Macrophage migration inhibitory factor blockade reprograms macrophages and disrupts prosurvival signaling in acute myeloid leukemia

Abstract The malignant microenvironment plays a major role in the development of resistance to therapies and the occurrence of relapses in acute myeloid leukemia (AML). We previously showed that interactions of AML blasts with bone marrow macrophages (MΦ) shift their polarization towards a protumora...

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Main Authors: Caroline Spertini, Alexandre P. Bénéchet, Flora Birch, Axel Bellotti, Mónica Román-Trufero, Caroline Arber, Holger W. Auner, Robert A. Mitchell, Olivier Spertini, Tatiana Smirnova
Format: Article
Language:English
Published: Nature Publishing Group 2024-03-01
Series:Cell Death Discovery
Online Access:https://doi.org/10.1038/s41420-024-01924-5
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author Caroline Spertini
Alexandre P. Bénéchet
Flora Birch
Axel Bellotti
Mónica Román-Trufero
Caroline Arber
Holger W. Auner
Robert A. Mitchell
Olivier Spertini
Tatiana Smirnova
author_facet Caroline Spertini
Alexandre P. Bénéchet
Flora Birch
Axel Bellotti
Mónica Román-Trufero
Caroline Arber
Holger W. Auner
Robert A. Mitchell
Olivier Spertini
Tatiana Smirnova
author_sort Caroline Spertini
collection DOAJ
description Abstract The malignant microenvironment plays a major role in the development of resistance to therapies and the occurrence of relapses in acute myeloid leukemia (AML). We previously showed that interactions of AML blasts with bone marrow macrophages (MΦ) shift their polarization towards a protumoral (M2-like) phenotype, promoting drug resistance; we demonstrated that inhibiting the colony-stimulating factor-1 receptor (CSF1R) repolarizes MΦ towards an antitumoral (M1-like) phenotype and that other factors may be involved. We investigated here macrophage migration inhibitory factor (MIF) as a target in AML blast survival and protumoral interactions with MΦ. We show that pharmacologically inhibiting MIF secreted by AML blasts results in their apoptosis. However, this effect is abrogated when blasts are co-cultured in close contact with M2-like MΦ. We next demonstrate that pharmacological inhibition of MIF secreted by MΦ, in the presence of granulocyte macrophage-colony stimulating factor (GM-CSF), efficiently reprograms MΦ to an M1-like phenotype that triggers apoptosis of interacting blasts. Furthermore, contact with reprogrammed MΦ relieves blast resistance to venetoclax and midostaurin acquired in contact with CD163+ protumoral MΦ. Using intravital imaging in mice, we also show that treatment with MIF inhibitor 4-IPP and GM-CSF profoundly affects the tumor microenvironment in vivo: it strikingly inhibits tumor vasculature, reduces protumoral MΦ, and slows down leukemia progression. Thus, our data demonstrate that MIF plays a crucial role in AML MΦ M2-like protumoral phenotype that can be reversed by inhibiting its activity and suggest the therapeutic targeting of MIF as an avenue towards improved AML treatment outcomes.
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spelling doaj.art-2bb2be5d25b741e1bc1d4072669c0f382024-03-31T11:10:36ZengNature Publishing GroupCell Death Discovery2058-77162024-03-0110111210.1038/s41420-024-01924-5Macrophage migration inhibitory factor blockade reprograms macrophages and disrupts prosurvival signaling in acute myeloid leukemiaCaroline Spertini0Alexandre P. Bénéchet1Flora Birch2Axel Bellotti3Mónica Román-Trufero4Caroline Arber5Holger W. Auner6Robert A. Mitchell7Olivier Spertini8Tatiana Smirnova9Service and Central Laboratory of Hematology, Lausanne University Hospital (CHUV)In Vivo Imaging Facility (IVIF), Department of Research and Training, Lausanne University Hospital and University of LausanneDepartment of oncology UNIL-CHUV, Lausanne University Hospital (CHUV), University of Lausanne (UNIL)Service and Central Laboratory of Hematology, Lausanne University Hospital (CHUV)Service and Central Laboratory of Hematology, Lausanne University Hospital (CHUV)Service and Central Laboratory of Hematology, Lausanne University Hospital (CHUV)Service and Central Laboratory of Hematology, Lausanne University Hospital (CHUV)Department of Surgery, Division of Immunotherapy, University of LouisvilleFaculty of Biology and Medicine, University of LausanneService and Central Laboratory of Hematology, Lausanne University Hospital (CHUV)Abstract The malignant microenvironment plays a major role in the development of resistance to therapies and the occurrence of relapses in acute myeloid leukemia (AML). We previously showed that interactions of AML blasts with bone marrow macrophages (MΦ) shift their polarization towards a protumoral (M2-like) phenotype, promoting drug resistance; we demonstrated that inhibiting the colony-stimulating factor-1 receptor (CSF1R) repolarizes MΦ towards an antitumoral (M1-like) phenotype and that other factors may be involved. We investigated here macrophage migration inhibitory factor (MIF) as a target in AML blast survival and protumoral interactions with MΦ. We show that pharmacologically inhibiting MIF secreted by AML blasts results in their apoptosis. However, this effect is abrogated when blasts are co-cultured in close contact with M2-like MΦ. We next demonstrate that pharmacological inhibition of MIF secreted by MΦ, in the presence of granulocyte macrophage-colony stimulating factor (GM-CSF), efficiently reprograms MΦ to an M1-like phenotype that triggers apoptosis of interacting blasts. Furthermore, contact with reprogrammed MΦ relieves blast resistance to venetoclax and midostaurin acquired in contact with CD163+ protumoral MΦ. Using intravital imaging in mice, we also show that treatment with MIF inhibitor 4-IPP and GM-CSF profoundly affects the tumor microenvironment in vivo: it strikingly inhibits tumor vasculature, reduces protumoral MΦ, and slows down leukemia progression. Thus, our data demonstrate that MIF plays a crucial role in AML MΦ M2-like protumoral phenotype that can be reversed by inhibiting its activity and suggest the therapeutic targeting of MIF as an avenue towards improved AML treatment outcomes.https://doi.org/10.1038/s41420-024-01924-5
spellingShingle Caroline Spertini
Alexandre P. Bénéchet
Flora Birch
Axel Bellotti
Mónica Román-Trufero
Caroline Arber
Holger W. Auner
Robert A. Mitchell
Olivier Spertini
Tatiana Smirnova
Macrophage migration inhibitory factor blockade reprograms macrophages and disrupts prosurvival signaling in acute myeloid leukemia
Cell Death Discovery
title Macrophage migration inhibitory factor blockade reprograms macrophages and disrupts prosurvival signaling in acute myeloid leukemia
title_full Macrophage migration inhibitory factor blockade reprograms macrophages and disrupts prosurvival signaling in acute myeloid leukemia
title_fullStr Macrophage migration inhibitory factor blockade reprograms macrophages and disrupts prosurvival signaling in acute myeloid leukemia
title_full_unstemmed Macrophage migration inhibitory factor blockade reprograms macrophages and disrupts prosurvival signaling in acute myeloid leukemia
title_short Macrophage migration inhibitory factor blockade reprograms macrophages and disrupts prosurvival signaling in acute myeloid leukemia
title_sort macrophage migration inhibitory factor blockade reprograms macrophages and disrupts prosurvival signaling in acute myeloid leukemia
url https://doi.org/10.1038/s41420-024-01924-5
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