Mesenchymal Stromal Cells Rescue Hypoxia-Induced Survival Defect in Ex Vivo Acute Myeloid Leukemia Cell Cultures

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Abstract/Contents

Abstract
Acute myeloid leukemia (AML) is an aggressive cancer characterized by the clonal accumulation of immature blood cells. The cancer stem cell model hypothesizes that healthy hematopoietic stem cells (HSCs), which populate the entire blood compartment, acquire lesions over time and become leukemia stem cells (LSCs). These mutant cells are responsible for disease progression and act as a reservoir of cancer-forming cells following chemotherapy, causing relapse. In healthy hematopoiesis, mesenchymal stromal cells (MSCs) in the oxygen-poor bone marrow microenvironment are the niche for HSCs, providing factors to maintain and regulate self-renewal and multipotency. Current efforts seek to understand the role of the niche in aberrant hematopoiesis. While efforts to replicate human disease are aided by the in vitro study of primary AML patient sample cells (APSCs), these studies do not typically recapitulate the presence of MSCs or the hypoxic conditions of the niche. I found that hypoxia decreases APSC growth, but this defect can be rescued in a non-contact-dependent manner by co-culture of APSC with MSC or culture of APSC in MSC-conditioned media (CM). Cytokine detection analysis showed that MSC-CM contained high levels of cytokines whose transcripts are also highly expressed in primary MSCs from healthy donors. Although no singular tested cytokine was necessary for APSC survival, I determined that the expression of cytokines and receptors can independently cluster healthy and leukemic cell subsets. Therefore, cytokine combinations may contribute to APSC survival. Collectively, these results show that MSCs are sufficient to enhance APSC survival in physiologic hypoxia. The niche-like ex vivo model I established will enable the translation of laboratory findings into clinical applications.

Description

Type of resource text
Date modified December 5, 2022
Publication date May 6, 2022; May 2022

Creators/Contributors

Author Martinez-Krams, Daniel ORCiD icon https://orcid.org/0000-0001-9731-605X (unverified)
Thesis advisor Majeti, Ravindra ORCiD icon https://orcid.org/0000-0002-5814-0984 (unverified)
Thesis advisor Cyert, Martha ORCiD icon https://orcid.org/0000-0003-3825-7437 (unverified)
Degree granting institution Stanford University, Department of Biology

Subjects

Subject Biology
Subject Acute myeloid leukemia
Subject Cancer
Subject Hematopoiesis
Subject Microenvironment
Subject Niche
Subject Conditioned media
Subject Cytokines
Subject Personalized medicine
Subject Drug discovery
Subject Stem cells
Subject Hypoxia
Genre Text
Genre Thesis

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This work is licensed under a Creative Commons Attribution Non Commercial 4.0 International license (CC BY-NC).

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Preferred citation
Martinez-Krams, D. and Majeti, R. (2022). Mesenchymal Stromal Cells Rescue Hypoxia-Induced Survival Defect in Ex Vivo Acute Myeloid Leukemia Cell Cultures. Stanford Digital Repository. Available at https://purl.stanford.edu/yd973qj5556

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Undergraduate Theses, Department of Biology, 2021-2022

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