Haematologica 2003 - Supplements
Haematologica 2003 - Supplements
Haematologica 2003 - Supplements
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8. Mouse models for MM<br />
P8.1<br />
THE 5TMM MODEL: A USEFUL MODEL FOR THE<br />
STUDY OF MULTIPLE MYELOMA<br />
Karin Vanderkerken 1 , Kewal Asosingh 1 , Peter Croucher 2 ,<br />
Hendrik De Raeve 3 , Els Van Valckenborgh 1 , Eline Menu 1 ,<br />
Evy De Leenheer 1,2 , Angelo Willems 1 , Ivan Van Riet 1 and<br />
Ben Van Camp 1<br />
1<br />
Department of Hematology and Immunology, Vrije Universiteit<br />
Brussel (VUB), Brussels, Belgium; 2 Nuffield Department of<br />
Orthopaedic Surgery, University of Oxford, Oxford, UK;<br />
3<br />
Department of Pathology, University of Antwerp (UIA), Antwerp,<br />
Belgium<br />
The 5TMM murine models of myeloma were initially developed<br />
by J. Radl (1). Multiple myeloma (MM) developed spontaneously<br />
in 0.5% of mice (of the inbred strain C57BL/KaLwRij ) older<br />
than 2 years. The MM cells were localized in the BM of the mice<br />
and the serum paraprotein concentration correlated well with the<br />
development of the disease. The latter was associated with a<br />
decreased concentration of normal polyclonal immunoglobulins.<br />
The primary diseased BM was intravenously transplanted into<br />
young syngeneic animals and by doing so several in vivo growing<br />
5TMM lines were developed, each with its own characteristics.<br />
The 5TMM model hereby belongs to the de novo myelomas and<br />
its clinical characteristics resemble the human disease closely: the<br />
tumor cells are located in the bone marrow, the serum paraprotein<br />
concentration is a measure of disease development,<br />
neovascularization is increased (this was determined for 5T2MM<br />
and 5T33MM (2)) and in certain lines a clear osteolytic bone<br />
disease develops. All the original 5TMM models are maintained<br />
and propagated in vivo (3,4).<br />
The 5T2MM model best represents human MM, with a moderate<br />
growth and the development of osteolytic bone lesions. These<br />
osteolytic lesions are associated with a decrease in cancellous<br />
bone volume, decreased bone mineral density and increased<br />
numbers of osteoclasts (5). The 5T33MM model has a more rapid<br />
tumor take and in addition to the bone marrow, also grows in the<br />
liver (6). For the 5T33MM model an in vitro, stroma independent<br />
growing cell line, clonally identical to the in vivo line (7), has<br />
been developed (8). Additional lines include the 5T7MM line<br />
which is a model for smouldering MM while the 5T14MM line is<br />
model for MM with osteosclerotic lesions.<br />
The 5T2 and 5T33MM models have been extensively<br />
characterized. Specific monoclonal antibodies have been raised<br />
against the idiotype of both 5T2 and 5T33MM allowing the<br />
detection, with great sensitivity, of the serum paraprotein by<br />
ELISA and the specific staining of the tumor cells both by FACS<br />
analysis and immunostaining of histological frozen sections (6).<br />
The sequence analysis of the V H gene enables the detection of<br />
cells by RT-PCR and Northern blot analysis (9).<br />
The 5TMM models can be used for both in vitro and in vivo<br />
experiments. The specific antibodies allow the separation of MM<br />
cells by flow cytometry or with magnetic beads, generating pure<br />
MM cell populations for further in vitro investigation. The<br />
5TMM models generate a typical MM disease and different<br />
methods are available to assess tumor load in the bone marrow,<br />
serum paraprotein concentrations, bone marrow angiogenesis (by<br />
measuring the microvessel density) and osteolytic bone lesions<br />
(by a combination of radiography, densitometry and<br />
histomorphometry). The investigation of these latter parameters<br />
