PMID- 29772458 OWN - NLM STAT- MEDLINE DCOM- 20181126 LR - 20181126 IS - 1476-5586 (Electronic) IS - 1522-8002 (Print) IS - 1476-5586 (Linking) VI - 20 IP - 6 DP - 2018 Jun TI - Phenotyping and Target Expression Profiling of CD34(+)/CD38(-) and CD34(+)/CD38(+) Stem- and Progenitor cells in Acute Lymphoblastic Leukemia. PG - 632-642 LID - S1476-5586(18)30088-5 [pii] LID - 10.1016/j.neo.2018.04.004 [doi] AB - Leukemic stem cells (LSCs) are an emerging target of curative anti-leukemia therapy. In acute lymphoblastic leukemia (ALL), LSCs frequently express CD34 and often lack CD38. However, little is known about markers and targets expressed in ALL LSCs. We have examined marker- and target expression profiles in CD34(+)/CD38(-) LSCs in patients with Ph(+) ALL (n = 22) and Ph(-) ALL (n = 27) by multi-color flow cytometry and qPCR. ALL LSCs expressed CD19 (B4), CD44 (Pgp-1), CD123 (IL-3RA), and CD184 (CXCR4) in all patients tested. Moreover, in various subgroups of patients, LSCs also displayed CD20 (MS4A1) (10/41 = 24%), CD22 (12/20 = 60%), CD33 (Siglec-3) (20/48 = 42%), CD52 (CAMPATH-1) (17/40 = 43%), IL-1RAP (13/29 = 45%), and/or CD135 (FLT3) (4/20 = 20%). CD25 (IL-2RA) and CD26 (DPPIV) were expressed on LSCs in Ph(+) ALL exhibiting BCR/ABL1(p210), whereas in Ph(+) ALL with BCR/ABL1(p190), LSCs variably expressed CD25 but did not express CD26. In Ph(-) ALL, CD34(+)/CD38(-) LSCs expressed IL-1RAP in 6/18 patients (33%), but did not express CD25 or CD26. Normal stem cells stained negative for CD25, CD26 and IL-1RAP, and expressed only low amounts of CD52. In xenotransplantation experiments, CD34(+)/CD38(-) and CD34(+)/CD38(+) cells engrafted NSG mice after 12-20 weeks, and targeting with antibodies against CD33 and CD52 resulted in reduced engraftment. Together, LSCs in Ph(+) and Ph(-) ALL display unique marker- and target expression profiles. In Ph(+) ALL with BCR/ABL1(p210), the LSC-phenotype closely resembles the marker-profile of CD34(+)/CD38(-) LSCs in chronic myeloid leukemia, confirming the close biologic relationship of these neoplasms. Targeting of LSCs with specific antibodies or related immunotherapies may facilitate LSC eradication in ALL. CI - Copyright (c) 2018 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Blatt, Katharina AU - Blatt K AD - Ludwig Boltzmann Cluster Oncology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria; Department of Internal Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. FAU - Menzl, Ingeborg AU - Menzl I AD - Department of Biomedical Science, Institute of Pharmacology and Toxicology, University of Veterinary Medicine Vienna, Veterinaerplatz 1, 1210 Vienna, Austria. FAU - Eisenwort, Gregor AU - Eisenwort G AD - Ludwig Boltzmann Cluster Oncology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria; Department of Internal Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. FAU - Cerny-Reiterer, Sabine AU - Cerny-Reiterer S AD - Ludwig Boltzmann Cluster Oncology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria; Department of Internal Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. FAU - Herrmann, Harald AU - Herrmann H AD - Ludwig Boltzmann Cluster Oncology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria; Department of Internal Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria; Department of Radiotherapy, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. FAU - Herndlhofer, Susanne AU - Herndlhofer S AD - Ludwig Boltzmann Cluster Oncology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria; Department of Internal Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. FAU - Stefanzl, Gabriele AU - Stefanzl G AD - Department of Internal Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. FAU - Sadovnik, Irina AU - Sadovnik I AD - Department