PMID- 29717364 OWN - NLM STAT- MEDLINE DCOM- 20180828 LR - 20180828 IS - 1432-0584 (Electronic) IS - 0939-5555 (Linking) VI - 97 IP - 9 DP - 2018 Sep TI - Acute promyelocytic leukemia cell adhesion to vascular endothelium is reduced by heparins. PG - 1555-1562 LID - 10.1007/s00277-018-3343-4 [doi] AB - Adhesion of acute promyelocytic leukemia (APL) cells to endothelial cells (EC) is among the mechanisms of the APL-associated coagulopathy, responsible for early hemorrhagic deaths in affected patients. We compared the effects of dalteparin and enoxaparin, two low-molecular-weight heparins (LMWH), and unfractionated heparin (UFH), on APL NB4 adhesion to micro- (HMEC-1) and macro-vascular EC (HUVEC), in resting and interleukin-1beta (IL-1beta)-stimulated conditions. The heparin effect on EC adhesion molecule (ICAM-1, VCAM-1, E-selectin) expression was also assessed. In HMEC-1, dalteparin inhibited IL1beta-induced NB4 adhesion by 80%, enoxaparin by 52%, and UFH by 44%. Similar results were obtained in HUVEC. This was associated with a significant decrease of VCAM-1 and ICAM-1 expression. In conclusion, we show that LMWH significantly counteract APL cell adhesion to the vessel wall, by modulating EC adhesion molecule expression. This property of heparins may represent one approach for hampering excess clotting activation and microthrombi deposition in APL. FAU - Vignoli, Alfonso AU - Vignoli A AD - Department of Immunohematology and Transfusion Medicine & Hemostasis and Thrombosis Center, Hospital Papa Giovanni XXIII, Piazza O.M.S., 1, 24127, Bergamo, Italy. FAU - Marchetti, Marina AU - Marchetti M AD - Department of Immunohematology and Transfusion Medicine & Hemostasis and Thrombosis Center, Hospital Papa Giovanni XXIII, Piazza O.M.S., 1, 24127, Bergamo, Italy. FAU - Falanga, Anna AU - Falanga A AUID- ORCID: 0000-0002-5007-3457 AD - Department of Immunohematology and Transfusion Medicine & Hemostasis and Thrombosis Center, Hospital Papa Giovanni XXIII, Piazza O.M.S., 1, 24127, Bergamo, Italy. annafalanga@yahoo.com. LA - eng GR - IG14505/Associazione Italiana per la Ricerca sul Cancro (A.I.R.C.)/ GR - "5x1000" n. 12237/Associazione Italiana per la Ricerca sul Cancro (A.I.R.C.)/ PT - Journal Article DEP - 20180501 PL - Germany TA - Ann Hematol JT - Annals of hematology JID - 9107334 RN - 0 (E-Selectin) RN - 0 (Heparin, Low-Molecular-Weight) RN - 0 (Interleukin-1beta) RN - 0 (SELE protein, human) RN - 0 (Vascular Cell Adhesion Molecule-1) RN - 126547-89-5 (Intercellular Adhesion Molecule-1) SB - IM MH - Cell Adhesion/*drug effects/genetics MH - Cells, Cultured MH - E-Selectin/genetics/metabolism MH - Endothelium, Vascular/*drug effects/pathology MH - Heparin, Low-Molecular-Weight/*pharmacology MH - Human Umbilical Vein Endothelial Cells/drug effects/pathology/physiology MH - Humans MH - Intercellular Adhesion Molecule-1/genetics/metabolism MH - Interleukin-1beta/genetics/metabolism MH - Leukemia, Promyelocytic, Acute/complications/genetics/*pathology MH - Thrombosis/etiology/*pathology/prevention & control MH - Vascular Cell Adhesion Molecule-1/genetics/metabolism OTO - NOTNLM OT - Acute promyelocytic leukemia OT - Cancer and thrombosis OT - Cell adhesion OT - Endothelium OT - Low-molecular-weight heparin EDAT- 2018/05/03 06:00 MHDA- 2018/08/29 06:00 CRDT- 2018/05/03 06:00 PHST- 2017/11/06 00:00 [received] PHST- 2018/04/21 00:00 [accepted] PHST- 2018/05/03 06:00 [pubmed] PHST- 2018/08/29 06:00 [medline] PHST- 2018/05/03 06:00 [entrez] AID - 10.1007/s00277-018-3343-4 [pii] AID - 10.1007/s00277-018-3343-4 [doi] PST - ppublish SO - Ann Hematol. 2018 Sep;97(9):1555-1562. doi: 10.1007/s00277-018-3343-4. Epub 2018 May 1.