allow the use of the 5TMM models in a preclinical setting and<br />
study the growth and biology of the myeloma cells in a complete<br />
syngeneic microenvironment. Both, molecules targeting the MM<br />
cells themselves and molecules targeting the bone marrow<br />
microenvironment, can be studied. While the 5T33MM model<br />
can be used to target both the microenvironment and the MM<br />
cells themselves, the 5T2MM model can also be used to study the<br />
myeloma associated bone disease.<br />
The 5TMM models have now been used to unravel the<br />
mechanisms of homing to the bone marrow (10) and in this in<br />
vivo setting, the evaluation of possible therapies including DNA<br />
vaccination (11), the use of biphosphonates (12,13) and the<br />
blocking of the RANKL/RANK interaction (5,14).<br />
Radl J et al. Idiopathic paraproteinemia. J Immunol. 1979; 122:<br />
609-13.<br />
Van Valckenborgh E et al. Br J Cancer 2002; 86: 796-802.<br />
Radl J et al. Am J Pathol. 1988;132: 593-7.<br />
Radl J. Immunol Today 1990; 11: 234-6.<br />
Croucher PI et al. Blood 2001; 98: 3534-40.<br />
Vanderkerken K et al. Br J Cancer 1997; 76: 451-60.<br />
Asosingh K et al. Cancer Res 2000; 60, 3096-104.<br />
Manning LS et al. Br J Cancer. 1992; 66:1088-93.<br />
Zhu D et al..Immunology. 1998; 93 :162-70.<br />
Vanderkerken K et al Immunological Reviews-in press<br />
King CA et al. Nat Med. 1998; 4 :1281-6.<br />
Radl J et al.Cancer. 1985, 55:1030-40.<br />
Croucher PI et al. J Bone and Mineral Res, <strong>2003</strong>, in press<br />
Vanderkerken K et al. Cancer Research <strong>2003</strong>; 63: 287-89<br />
P8.2<br />
MYELOMA BIOLOGY REVEALED BY THE SCID-HU<br />
MODEL FOR PRIMARY HUMAN MYELOMA.<br />
Joshua Epstein, D.Sc.<br />
Myeloma Institute for Research and Therapy, Arkansas Cancer<br />
Research Center, University of Arkansas for Medical Sciences,<br />
4301 W. Markham #776, Little Rock, Arkansas, USA. Tel. (501)<br />
686-5274. Fax (501) 686-6442. Email: EpsteinJoshua@uams.edu<br />
The human bones of SCID-hu mice consistently support growth<br />
of freshly obtained myeloma cells. Growth of the myeloma cells<br />
is restricted to the human bones, and induces changes in the<br />
human bone marrow microenvironment, most notably increase in<br />
microvessel density, increased osteoclast activity and decrease in<br />
osteoblast numbers. Growth of myeloma cells is also associated<br />
with typical myeloma manifestations, the most dramatic of which<br />
is osteolysis of the human bone. 1 By supporting the growth of<br />
primary human myeloma cells in a human bone marrow<br />
microenvironment, the SCID-hu model provides a platform for<br />
studying important aspects of myeloma biology and therapy<br />
previously beyond the power of our experimental models, among<br />
them whether myeloma plasma cells are proliferative and the role<br />
of the bone marrow microenvironment in the disease process.<br />
Experiments in which myeloma plasma cells, purified from bone<br />
marrow aspirates, were used demonstrated unequivocally that the<br />
recognizable tumor cells of plasma cell morphology produce<br />
myeloma in the SCID-hu model, with all its manifestations.<br />
Moreover, myeloma cells recovered from one mouse could be<br />
sequentially transferred from one SCID-hu mouse to another,<br />
clearly demonstrating that myeloma plasma cells are or contain a<br />
subpopulation of proliferative cells with self-renewal capacity. In<br />
contrast, the myeloma plasma cell-depleted bone marrow and<br />
blood specimens or purified B cells from myeloma patients did<br />
not produce myeloma in SCID-hu mice. 2<br />
In some experiments, myeloma cells were injected only into one<br />
human bone of mice implanted with two, contralaterally placed<br />
bones. As myeloma developed, plasma cells disseminated,<br />
S49