PMID- 38111584 OWN - NLM STAT- MEDLINE DCOM- 20231220 LR - 20240403 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 14 DP - 2023 TI - AML alters bone marrow stromal cell osteogenic commitment via Notch signaling. PG - 1320497 LID - 10.3389/fimmu.2023.1320497 [doi] LID - 1320497 AB - INTRODUCTION: Acute myeloid leukemia (AML) is a highly heterogeneous malignancy caused by various genetic alterations and characterized by the accumulation of immature myeloid blasts in the bone marrow (BM). This abnormal growth of AML cells disrupts normal hematopoiesis and alters the BM microenvironment components, establishing a niche supportive of leukemogenesis. Bone marrow stromal cells (BMSCs) play a pivotal role in giving rise to essential elements of the BM niche, including adipocytes and osteogenic cells. Animal models have shown that the BM microenvironment is significantly remodeled by AML cells, which skew BMSCs toward an ineffective osteogenic differentiation with an accumulation of osteoprogenitors. However, little is known about the mechanisms by which AML cells affect osteogenesis. METHODS: We studied the effect of AML cells on the osteogenic commitment of normal BMSCs, using a 2D co-culture system. RESULTS: We found that AML cell lines and primary blasts, but not normal hematopoietic CD34(+) cells, induced in BMSCs an ineffective osteogenic commitment, with an increase of the early-osteogenic marker tissue non-specific alkaline phosphatase (TNAP) in the absence of the late-osteogenic gene up-regulation. Moreover, the direct interaction of AML cells and BMSCs was indispensable in influencing osteogenic differentiation. Mechanistic studies identified a role for AML-mediated Notch activation in BMSCs contributing to their ineffective osteogenic commitment. Inhibition of Notch using a gamma-secretase inhibitor strongly influenced Notch signaling in BMSCs and abrogated the AML-induced TNAP up-regulation. DISCUSSION: Together, our data support the hypothesis that AML infiltration produces a leukemia-supportive pre-osteoblast-rich niche in the BM, which can be partially ascribed to AML-induced activation of Notch signaling in BMSCs. CI - Copyright (c) 2023 Tomasoni, Arsuffi, Donsante, Corsi, Riminucci, Biondi, Pievani and Serafini. FAU - Tomasoni, Chiara AU - Tomasoni C AD - Tettamanti Center, Fondazione Istituto Ricovero e Cura a Carattere Scientifico (IRCCS) San Gerardo dei Tintori, Monza, Italy. FAU - Arsuffi, Corinne AU - Arsuffi C AD - Tettamanti Center, Fondazione Istituto Ricovero e Cura a Carattere Scientifico (IRCCS) San Gerardo dei Tintori, Monza, Italy. FAU - Donsante, Samantha AU - Donsante S AD - Tettamanti Center, Fondazione Istituto Ricovero e Cura a Carattere Scientifico (IRCCS) San Gerardo dei Tintori, Monza, Italy. AD - Department of Molecular Medicine, Sapienza University, Rome, Italy. FAU - Corsi, Alessandro AU - Corsi A AD - Department of Molecular Medicine, Sapienza University, Rome, Italy. FAU - Riminucci, Mara AU - Riminucci M AD - Department of Molecular Medicine, Sapienza University, Rome, Italy. FAU - Biondi, Andrea AU - Biondi A AD - Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy. AD - Pediatrics, Fondazione Istituto Ricovero e Cura a Carattere Scientifico (IRCCS) San Gerardo dei Tintori, Monza, Italy. FAU - Pievani, Alice AU - Pievani A AD - Tettamanti Center, Fondazione Istituto Ricovero e Cura a Carattere Scientifico (IRCCS) San Gerardo dei Tintori, Monza, Italy. FAU - Serafini, Marta AU - Serafini M AD - Tettamanti Center, Fondazione Istituto Ricovero e Cura a Carattere Scientifico (IRCCS) San Gerardo dei Tintori, Monza, Italy. AD - Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy. LA - eng PT - Comment PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20231204 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 SB - IM CON - Haematologica. 2021 Mar 01;106(3):865-870. PMID: 32381570 MH - Animals MH - Osteogenesis MH - Bone Marrow Cells/metabolism MH - *Leukemia, Myeloid, Acute/pathology MH - Bone Marrow/metabolism MH - *Mesenchymal Stem Cells/metabolism MH - Tumor Microenvironment PMC - PMC10725948 OTO - NOTNLM OT - AML niche OT - BMSCs (bone marrow stromal cells) OT - Notch signaling OT - acute myeloid leukemia OT - osteogenesis COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/12/19 06:41 MHDA- 2023/12/20 06:42 PMCR- 2023/01/01 CRDT- 2023/12/19 03:51 PHST- 2023/10/12 00:00 [received] PHST- 2023/11/20 00:00 [accepted] PHST- 2023/12/20 06:42 [medline] PHST- 2023/12/19 06:41 [pubmed] PHST- 2023/12/19 03:51 [entrez] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2023.1320497 [doi] PST - epublish SO - Front Immunol. 2023 Dec 4;14:1320497. doi: 10.3389/fimmu.2023.1320497. eCollection 2023.