Characterization of Rare, Dormant, and Therapy-Resistant Cells in Acute Lymphoblastic Leukemia.
Characterization of Rare, Dormant, and Therapy-Resistant Cells in Acute Lymphoblastic Leukemia.
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DOI:
10.1016/j.ccell.2016.11.002
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发表时间:
2016-12-12
期刊:
影响因子:
50.3
通讯作者:
Jeremias I
中科院分区:
文献类型:
--
作者:
Ebinger S;Özdemir EZ;Ziegenhain C;Tiedt S;Castro Alves C;Grunert M;Dworzak M;Lutz C;Turati VA;Enver T;Horny HP;Sotlar K;Parekh S;Spiekermann K;Hiddemann W;Schepers A;Polzer B;Kirsch S;Hoffmann M;Knapp B;Hasenauer J;Pfeifer H;Panzer-Grümayer R;Enard W;Gires O;Jeremias I
Tumor relapse is associated with dismal prognosis, but responsible biological principles remain incompletely understood. To isolate and characterize relapse-inducing cells, we used genetic engineering and proliferation-sensitive dyes in patient-derived xenografts of acute lymphoblastic leukemia (ALL). We identified a rare subpopulation that resembled relapse-inducing cells with combined properties of long-term dormancy, treatment resistance, and stemness. Single-cell and bulk expression profiling revealed their similarity to primary ALL cells isolated from pediatric and adult patients at minimal residual disease (MRD). Therapeutically adverse characteristics were reversible, as resistant, dormant cells became sensitive to treatment and started proliferating when dissociated from the in vivo environment. Our data suggest that ALL patients might profit from therapeutic strategies that release MRD cells from the niche. Patients' ALL cells growing in mice contain a rare unfavorable subpopulation Unfavorable cells display treatment resistance, dormancy, and stemness Unfavorable cells mimic patients' primary cells at minimal residual disease Retrieving unfavorable cells from their environment sensitizes them for treatment Ebinger et al. identify a rare subpopulation of acute lymphoblastic leukemia (ALL) cells that have the combined properties of long-term dormancy, treatment resistance, and leukemia initiation. RNA sequencing results show that these cells are similar to ALL cells isolated from patients at minimal residual disease.
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