Haematologica 2003 - Supplements

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Fig.1 IFN-induced senstitization to Fas-induced apoptosis is independent of TRAIL. Agonistic as-antibody CH11(FasL), recombinant soluble Apo2L/TRAIL (rTRAIL) or isotype specific control IgM in the presence (right panels) of blocking agent rhTRAIL-R1:Fc (Fc-DR4) was continually added in the experiments. The percentage of Annexin V-positive/PI-negative apoptopic cells was evaluated by flow cytometry and indicated. References H. Spets, P. Georgii-Hemming, J Siljason, K. Nilsson, H. JernbergWiklund: fas/APO-1 (CD95) mediated apoptosis is activated by interferon-α and interferon-γ in IL-6 dependent and IL-6 independent myeloma cell lines. Blood 92(8) 2914-2923 (1998). K. Nilsson P. Georgii-Hemming, H. Spets and H. Jernbergwiklund. In: Melchers F, Potter M, eds. Mechanisms of B Cell Neoplasia. Berlin: Springer Verlag. The control of proliferation, survival and apoptosis in human multiple myeloma cells in vitro pp325-335 (1998). R. Catlett-Falcone et al.: Constitutive Activation of Stat3 Signaling Confers resistance to Apoptosis in Human U266 Myeloma Cells. Imunity Vol. 10 105-115 (1999) A. Dimberg*, L. Dimberg*, K. Nilsson, F. Öberg and H. Jernberg-Wiklund: IFN-γ-induced Sensitization to Fas-induced Apoptosis in Multiple Myeloma Cells is Associated with a Shift in STAT Activationand an Upregulation of Fas and TRAIL (submitted 2003). * equal contribution. P3.6 PHENOTYPIC HETEROGENEITY OF MYELOMA CELLS AND ITS BIOLOGICAL SIGNIFICANCE Michio M. Kawano, Hideaki Ishikawa, Naohiro Tsuyama, Saeid Abroun, Shangqin Liu, Fu-Jun Li, Ken-Ichiro Otsuyama, Xu Zheng, Masanori Obata. Department of Bio-Signal Analysis, AMES, Graduate School of Medicine, Yamaguchi Univ., Ube, Japan In human myelomas, there is a heterogeneity of myeloma cells morphologically and phenotypically. Myeloma cells can be classified phenotypically into at least 5 subpopulations; MPC-1- CD45+CD49e-, MPC-1-CD45-CD49e- immature myeloma cells, MPC-1+CD45-CD49e-, MPC-1+CD45+CD49e- intermediate myeloma cells and MPC-1+CD45+CD49e+ mature myeloma cells. Immature myeloma cells( MPC-1-CD49e-) have a capacity of proliferating in vitro and in vivo, but only CD45+ immature myeloma cells can response directly to IL-6 to proliferate. In the U-266 cell lines, IL-6 can lead to the induction of CD45 expression and CD45+ U-266 cells can proliferate in response to IL-6. In both CD45- and CD45+ U-266 cells, STAT3 and MAPK(ERK1/2) can be activated in response to IL-6 equally between them, but src family kinases such as Lyn, Fyn can be activated only in CD45+ U-266 cells. Thus, the activation of the src family kinases associated with CD45 expression is a prerequisite for the proliferation of myeloma cells. Antisense oligonucleotides specific for Lyn, or PTK inhibitors(PP2 or herbimycin A) blocked enhancement of IL-6-induced proliferation of CD45+ U-266 cells. In addition, CD45+ U-266 cells were more sensitive to apoptotic stimuli such as serum-free condition, heat shock, UV irradiation, H 2 O 2 treatment, or melphalan treatment than CD45- U-266. Therefore, we can speculate that in the bone marrow of human myelomas IL-6 can induce proliferation of CD45+ immature cells, but the amount of IL-6 is too low to support CD45+ myeloma cells and loss of CD45 results in no direct response to IL-6 to proliferate but confers resistance to stress condition leading to the longer survival at the limited amount of IL-6. Fig.1 Heterogeneity of human myeloma cells in the bone marrow MPC-1-CD45+CD49e- immature myeloma cells can proliferate in response to IL-6. In most cases of multiple myelomas, MPC- 1-CD45+CD49e- proliferative immature cells are only 0.1 to 2 % of bone marrow mononuclear cells, and dominant subpopulations are MPC-1+CD45-CD49e- intermediate cells which are considered to be non-proliferative fractions. S30

4. From MGUS to symptomatic MM Fig.7 Hypothetical model of myeloma cell proliferation in the bone marrow REFERENCES Harada H, et al: Phenotypic difference of normal plasma cells from mature myeloma cells Blood 81:2658, 1993. Kawano MM, et al: Identification of immature and mature myeloma cells in the bone marrow of human myelomas Blood 82:564, 1993. Huang N, et al: Heterogeneous expression of a novel MPC-1 antigen on myeloma cells Blood 82:3721,1993. Mahmoud MS, et al: Induction of CD45 expression and proliferation in U-266 myeloma cell line by interleukin-6 Blood 92:3887, 1998. Ishikawa H, et al: Requirements of src family kinase activity associated with CD45 for myeloma cell proliferation by interleukin-6. Blood 99:2172, 2002. P4.1 CRITERIA FOR THE CLASSIFICATION OF MONOCLONAL GAMMOPATHIES, MULTIPLE MYELOMA, AND RELATED DISORDERS: A REPORT OF THE INTERNATIONAL MYELOMA WORKING GROUP Kyle RA, Child JA, et al. The monoclonal gammopathies are a group of disorders associated with monoclonal proliferation of plasma cells. The characterisation of specific entities is an area of difficulty in clinical practice. The International Myeloma Working Group has reviewed the criteria for diagnosis and classification with the aim of producing simple, easily used definitions based on routinely available investigations. In monoclonal gammopathy of undetermined significance (MGUS) or monoclonal gammopathy, unattributed/unassociated (MG[u]) the monoclonal protein is

