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RepSox slows decay of CD34+ acute myeloid leukemia cells and decreases T cell immunoglobulin mucin-3 expression.

Abstract
Despite initial response to therapy, most acute myeloid leukemia (AML) patients relapse. To eliminate relapse-causing leukemic stem/progenitor cells (LPCs), patient-specific immune therapies may be required. In vitro cellular engineering may require increasing the "stemness" or immunogenicity of tumor cells and activating or restoring cancer-impaired immune-effector and antigen-presenting cells. Leukapheresis samples provide the cells needed to engineer therapies: LPCs to be targeted, normal hematopoietic stem cells to be spared, and cancer-impaired immune cells to be repaired and activated. This study sought to advance development of LPC-targeted therapies by exploring nongenetic ways to slow the decay and to increase the immunogenicity of primary CD34(+) AML cells. CD34(+) AML cells generally displayed more colony-forming and aldehyde dehydrogenase activity than CD34(-) AML cells. Along with exposure to bone marrow stromal cells and low (1%-5%) oxygen, culture with RepSox (a reprogramming tool and inhibitor of transforming growth factor-β receptor 1) consistently slowed decline of CD34(+) AML and myelodysplastic syndrome (MDS) cells. RepSox-treated AML cells displayed higher CD34, CXCL12, and MYC mRNA levels than dimethyl sulfoxide-treated controls. RepSox also accelerated loss of T cell immunoglobulin mucin-3 (Tim-3), an immune checkpoint receptor that impairs antitumor immunity, from the surface of AML and MDS cells. Our results suggest RepSox may reduce Tim-3 expression by inhibiting transforming growth factor-β signaling and slow decay of CD34(+) AML cells by increasing CXCL12 and MYC, two factors that inhibit AML cell differentiation. By prolonging survival of CD34(+) AML cells and reducing Tim-3, RepSox may promote in vitro immune cell activation and advance development of LPC-targeted therapies.
AuthorsAudrey N Jajosky, James E Coad, Jeffrey A Vos, Karen H Martin, Jamie R Senft, Sharon L Wenger, Laura F Gibson
JournalStem cells translational medicine (Stem Cells Transl Med) Vol. 3 Issue 7 Pg. 836-48 (Jul 2014) ISSN: 2157-6564 [Print] England
PMID24855276 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Copyright©AlphaMed Press.
Chemical References
  • Antigens, CD34
  • Biomarkers, Tumor
  • CXCL12 protein, human
  • Chemokine CXCL12
  • HAVCR2 protein, human
  • Hepatitis A Virus Cellular Receptor 2
  • MYC protein, human
  • Membrane Proteins
  • Proto-Oncogene Proteins c-myc
  • Pyrazoles
  • Pyridines
  • Receptors, Transforming Growth Factor beta
  • RepSox
  • Aldehyde Dehydrogenase
  • Protein Serine-Threonine Kinases
  • Receptor, Transforming Growth Factor-beta Type I
  • Oxygen
Topics
  • Aldehyde Dehydrogenase (metabolism)
  • Antigens, CD34 (genetics, metabolism)
  • Biomarkers, Tumor (metabolism)
  • Cell Proliferation (drug effects)
  • Cell Survival (drug effects)
  • Cellular Reprogramming (drug effects)
  • Chemokine CXCL12 (genetics, metabolism)
  • Coculture Techniques
  • Dose-Response Relationship, Drug
  • Feeder Cells
  • Gene Expression Regulation, Leukemic (drug effects)
  • Hepatitis A Virus Cellular Receptor 2
  • Humans
  • Leukapheresis
  • Leukemia, Myeloid, Acute (genetics, immunology, metabolism, pathology, therapy)
  • Membrane Proteins (genetics, metabolism)
  • Neoplastic Stem Cells (drug effects, immunology, metabolism, pathology)
  • Oxygen (metabolism)
  • Protein Serine-Threonine Kinases (antagonists & inhibitors, metabolism)
  • Proto-Oncogene Proteins c-myc (genetics, metabolism)
  • Pyrazoles (pharmacology)
  • Pyridines (pharmacology)
  • Receptor, Transforming Growth Factor-beta Type I
  • Receptors, Transforming Growth Factor beta (antagonists & inhibitors, metabolism)
  • T-Lymphocytes (drug effects, immunology, metabolism, pathology)
  • Time Factors
  • Tumor Cells, Cultured
  • Tumor Escape

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