[PDF][PDF] CXCL12-producing vascular endothelial niches control acute T cell leukemia maintenance

LA Pitt, AN Tikhonova, H Hu, T Trimarchi, B King… - Cancer cell, 2015 - cell.com
Cancer cell, 2015cell.com
The role of the microenvironment in T cell acute lymphoblastic leukemia (T-ALL), or any
acute leukemia, is poorly understood. Here we demonstrate that T-ALL cells are in direct,
stable contact with CXCL12-producing bone marrow stroma. Cxcl12 deletion from vascular
endothelial, but not perivascular, cells impeded tumor growth, suggesting a vascular niche
for T-ALL. Moreover, genetic targeting of Cxcr4 in murine T-ALL after disease onset led to
rapid, sustained disease remission, and CXCR4 antagonism suppressed human T-ALL in …
Summary
The role of the microenvironment in T cell acute lymphoblastic leukemia (T-ALL), or any acute leukemia, is poorly understood. Here we demonstrate that T-ALL cells are in direct, stable contact with CXCL12-producing bone marrow stroma. Cxcl12 deletion from vascular endothelial, but not perivascular, cells impeded tumor growth, suggesting a vascular niche for T-ALL. Moreover, genetic targeting of Cxcr4 in murine T-ALL after disease onset led to rapid, sustained disease remission, and CXCR4 antagonism suppressed human T-ALL in primary xenografts. Loss of CXCR4 targeted key T-ALL regulators, including the MYC pathway, and decreased leukemia initiating cell activity in vivo. Our data identify a T-ALL niche and suggest targeting CXCL12/CXCR4 signaling as a powerful therapeutic approach for T-ALL.
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