Haematologica 2003 - Supplements

Haematologica 2003 - Supplements Haematologica 2003 - Supplements

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105 Development of ATLL during follow up of Multiple Myeloma with previous positive sorology for Human T Cell Leukemia virus. Martinez, G.A ; Kondo, A. ; Fonseca, G.; Pereira, J.; Beitler, B.; Dorlhiac-Llacer,P.E.; Chamone, D. Department of Hematology University of São Paulo, Hospital das Clínicas, São Paulo, Brazil. Fundação Pró-Sangue Hemocentro de S. Paulo. We report a case of ATLL 23 months after the diagnosis of Multiple Myeloma. Case Report: A 73 years old black woman with bronchopneumonia and anaemia was admitted for investigation. Laboratory data showed: Hb: 6,5g/dl; Serum eletroforesis: monoclonal globulin: 5,43g/dl. Imunoeletrophoresis: IgA kappa. Renal function and serum calcium were both normal. The bone marrow showed increased number (40%) of pathological plasma cells (PC). A bone survey revealed colapse of T7 and L3 and osteopenia. A diagnosis of MM, stage IIIA, was made. At this time the sorology for HTLV was positive: WESTERN BLOT GD21(+); P19 (+); P24 (+). She was begun on melphalan 10 mg/m2 plus dexamethasone (DXM) 20mg vo (D1-D4). The controls 18 months after diagnosis showed: Hb10,7 g/dl; Leukocytes 4100/mm3; neutrophils: 2100/mm3; limphocytes: 1300/mm3; Platelets: 276000/mm3, stable paraprotein 2,68g/dl and bone marrow aspirate showing 29,5% PC and 3% lymphocytes. One month after the last avaliation, she was admitted to the hospital in coma. Investigations showed anaemia (Hb: 9,2 g/dl), leukocytosis: 199.400/mm3 with lymphocytosis (76%) and hypercalcemia: 7,6mg/dl (normal: 4,8- 5,28mg/dl), monoclonal protein 2,18g/dl and high serum lactate dehydrogenase level: 2.174 (normal

