute myeloid leukemia (AML) lowers syntenin in bone marrow stromal cells (BMSC), creating a pro-tumor environment that fuels cancer growth. This study reveals syntenin
Area of Science:
- Oncology
- Cell Biology
- Cancer Research
Background:
- Intercellular communication between cancer and stromal cells is crucial for tumor progression.
- Syntenin, a scaffold protein regulating cell communication, is a potential cancer therapeutic target.
- Aggressive acute myeloid leukemia (AML) subtypes are implicated in altering the tumor microenvironment.
Purpose of the Study:
- To investigate the role of syntenin in bone marrow stromal cells (BMSC) in the context of acute myeloid leukemia (AML).
- To elucidate the mechanisms by which stromal syntenin deficiency influences AML aggressiveness.
- To identify potential therapeutic strategies targeting the AML-stroma crosstalk.
Main Methods:
- Serial transplantation of AML cells in mice.
- Co-culture experiments between AML cells and BMSC.
- Analysis of syntenin and endoglin expression levels.
- Assessment of AML cell survival and protein synthesis.
Main Results:
- Aggressive AML reduces syntenin expression in BMSC.
- Syntenin-deficient BMSC promote AML cell survival and protein synthesis, creating a pro-tumoral microenvironment.
- Increased endoglin expression in BMSC, driven by syntenin deficiency, enhances AML translational activity.
Conclusions:
- A signaling loop exists between AML and BMSC, driven by syntenin deficiency and endoglin upregulation.
- Stromal syntenin deficiency promotes AML aggressiveness through enhanced cell survival and protein synthesis.
- Syntenin exhibits tumor-suppressive functions in the AML context, necessitating careful consideration for systemic cancer therapy targeting.
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