Diverse marrow stromal cells protect CLL cells from spontaneous and drug-induced apoptosis: development of a reliable and reproducible system to assess stromal …

AV Kurtova, K Balakrishnan, R Chen… - Blood, The Journal …, 2009 - ashpublications.org
AV Kurtova, K Balakrishnan, R Chen, W Ding, S Schnabl, MP Quiroga, M Sivina, WG Wierda…
Blood, The Journal of the American Society of Hematology, 2009ashpublications.org
Marrow stromal cells (MSCs) provide important survival and drug resistance signals to
chronic lymphocytic leukemia (CLL) cells, but current models to analyze CLL–MSC
interactions are heterogeneous. Therefore, we tested different human and murine MSC lines
and primary human MSCs for their ability to protect CLL cells from spontaneous and drug-
induced apoptosis. Our results show that both human and murine MSCs are equally
effective in protecting CLL cells from fludarabine-induced apoptosis. This protective effect …
Abstract
Marrow stromal cells (MSCs) provide important survival and drug resistance signals to chronic lymphocytic leukemia (CLL) cells, but current models to analyze CLL–MSC interactions are heterogeneous. Therefore, we tested different human and murine MSC lines and primary human MSCs for their ability to protect CLL cells from spontaneous and drug-induced apoptosis. Our results show that both human and murine MSCs are equally effective in protecting CLL cells from fludarabine-induced apoptosis. This protective effect was sustained over a wide range of CLL–MSC ratios (5:1 to 100:1), and the levels of protection were reproducible in 4 different laboratories. Human and murine MSCs also protected CLL cells from dexamethasone- and cyclophosphamide-induced apoptosis. This protection required cell–cell contact and was virtually absent when CLL cells were separated from the MSCs by micropore filters. Furthermore, MSCs maintained Mcl-1 and protected CLL cells from spontaneous and fludarabine-induced Mcl-1 and PARP cleavage. Collectively, these studies define common denominators for CLL cocultures with MSCs. They also provide a reliable, validated tool for future investigations into the mechanism of MSC–CLL cross talk and for drug testing in a more relevant fashion than the commonly used suspension cultures.
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