In Vitro 3D Spheroid Culture System Displays Sustained T Cell-dependent CLL Proliferation and Survival

Chronic lymphocytic leukemia (CLL) cells are highly dependent on microenvironmental cells and signals. The lymph node (LN) is the critical site of in vivo CLL proliferation and development of resistance to both chemotherapy and targeted agents. We present a new model that incorporates key aspects of...

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Main Authors: Marco V. Haselager, Bianca F. van Driel, Eduard Perelaer, Dennis de Rooij, Danial Lashgari, Remco Loos, Arnon P. Kater, Perry D. Moerland, Eric Eldering
Format: Article
Language:English
Published: Wiley 2023-09-01
Series:HemaSphere
Online Access:http://journals.lww.com/10.1097/HS9.0000000000000938
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author Marco V. Haselager
Bianca F. van Driel
Eduard Perelaer
Dennis de Rooij
Danial Lashgari
Remco Loos
Arnon P. Kater
Perry D. Moerland
Eric Eldering
author_facet Marco V. Haselager
Bianca F. van Driel
Eduard Perelaer
Dennis de Rooij
Danial Lashgari
Remco Loos
Arnon P. Kater
Perry D. Moerland
Eric Eldering
author_sort Marco V. Haselager
collection DOAJ
description Chronic lymphocytic leukemia (CLL) cells are highly dependent on microenvironmental cells and signals. The lymph node (LN) is the critical site of in vivo CLL proliferation and development of resistance to both chemotherapy and targeted agents. We present a new model that incorporates key aspects of the CLL LN, which enables investigation of CLL cells in the context of a protective niche. We describe a three-dimensional (3D) in vitro culture system using ultra-low attachment plates to create spheroids of CLL cells derived from peripheral blood. Starting from CLL:T cell ratios as observed in LN samples, CLL activation was induced by either direct stimulation and/or indirectly via T cells. Compared with two-dimensional cultures, 3D cultures promoted CLL proliferation in a T cell-dependent manner, and enabled expansion for up to 7 weeks, including the formation of follicle-like structures after several weeks of culture. This model enables high-throughput drug screening, of which we describe response to Btk inhibition, venetoclax resistance, and T cell-mediated cytotoxicity as examples. In summary, we present the first LN-mimicking in vitro 3D culture for primary CLL, which enables readouts such as real-time drug screens, kinetic growth assays, and spatial localization. This is the first in vitro CLL system that allows testing of response and resistance to venetoclax and Bruton's tyrosine kinase inhibitors in the context of the tumor microenvironment, thereby opening up new possibilities for clinically useful applications.
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spelling doaj.art-7bad755cafac4a3baec0ab51f9c88c152024-03-03T10:51:53ZengWileyHemaSphere2572-92412023-09-0179e93810.1097/HS9.0000000000000938202309000-00004In Vitro 3D Spheroid Culture System Displays Sustained T Cell-dependent CLL Proliferation and SurvivalMarco V. Haselager0Bianca F. van Driel1Eduard Perelaer2Dennis de Rooij3Danial Lashgari4Remco Loos5Arnon P. Kater6Perry D. Moerland7Eric Eldering81 Department of Experimental Immunology, Amsterdam UMC Location University of Amsterdam, Meibergdreef, The Netherlands5 Department of Hematology, Amsterdam UMC Location University of Amsterdam, Meibergdreef, The Netherlands1 Department of Experimental Immunology, Amsterdam UMC Location University of Amsterdam, Meibergdreef, The Netherlands5 Department of Hematology, Amsterdam UMC Location University of Amsterdam, Meibergdreef, The Netherlands4 Amsterdam Institute for Infection and Immunity, Cancer Immunology, Amsterdam, The Netherlands7 Center for Innovation and Translational Research Europe, Bristol Myers Squibb, Sevilla, Spain2 Lymphoma and Myeloma Center Amsterdam, LYMMCARE, Amsterdam, The Netherlands6 Department of Epidemiology and Data Science, Amsterdam UMC Location University of Amsterdam, Meibergdreef, The Netherlands1 Department of Experimental Immunology, Amsterdam UMC Location University of Amsterdam, Meibergdreef, The NetherlandsChronic lymphocytic leukemia (CLL) cells are highly dependent on microenvironmental cells and signals. The lymph node (LN) is the critical site of in vivo CLL proliferation and development of resistance to both chemotherapy and targeted agents. We present a new model that incorporates key aspects of the CLL LN, which enables investigation of CLL cells in the context of a protective niche. We describe a three-dimensional (3D) in vitro culture system using ultra-low attachment plates to create spheroids of CLL cells derived from peripheral blood. Starting from CLL:T cell ratios as observed in LN samples, CLL activation was induced by either direct stimulation and/or indirectly via T cells. Compared with two-dimensional cultures, 3D cultures promoted CLL proliferation in a T cell-dependent manner, and enabled expansion for up to 7 weeks, including the formation of follicle-like structures after several weeks of culture. This model enables high-throughput drug screening, of which we describe response to Btk inhibition, venetoclax resistance, and T cell-mediated cytotoxicity as examples. In summary, we present the first LN-mimicking in vitro 3D culture for primary CLL, which enables readouts such as real-time drug screens, kinetic growth assays, and spatial localization. This is the first in vitro CLL system that allows testing of response and resistance to venetoclax and Bruton's tyrosine kinase inhibitors in the context of the tumor microenvironment, thereby opening up new possibilities for clinically useful applications.http://journals.lww.com/10.1097/HS9.0000000000000938
spellingShingle Marco V. Haselager
Bianca F. van Driel
Eduard Perelaer
Dennis de Rooij
Danial Lashgari
Remco Loos
Arnon P. Kater
Perry D. Moerland
Eric Eldering
In Vitro 3D Spheroid Culture System Displays Sustained T Cell-dependent CLL Proliferation and Survival
HemaSphere
title In Vitro 3D Spheroid Culture System Displays Sustained T Cell-dependent CLL Proliferation and Survival
title_full In Vitro 3D Spheroid Culture System Displays Sustained T Cell-dependent CLL Proliferation and Survival
title_fullStr In Vitro 3D Spheroid Culture System Displays Sustained T Cell-dependent CLL Proliferation and Survival
title_full_unstemmed In Vitro 3D Spheroid Culture System Displays Sustained T Cell-dependent CLL Proliferation and Survival
title_short In Vitro 3D Spheroid Culture System Displays Sustained T Cell-dependent CLL Proliferation and Survival
title_sort in vitro 3d spheroid culture system displays sustained t cell dependent cll proliferation and survival
url http://journals.lww.com/10.1097/HS9.0000000000000938
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