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Haematologica 2003 - Supplements

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differentiate to antibody-secreting plasma cells and are eliminated<br />

by apoptosis.<br />

Thus, p18INK4c is specifically required for cell cycle arrest and<br />

differentiation of functional plasma cells, and it modulates<br />

plasmacytoid cell survival. Given that MM cells may represent<br />

inappropriate intermediates of plasma cell differentiation that<br />

survive in the bone microenvironment, work is in progress to<br />

address the expression of CDKI in MM cells. A model for<br />

coordinated cell cycle and apoptosis control in MM pathogenesis<br />

will be discussed.<br />

Supported by NIH grants (CA 80204, AR49436) and a<br />

Specialized Center of Research for Myeloma grant by the<br />

Leukemia and Lymphoma Society of America.<br />

1. Morse, et al., (1997) Immunity 6: 47-56.<br />

2. Franklin et al., (1998) Genes Dev 12: 2899-2911.<br />

3. Tourigny, et al., (2002) Immunity 17: 179-189.<br />

010<br />

Molecular Analysis of the Mitotic Checkpoint Genes<br />

BUB1, BUBR1 MAD1L1, MAD2, and MAD2B in Multiple<br />

Myeloma<br />

Tammy L Price-Troska, Scott A Van Wier, Philip R Greipp<br />

MD, and Rafael Fonseca MD.<br />

Mayo Clinic, Division of Hematology and Department of Internal<br />

Medicine, Rochester, MN, USA<br />

Introduction: Chromosomal instability (CIN) occurs in the<br />

context of defective mitotic checkpoints, as in colorectal cancer,<br />

with the end result being aneuploidy. Multiple myeloma (MM) is<br />

characterized by ubiquitous aneuploidy, which is an early event<br />

detectable in MGUS. Hyperdiploidy, characterized by gains of<br />

chromosomes 3,5,7,9,11, and 15, is seen in 50% of cases,<br />

predominantly those without IgH translocations. Key mitotic<br />

checkpoint genes include BUB1, BUBR1, MAD1L1, MAD2 and<br />

MAD2B. We therefore assayed for abnormalities of these genes<br />

in MM.<br />

Samples and Methods: Our analysis included FISH, Southernblot,<br />

Northern-blot, molecular screening and sequencing of these<br />

genes. We studied 5 human MM cell lines; JJN3, OCI-MY5,<br />

MM1, KAS 6/1, ANBL-6 (all harbor IgH translocations) and 10<br />

patients with MM and no IgH translocations (by FISH). Northern<br />

and Southern blot analysis were done on the cell lines. Both<br />

patient samples and MM cell lines were screened for mutations<br />

using conformation sensitive gel electrophoresis followed by<br />

manual sequencing in abnormal cases. BAC clones including the<br />

genomic loci of these genes were used as FISH probes.<br />

Interphase FISH combined with the cytoplasmic light-chain and<br />

cytomorphology were used to analyze the MM patients.<br />

Metaphase and interphase FISH was used for the analysis of the<br />

cell lines.<br />

Results: No abnormal qualitative RNA production was detected<br />

by Northern blot analysis of the cell lines. The genomic loci<br />

appeared intact as Southern blot, using EcoRI digested fragments,<br />

did not reveal large deletions, insertions or inversions with the<br />

exception of a point mutation in MAD2B IVS(4) which appeared<br />

to be polymorphic. RNA sequencing of the BUBR1 gene<br />

revealed three single base alterations causing the following<br />

transitions: 161C>T (T40M), 1088A>G(Q349R) and<br />

1895T>C(V619A). Population studies from 100 normal<br />

individuals revealed these transitions are polymorphic. Analysis<br />

of MAD1L1 showed a missense mutation at codon<br />

695(2262G>A) in 2 of the cell lines and 1 MM patient. Analysis<br />

of MAD2 revealed three missense mutations (E164G, R181C,<br />

and R183C) in one patient sample, plus R181C also detected in a<br />

second patient sample. A third patient sample showed a mutation<br />