of Internal Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. FAU - Berger, Daniela AU - Berger D AD - Department of Internal Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. FAU - Keller, Alexandra AU - Keller A AD - Department of Internal Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. FAU - Hauswirth, Alexander AU - Hauswirth A AD - Ludwig Boltzmann Cluster Oncology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria; Department of Internal Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. FAU - Hoermann, Gregor AU - Hoermann G AD - Ludwig Boltzmann Cluster Oncology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria; Department of Laboratory Medicine, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. FAU - Willmann, Michael AU - Willmann M AD - Ludwig Boltzmann Cluster Oncology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria; Department/Clinic for Companion Animals and Horses, Clinic for Small Animals, Clinical Unit of Internal Medicine, University of Veterinary Medicine Vienna, Veterinaerplatz 1, 1210 Vienna, Austria. FAU - Rulicke, Thomas AU - Rulicke T AD - Institute of Laboratory Animal Science, University of Veterinary Medicine Vienna, Veterinaerplatz 1, 1210 Vienna, Austria. FAU - Sill, Heinz AU - Sill H AD - Department of Internal Medicine, Division of Hematology, Medical University of Graz, Auenbruggerplatz 2, 8036 Graz, Austria. FAU - Sperr, Wolfgang R AU - Sperr WR AD - Ludwig Boltzmann Cluster Oncology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria; Department of Internal Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. FAU - Mannhalter, Christine AU - Mannhalter C AD - Department of Laboratory Medicine, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. FAU - Melo, Junia V AU - Melo JV AD - Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia 5005, Australia; Department of Haematology, Imperial College London, Kensington, London SW7 2AZ, United Kingdom. FAU - Jager, Ulrich AU - Jager U AD - Ludwig Boltzmann Cluster Oncology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria; Department of Internal Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. FAU - Sexl, Veronika AU - Sexl V AD - Department of Biomedical Science, Institute of Pharmacology and Toxicology, University of Veterinary Medicine Vienna, Veterinaerplatz 1, 1210 Vienna, Austria. FAU - Valent, Peter AU - Valent P AD - Ludwig Boltzmann Cluster Oncology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria; Department of Internal Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. Electronic address: peter.valent@meduniwien.ac.at. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180515 PL - United States TA - Neoplasia JT - Neoplasia (New York, N.Y.) JID - 100886622 RN - 0 (Antigens, CD34) RN - 0 (Biomarkers, Tumor) RN - EC 3.2.2.6 (ADP-ribosyl Cyclase 1) SB - IM MH - ADP-ribosyl Cyclase 1/*metabolism MH - Animals MH - Antigens, CD34/*metabolism MH - Biomarkers, Tumor/metabolism MH - Cell Line MH - Female MH - Gene Expression Regulation, Leukemic/physiology MH - Humans MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/metabolism MH - Leukemia, Myeloid, Acute/*metabolism MH - Mice MH - Mice, Inbred NOD MH - Neoplastic Stem Cells/*metabolism MH - Stem Cells/*metabolism PMC - PMC5994777 EDAT- 2018/05/18 06:00 MHDA- 2018/11/27 06:00 PMCR- 2018/05/15 CRDT- 2018/05/18 06:00 PHST- 2018/02/08 00:00 [received] PHST- 2018/04/12 00:00 [revised] PHST- 2018/04/13 00:00 [accepted] PHST- 2018/05/18 06:00 [pubmed] PHST- 2018/11/27 06:00 [medline] PHST- 2018/05/18 06:00 [entrez] PHST- 2018/05/15 00:00 [pmc-release] AID - S1476-5586(18)30088-5 [pii] AID - 10.1016/j.neo.2018.04.004 [doi] PST - ppublish SO - Neoplasia. 2018 Jun;20(6):632-642. doi: 10.1016/j.neo.2018.04.004. Epub 2018 May 15.