5. Signal transduction pathways and cytokine networks 5.1 Surface reception. 108 ATYPICAL RECEPTOR INTERACTIONS IN MYELOMA CELLS: USE OF RNA INTERFERENCE (RNAi) TO INVESTIGATE FUNCTIONAL SIGNIFICANCE Denise K. Walters and Diane F. Jelinek Dept. of Immunol. and the Tumor Biology Graduate Program, Mayo Graduate School, Mayo Clinic, Rochester, MN, USA, 55905. Our laboratory has had a long-standing interest in the growth regulation of myeloma cells. Furthermore, we have had a particular interest in multiple myeloma (MM) cell responsiveness to interferon-alpha (IFN-α because of its ability to modulate myeloma cell growth in a variable manner. Thus, IFN-α typically results in growth inhibition of myeloma cells, however some MM cells, such as the KAS-6/1 MM cell line, display an atypical growth response. Moreover, during the course of other studies, we serendipitously and unexpectedly discovered that the IFN-α growth responsive KAS-6/1 MM cell line expresses ErbB3, whereas MM cell lines that are growth arrested by IFN- do not. In this regard, there is a growing awareness of the complications introduced by unexpected receptor interactions that result in synergistic down-stream cellular effects, e.g., enhanced growth or resistance to apoptosis of cancer cells. We hypothesized, therefore, that ErbB3 expression may play a role in the atypical IFN-KAS-6/1 response. Indeed, we were initially able to demonstrate that IFN-α stimulation resulted not only in the activation of the IFN-α receptor, but also in the transactivation of ErbB3, as revealed by tyrosine phosphorylation. To address the significance of these observations, we employed two strategies. First, we transfected ErbB3 negative DP-6 MM cells with ErbB3 and analyzed whether IFN-α stimulation could transactivate ectopically expressed ErbB3. Although IFN-α transactivated ErbB3 in the DP-6 transfectants, it did not confer growth responsiveness to IFN-α. Second, we wished to use RNA inhibition (RNAi) to assess the functional significance of atypical expression of ErbB3 in the KAS-6/1 cells. RNA interference (RNAi) is a recently discovered natural response to double-stranded RNA (dsRNA) that can result in sequence specific gene silencing. In ancillary studies aimed at adapting this methodology to myeloma cells, we demonstrated the striking dependence of dsRNA-mediated gene silencing in some cells on the methods of dsRNA transfection. Thus, we were able to optimize the inhibitory effects of ErbB3 siRNA in the KAS-6/1 cells by utilizing electroporation, rather than conventional transfection agents, to transfect the cells. Using Western blot analysis, we were able to demonstrate that ErbB3 siRNA treatment resulted in the loss of this receptor from the KAS-6/1 cells. Of great interest, silencing ErbB3 expression in KAS-6/1 cells decreased the overall growth response to both IFN-α and IL-6. Taken together these two lines of investigation suggest that ErbB3 expression alone does not uniquely confer IFN-α growth responsiveness but instead, may amplify proliferation rates in MM cells that have acquired atypical expression of this receptor. In conclusion, we believe that novel receptor interactions have the potential to allow dysregulated tumor cell function. In this regard, atypical expression of ErbB3 in multiple myeloma may provide a mechanism whereby the tumor cell is afforded with either an ability to grow or to survive. We are currently investigating this possibility, along with analyzing primary myeloma cells for ErbB3 expression. 109 DOWN-MODULATION OF ERK PROTEIN KINASE ACTIVITY SUPPRESSES HUMAN MYELOMA CELL PROLIFERATION AND MYELOMA-INDUCED ANGIOGENESIS BY VEGF INHIBITION Nicola Giuliani2, Paolo Lunghi1, Francesca Morandi, Magda Hojden2, Sabrina Bonomini2, Simona Colla2, Giovanni Roti2 , Regis Bataille3, Vittorio Rizzoli2, Antonio Bonati1 1Insitute of Medical Pathology and 2Hemaology, University of Parma, Italy, 3INSERM U463, Nantes, France. The mitogen-activated protein (MAP) cascade leading to the activation of ERK (Extracellular signal-regulated kinase) is critical for regulating myeloma cell growth, however the relationships of ERK1/2 protein kinases activity with vascular endothelial growth factor (VEGF) production and the effects of their down-modulation in myeloma cells are not completely investigated. In order to elucidate this issue we first studied the expression and the activation of ERK1/2 protein kinases in RPMI-8226, XG6, U266 and OPM-2 human myeloma cell lines (HMCL) (5x106) growing in 5ml of complete RPMI medium with or without IL-6 (20ng/ml). By immunoenzymatic MAP kinase assay using Elk1 as substrate (Elk1-p) or dualphosphorylation-ERK1/2 specific antisera (p-ERK1/2) we found that steady-state levels of phosphorylated ERK 1/2 (p-ERK) were stronger in U266 than RPMI, and XG6. The total amounts of ERK1 and ERK2 proteins were comparable in U266, XG6 and OPM-2 whereas in RPMI the expression of ERK1 was significantly higher. Basal VEGF secretion, detected by ELISA was similar in OPM-2 (Mean±SD: 835±10 pg/ml), XG-6 (668±15 pg/ml), U266 (739±12 pg/ml) and higher in RPMI-8226 (1381.6± 20pg/ml). IL-6 stimulation significantly increased ERK1/2 activity and VEGF secretion in XG-6, U266, RPMI-8226. Therefore, we used the specific inhibitor of MEK, PD98059, in order to down-modulate activated ERK1/2 (p-ERK1/2). The treatment for 2 hours of myeloma cells with 40mM of MEK-1 inhibitor PD98059 produced a reduction of p-ERK1/2 levels of more than 80% and prevented the increase of p-ERK1/2 induced by IL-6 treatment. PD98059 induced a significant inhibition of HMCL proliferation (-33±5%) and blunted the stimulatory effect induced by IL-6. A more potent inhibition on HMCL proliferation was observed with the ERK inhibitor PD184352 at 2mM (-70%±4%). PD184352 but not PD98059 induced HMCL apoptosis in combination with anti CD95 mAb or Arsenic Trioxide 2m. A significant dose and time dependent inhibition on basal VEGF secretion by HMCL was induced by PD98059 treatment, more evident in RPMI-8226 (771±12 vs 1350±18 pg/ml, -43%; p

