TY - JOUR
T1 - Increased Vascular Permeability in the Bone Marrow Microenvironment Contributes to Disease Progression and Drug Response in Acute Myeloid Leukemia
AU - Passaro, Diana
AU - Di Tullio, Alessandro
AU - Abarrategi, Ander
AU - Rouault-Pierre, Kevin
AU - Foster, Katie
AU - Ariza-McNaughton, Linda
AU - Montaner, Beatriz
AU - Chakravarty, Probir
AU - Bhaw, Leena
AU - Diana, Giovanni
AU - Lassailly, François
AU - Gribben, John
AU - Bonnet, Dominique
PY - 2017/8/31
Y1 - 2017/8/31
N2 - The biological and clinical behaviors of hematological malignancies can be influenced by the active crosstalk with an altered bone marrow (BM) microenvironment. In the present study, we provide a detailed picture of the BM vasculature in acute myeloid leukemia using intravital two-photon microscopy. We found several abnormalities in the vascular architecture and function in patient-derived xenografts (PDX), such as vascular leakiness and increased hypoxia. Transcriptomic analysis in endothelial cells identified nitric oxide (NO) as major mediator of this phenotype in PDX and in patient-derived biopsies. Moreover, induction chemotherapy failing to restore normal vasculature was associated with a poor prognosis. Inhibition of NO production reduced vascular permeability, preserved normal hematopoietic stem cell function, and improved treatment response in PDX.
AB - The biological and clinical behaviors of hematological malignancies can be influenced by the active crosstalk with an altered bone marrow (BM) microenvironment. In the present study, we provide a detailed picture of the BM vasculature in acute myeloid leukemia using intravital two-photon microscopy. We found several abnormalities in the vascular architecture and function in patient-derived xenografts (PDX), such as vascular leakiness and increased hypoxia. Transcriptomic analysis in endothelial cells identified nitric oxide (NO) as major mediator of this phenotype in PDX and in patient-derived biopsies. Moreover, induction chemotherapy failing to restore normal vasculature was associated with a poor prognosis. Inhibition of NO production reduced vascular permeability, preserved normal hematopoietic stem cell function, and improved treatment response in PDX.
KW - acute myeloid leukemia
KW - hematopoietic stem cells
KW - endothelial cells
KW - vascular permeability
KW - nitric oxide
KW - hypoxia
KW - microenvironment
KW - intravital 2P microscopy
KW - NOS inhibitors
KW - chemotherapy
U2 - 10.1016/j.ccell.2017.08.001
DO - 10.1016/j.ccell.2017.08.001
M3 - Article
SN - 1535-6108
VL - 32
SP - 324
EP - 341
JO - CANCER CELL
JF - CANCER CELL
IS - 3
ER -