Fig.1 IFN-induced senstitization to Fas-induced apoptosis is<br />

independent of TRAIL. Agonistic as-antibody CH11(FasL),<br />

recombinant soluble Apo2L/TRAIL (rTRAIL) or isotype specific<br />

control IgM in the presence (right panels) of blocking agent<br />

rhTRAIL-R1:Fc (Fc-DR4) was continually added in the<br />

experiments. The percentage of Annexin V-positive/PI-negative<br />

apoptopic cells was evaluated by flow cytometry and indicated.<br />

References<br />

H. Spets, P. Georgii-Hemming, J Siljason, K. Nilsson, H.<br />

JernbergWiklund: fas/APO-1 (CD95) mediated apoptosis is<br />

activated by interferon-α and interferon-γ in IL-6 dependent and<br />

IL-6 independent myeloma cell lines. Blood 92(8) 2914-2923<br />

(1998).<br />

K. Nilsson P. Georgii-Hemming, H. Spets and H. Jernbergwiklund.<br />

In: Melchers F, Potter M, eds. Mechanisms of B Cell<br />

Neoplasia. Berlin: Springer Verlag. The control of proliferation,<br />

survival and apoptosis in human multiple myeloma cells in vitro<br />

pp325-335 (1998).<br />

R. Catlett-Falcone et al.: Constitutive Activation of Stat3<br />

Signaling Confers resistance to Apoptosis in Human U266<br />

Myeloma Cells. Imunity Vol. 10 105-115 (1999)<br />

A. Dimberg*, L. Dimberg*, K. Nilsson, F. Öberg and H.<br />

Jernberg-Wiklund: IFN-γ-induced Sensitization to Fas-induced<br />

Apoptosis in Multiple Myeloma Cells is Associated with a Shift<br />

in STAT Activationand an Upregulation of Fas and TRAIL<br />

(submitted <strong>2003</strong>). * equal contribution.<br />

P3.6<br />

PHENOTYPIC HETEROGENEITY OF MYELOMA CELLS<br />

AND ITS BIOLOGICAL SIGNIFICANCE<br />

Michio M. Kawano, Hideaki Ishikawa, Naohiro Tsuyama,<br />

Saeid Abroun, Shangqin Liu, Fu-Jun Li, Ken-Ichiro<br />

Otsuyama, Xu Zheng, Masanori Obata.<br />

Department of Bio-Signal Analysis, AMES, Graduate School of<br />

Medicine, Yamaguchi Univ., Ube, Japan<br />

In human myelomas, there is a heterogeneity of myeloma cells<br />

morphologically and phenotypically. Myeloma cells can be<br />

classified phenotypically into at least 5 subpopulations; MPC-1-<br />

CD45+CD49e-, MPC-1-CD45-CD49e- immature myeloma cells,<br />

MPC-1+CD45-CD49e-, MPC-1+CD45+CD49e- intermediate<br />

myeloma cells and MPC-1+CD45+CD49e+ mature myeloma<br />

cells. Immature myeloma cells( MPC-1-CD49e-) have a capacity<br />

of proliferating in vitro and in vivo, but only CD45+ immature<br />

myeloma cells can response directly to IL-6 to proliferate. In<br />

the U-266 cell lines, IL-6 can lead to the induction of CD45<br />

expression and CD45+ U-266 cells can proliferate in response to<br />

IL-6. In both CD45- and CD45+ U-266 cells, STAT3 and<br />

MAPK(ERK1/2) can be activated in response to IL-6 equally<br />

between them, but src family kinases such as Lyn, Fyn can be<br />

activated only in CD45+ U-266 cells. Thus, the activation of the<br />

src family kinases associated with CD45 expression is a<br />

prerequisite for the proliferation of myeloma cells. Antisense<br />

oligonucleotides specific for Lyn, or PTK inhibitors(PP2 or<br />

herbimycin A) blocked enhancement of IL-6-induced<br />

proliferation of CD45+ U-266 cells. In addition, CD45+ U-266<br />

cells were more sensitive to apoptotic stimuli such as serum-free<br />

condition, heat shock, UV irradiation, H 2 O 2 treatment, or<br />

melphalan treatment than CD45- U-266. Therefore, we can<br />

speculate that in the bone marrow of human myelomas IL-6 can<br />

induce proliferation of CD45+ immature cells, but the amount of<br />

IL-6 is too low to support CD45+ myeloma cells and loss of<br />

CD45 results in no direct response to IL-6 to proliferate but<br />

confers resistance to stress condition leading to the longer<br />

survival at the limited amount of IL-6.<br />

Fig.1 Heterogeneity of human myeloma cells in the bone marrow<br />

MPC-1-CD45+CD49e- immature myeloma cells can proliferate<br />

in response to IL-6. In most cases of multiple myelomas, MPC-<br />

1-CD45+CD49e- proliferative immature cells are only 0.1 to 2 %<br />

of bone marrow mononuclear cells, and dominant subpopulations<br />

are MPC-1+CD45-CD49e- intermediate cells which are<br />

considered to be non-proliferative fractions.<br />

S30

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