5. Signal transduction pathways and<br />

cytokine networks<br />

5.1 Surface reception.<br />

108<br />

ATYPICAL RECEPTOR INTERACTIONS IN MYELOMA<br />

CELLS: USE OF RNA INTERFERENCE (RNAi) TO<br />

INVESTIGATE FUNCTIONAL SIGNIFICANCE<br />

Denise K. Walters and Diane F. Jelinek<br />

Dept. of Immunol. and the Tumor Biology Graduate Program,<br />

Mayo Graduate School, Mayo Clinic, Rochester, MN, USA, 55905.<br />

Our laboratory has had a long-standing interest in the growth<br />

regulation of myeloma cells. Furthermore, we have had a<br />

particular interest in multiple myeloma (MM) cell responsiveness<br />

to interferon-alpha (IFN-α because of its ability to modulate<br />

myeloma cell growth in a variable manner. Thus, IFN-α<br />

typically results in growth inhibition of myeloma cells, however<br />

some MM cells, such as the KAS-6/1 MM cell line, display an<br />

atypical growth response. Moreover, during the course of other<br />

studies, we serendipitously and unexpectedly discovered that the<br />

IFN-α growth responsive KAS-6/1 MM cell line expresses<br />

ErbB3, whereas MM cell lines that are growth arrested by IFN-<br />

do not. In this regard, there is a growing awareness of the<br />

complications introduced by unexpected receptor interactions that<br />

result in synergistic down-stream cellular effects, e.g., enhanced<br />

growth or resistance to apoptosis of cancer cells. We<br />

hypothesized, therefore, that ErbB3 expression may play a role in<br />

the atypical IFN-KAS-6/1 response. Indeed, we were initially<br />

able to demonstrate that IFN-α stimulation resulted not only in<br />

the activation of the IFN-α receptor, but also in the<br />

transactivation of ErbB3, as revealed by tyrosine<br />

phosphorylation. To address the significance of these<br />

observations, we employed two strategies. First, we transfected<br />

ErbB3 negative DP-6 MM cells with ErbB3 and analyzed<br />

whether IFN-α stimulation could transactivate ectopically<br />

expressed ErbB3. Although IFN-α transactivated ErbB3 in the<br />

DP-6 transfectants, it did not confer growth responsiveness to<br />

IFN-α. Second, we wished to use RNA inhibition (RNAi) to<br />

assess the functional significance of atypical expression of ErbB3<br />

in the KAS-6/1 cells. RNA interference (RNAi) is a recently<br />

discovered natural response to double-stranded RNA (dsRNA)<br />

that can result in sequence specific gene silencing. In ancillary<br />

studies aimed at adapting this methodology to myeloma cells, we<br />

demonstrated the striking dependence of dsRNA-mediated gene<br />

silencing in some cells on the methods of dsRNA transfection.<br />

Thus, we were able to optimize the inhibitory effects of ErbB3<br />

siRNA in the KAS-6/1 cells by utilizing electroporation, rather<br />

than conventional transfection agents, to transfect the cells.<br />

Using Western blot analysis, we were able to demonstrate that<br />

ErbB3 siRNA treatment resulted in the loss of this receptor from<br />

the KAS-6/1 cells. Of great interest, silencing ErbB3 expression<br />

in KAS-6/1 cells decreased the overall growth response to both<br />

IFN-α and IL-6. Taken together these two lines of investigation<br />

suggest that ErbB3 expression alone does not uniquely confer<br />

IFN-α growth responsiveness but instead, may amplify<br />

