The Capacity of Long-Term in Vitro Proliferation of Acute Myeloid Leukemia Cells Supported Only by Exogenous Cytokines Is Associated with a Patient Subset with Adverse Outcome

Acute myeloid leukemia (AML) is an aggressive malignancy, which is highly heterogeneous with regard to chemosensitivity and biological features. The AML cell population is organized in a hierarchy that is reflected in the in vitro growth characteristics, with only a minority of cells being able to p...

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Main Authors: Annette K. Brenner, Elise Aasebø, Maria Hernandez-Valladares, Frode Selheim, Frode Berven, Ida-Sofie Grønningsæter, Sushma Bartaula-Brevik, Øystein Bruserud
Format: Article
Language:English
Published: MDPI AG 2019-01-01
Series:Cancers
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Online Access:http://www.mdpi.com/2072-6694/11/1/73
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author Annette K. Brenner
Elise Aasebø
Maria Hernandez-Valladares
Frode Selheim
Frode Berven
Ida-Sofie Grønningsæter
Sushma Bartaula-Brevik
Øystein Bruserud
author_facet Annette K. Brenner
Elise Aasebø
Maria Hernandez-Valladares
Frode Selheim
Frode Berven
Ida-Sofie Grønningsæter
Sushma Bartaula-Brevik
Øystein Bruserud
author_sort Annette K. Brenner
collection DOAJ
description Acute myeloid leukemia (AML) is an aggressive malignancy, which is highly heterogeneous with regard to chemosensitivity and biological features. The AML cell population is organized in a hierarchy that is reflected in the in vitro growth characteristics, with only a minority of cells being able to proliferate for more than two weeks. In this study, we investigated the ability of AML stem cells to survive and proliferate in suspension cultures in the presence of exogenous mediators but without supporting non-leukemic cells. We saw that a high number of maintained stem cells (i.e., a large number of clonogenic cells after five weeks of culture) was associated with decreased overall survival for patients receiving intensive chemotherapy; this prognostic impact was also detected in the multivariate/adjusted analysis. Furthermore, the patients with many clonogenic cells presented more frequently with mutations in transcription-related genes, and also showed a higher abundance of proteins involved in transcription at the time of diagnosis. In conclusion, the growth characteristics of the long-term proliferating leukemic stem cells seem to have an independent prognostic impact in human AML, and these characteristics appear to be reflected by the mutational landscape and the proteome of the patients at the time of diagnosis.
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spelling doaj.art-cdc270a9d99d46dd856642f3cf777acf2023-09-03T06:00:13ZengMDPI AGCancers2072-66942019-01-011117310.3390/cancers11010073cancers11010073The Capacity of Long-Term in Vitro Proliferation of Acute Myeloid Leukemia Cells Supported Only by Exogenous Cytokines Is Associated with a Patient Subset with Adverse OutcomeAnnette K. Brenner0Elise Aasebø1Maria Hernandez-Valladares2Frode Selheim3Frode Berven4Ida-Sofie Grønningsæter5Sushma Bartaula-Brevik6Øystein Bruserud7Department of Medicine, Haukeland University Hospital; 5021 Bergen, NorwaSection for Hematology, Department of Clinical Science, University of Bergen, 5020 Bergen, NorwaySection for Hematology, Department of Clinical Science, University of Bergen, 5020 Bergen, NorwayThe Proteomics Unit at the University of Bergen, Department of Biomedicine, University of Bergen, 5020 Bergen, NorwayThe Proteomics Unit at the University of Bergen, Department of Biomedicine, University of Bergen, 5020 Bergen, NorwayDepartment of Medicine, Haukeland University Hospital; 5021 Bergen, NorwaSection for Hematology, Department of Clinical Science, University of Bergen, 5020 Bergen, NorwayDepartment of Medicine, Haukeland University Hospital; 5021 Bergen, NorwaAcute myeloid leukemia (AML) is an aggressive malignancy, which is highly heterogeneous with regard to chemosensitivity and biological features. The AML cell population is organized in a hierarchy that is reflected in the in vitro growth characteristics, with only a minority of cells being able to proliferate for more than two weeks. In this study, we investigated the ability of AML stem cells to survive and proliferate in suspension cultures in the presence of exogenous mediators but without supporting non-leukemic cells. We saw that a high number of maintained stem cells (i.e., a large number of clonogenic cells after five weeks of culture) was associated with decreased overall survival for patients receiving intensive chemotherapy; this prognostic impact was also detected in the multivariate/adjusted analysis. Furthermore, the patients with many clonogenic cells presented more frequently with mutations in transcription-related genes, and also showed a higher abundance of proteins involved in transcription at the time of diagnosis. In conclusion, the growth characteristics of the long-term proliferating leukemic stem cells seem to have an independent prognostic impact in human AML, and these characteristics appear to be reflected by the mutational landscape and the proteome of the patients at the time of diagnosis.http://www.mdpi.com/2072-6694/11/1/73acute myeloid leukemiaclonogenic cellscolony formationcytokinesdifferentiationtranscription
spellingShingle Annette K. Brenner
Elise Aasebø
Maria Hernandez-Valladares
Frode Selheim
Frode Berven
Ida-Sofie Grønningsæter
Sushma Bartaula-Brevik
Øystein Bruserud
The Capacity of Long-Term in Vitro Proliferation of Acute Myeloid Leukemia Cells Supported Only by Exogenous Cytokines Is Associated with a Patient Subset with Adverse Outcome
Cancers
acute myeloid leukemia
clonogenic cells
colony formation
cytokines
differentiation
transcription
title The Capacity of Long-Term in Vitro Proliferation of Acute Myeloid Leukemia Cells Supported Only by Exogenous Cytokines Is Associated with a Patient Subset with Adverse Outcome
title_full The Capacity of Long-Term in Vitro Proliferation of Acute Myeloid Leukemia Cells Supported Only by Exogenous Cytokines Is Associated with a Patient Subset with Adverse Outcome
title_fullStr The Capacity of Long-Term in Vitro Proliferation of Acute Myeloid Leukemia Cells Supported Only by Exogenous Cytokines Is Associated with a Patient Subset with Adverse Outcome
title_full_unstemmed The Capacity of Long-Term in Vitro Proliferation of Acute Myeloid Leukemia Cells Supported Only by Exogenous Cytokines Is Associated with a Patient Subset with Adverse Outcome
title_short The Capacity of Long-Term in Vitro Proliferation of Acute Myeloid Leukemia Cells Supported Only by Exogenous Cytokines Is Associated with a Patient Subset with Adverse Outcome
title_sort capacity of long term in vitro proliferation of acute myeloid leukemia cells supported only by exogenous cytokines is associated with a patient subset with adverse outcome
topic acute myeloid leukemia
clonogenic cells
colony formation
cytokines
differentiation
transcription
url http://www.mdpi.com/2072-6694/11/1/73
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