of 442A>T causing an amino acid change of S111C. FISH<br />

analysis on the 10 MM patients revealed no predominant deletion<br />

pattern for any of the 5 checkpoint genes. FISH analysis on the<br />

cell lines displayed abnormal deletion patterns in 3 of the<br />

checkpoint genes. KAS 6/1 showed deletion of BUB1 in 40% of<br />

metaphases while OCI-MY5 showed deletions of MAD2 and<br />

MADIL1 in each metaphase observed. .<br />

Conclusion: Our preliminary findings indicate that mutational<br />

inactivation of BUBR1, MAD1L1 and MAD2 could result in<br />

defective checkpoint allowing the generation of aneuploidy in<br />

some cases (30%) of MM. However none of these mutations<br />

were constant. Further investigations into the role of mitotic<br />

checkpoint genes and their relationship to aneuploidy is<br />

warranted.<br />

011<br />

Establishment of the JMW Myeloma Cell Line: In vitro<br />

Analysis of Multiple Myeloma Clonal Evolution<br />

R.C. Tschumper*, R. Fonseca+, S.A. Van Weir+, T.L.<br />

Price-Troska+, and D.F. Jelinek*<br />

Depts. of Immunology* and Internal Medicine+, Mayo Graduate<br />

and Medical Schools, Mayo Clinic, Rochester, MN 55905.<br />

Human multiple myeloma (MM) cell lines have proven to be<br />

useful tools in understanding this progressive disease. However,<br />

establishment of human myeloma cell lines is a difficult task and<br />

a further complication is the uncertain relationship between in<br />

vivo tumor cells and tumor cells that survive in vitro giving rise<br />

to cell lines. Thus, the selection pressures in vitro may differ<br />

markedly from in vivo selection pressures. We wished to study<br />

this more closely and have done so by genomic profiling and<br />

interphase fluorescent in situ hybridization (FISH) analysis from<br />

the initial stage of procurement of patient tumor cells to<br />

permanence as a cell line (designated as JMW).<br />

The IgA-λ expressing JMW cell line was derived from the blood<br />

of a 67-year-old female presenting with aggressive MM and<br />

many circulating plasma cells. Purified myeloma cells were<br />

cultured in RPMI 1640 media with FCS, IL-6, and IGF-1. The<br />

JMW cell line is CD2-, CD5-, CD19-, CD10-, CD38+, CD40+,<br />

CD44+, CD28+, and EBV negative. The IgVH sequence of the<br />

cell line is identical to the sequence of the primary tumor cells<br />

(VH 4-39 with 6.8% somatic mutations). This cell line is IL-6<br />

dependent, but also displays a smaller proliferative response to<br />

IGF-I. Interferons alpha and gamma inhibited proliferation of the<br />

cell line whereas IL-1, IL-2, IL-3, IL-4, IL-10, IL-11, IL-12, GM-<br />

CSF and TGF-beta were without effect on proliferation.<br />

RNA from both the initial cell population and the established line<br />

was used for cDNA array analysis using the Affymetrix U95Av2<br />

biochip. A significant number of genes were differentially<br />

expressed between the two time points and these results will be<br />

presented. Genes of interest include HSP 70, IAP-1, IGFBP-4<br />

and several human ribosomal proteins.<br />

Concurrent with the genomic profiling, cells were analyzed by<br />

FISH for genetic abnormalities. The t(4;14)(p16.3;q32) was<br />

detected since the time of diagnosis in nearly all cells and was<br />

conserved throughout disease evolution, and in the stable cell<br />

line.. As expected monosomy 13 (94-97% of the cells) was<br />

present in all samples. Patient tumor cells did have a complex<br />

karyotype that was shown both by karyotype analysis and by<br />

FISH to include an unbalanced complex translocation resulting in<br />

LOH of 13q and 17p (der13 t(13;17)(q?;p?)), in the context of a<br />

hypodiploid karyotype. FISH analysis shows divergence in the<br />

chromosome complexity between the cell line and subsequent<br />

S92

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