Increased Vascular Permeability in the Bone Marrow Microenvironment Contributes to Disease Progression and Drug Response in Acute Myeloid Leukemia

Diana Passaro, Alessandro Di Tullio, Ander Abarrategi, Kevin Rouault-Pierre, Katie Foster, Linda Ariza-McNaughton, Beatriz Montaner, Probir Chakravarty, Leena Bhaw, Giovanni Diana, François Lassailly, John Gribben, Dominique Bonnet

Research output: Contribution to journalArticlepeer-review

161 Citations (Scopus)
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Abstract

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.
Original languageEnglish
Pages (from-to)324–341
Number of pages18
JournalCANCER CELL
Volume32
Issue number3
DOIs
Publication statusPublished - 31 Aug 2017

Keywords

  • acute myeloid leukemia
  • hematopoietic stem cells
  • endothelial cells
  • vascular permeability
  • nitric oxide
  • hypoxia
  • microenvironment
  • intravital 2P microscopy
  • NOS inhibitors
  • chemotherapy

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