proliferation rates in MM cells that have acquired atypical<br />

expression of this receptor. In conclusion, we believe that novel<br />

receptor interactions have the potential to allow dysregulated<br />

tumor cell function. In this regard, atypical expression of ErbB3<br />

in multiple myeloma may provide a mechanism whereby the<br />

tumor cell is afforded with either an ability to grow or to survive.<br />

We are currently investigating this possibility, along with<br />

analyzing primary myeloma cells for ErbB3 expression.<br />

109<br />

DOWN-MODULATION OF ERK PROTEIN KINASE<br />

ACTIVITY SUPPRESSES HUMAN MYELOMA CELL<br />

PROLIFERATION AND MYELOMA-INDUCED<br />

ANGIOGENESIS BY VEGF INHIBITION<br />

Nicola Giuliani2, Paolo Lunghi1, Francesca Morandi,<br />

Magda Hojden2, Sabrina Bonomini2, Simona Colla2,<br />

Giovanni Roti2 , Regis Bataille3, Vittorio Rizzoli2, Antonio<br />

Bonati1<br />

1Insitute of Medical Pathology and 2Hemaology, University of<br />

Parma, Italy, 3INSERM U463, Nantes, France.<br />

The mitogen-activated protein (MAP) cascade leading to the<br />

activation of ERK (Extracellular signal-regulated kinase) is<br />

critical for regulating myeloma cell growth, however the<br />

relationships of ERK1/2 protein kinases activity with vascular<br />

endothelial growth factor (VEGF) production and the effects of<br />

their down-modulation in myeloma cells are not completely<br />

investigated. In order to elucidate this issue we first studied the<br />

expression and the activation of ERK1/2 protein kinases in<br />

RPMI-8226, XG6, U266 and OPM-2 human myeloma cell lines<br />

(HMCL) (5x106) growing in 5ml of complete RPMI medium<br />

with or without IL-6 (20ng/ml). By immunoenzymatic MAP<br />

kinase assay using Elk1 as substrate (Elk1-p) or dualphosphorylation-ERK1/2<br />

specific antisera (p-ERK1/2) we found<br />

that steady-state levels of phosphorylated ERK 1/2 (p-ERK) were<br />

stronger in U266 than RPMI, and XG6. The total amounts of<br />

ERK1 and ERK2 proteins were comparable in U266, XG6 and<br />

OPM-2 whereas in RPMI the expression of ERK1 was<br />

significantly higher. Basal VEGF secretion, detected by ELISA<br />

was similar in OPM-2 (Mean±SD: 835±10 pg/ml), XG-6 (668±15<br />

pg/ml), U266 (739±12 pg/ml) and higher in RPMI-8226 (1381.6±<br />

20pg/ml). IL-6 stimulation significantly increased ERK1/2<br />

activity and VEGF secretion in XG-6, U266, RPMI-8226.<br />

Therefore, we used the specific inhibitor of MEK, PD98059, in<br />

order to down-modulate activated ERK1/2 (p-ERK1/2). The<br />

treatment for 2 hours of myeloma cells with 40mM of MEK-1<br />

inhibitor PD98059 produced a reduction of p-ERK1/2 levels of<br />

more than 80% and prevented the increase of p-ERK1/2 induced<br />

by IL-6 treatment. PD98059 induced a significant inhibition of<br />

HMCL proliferation (-33±5%) and blunted the stimulatory effect<br />

induced by IL-6. A more potent inhibition on HMCL<br />

proliferation was observed with the ERK inhibitor PD184352 at<br />

2mM (-70%±4%). PD184352 but not PD98059 induced HMCL<br />

apoptosis in combination with anti CD95 mAb or Arsenic<br />

Trioxide 2m. A significant dose and time dependent inhibition<br />

on basal VEGF secretion by HMCL was induced by PD98059<br />

treatment, more evident in RPMI-8226 (771±12 vs 1350±18<br />

pg/ml, -43%; p

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