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12th Congress of the European Hematology ... - Haematologica

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12 th <strong>Congress</strong> <strong>of</strong> <strong>the</strong> <strong>European</strong> <strong>Hematology</strong> Association<br />

0156<br />

ONCOGENETIC FUNCTION OF KTS + ISOFORM OF WT1 IN ACUTE AND CHRONIC<br />

LEUKEMIAS<br />

D. Cilloni, I. Defilippi, S. Carturan, F. Messa, V. Rosso, F. Arruga,R.<br />

Catalano, C. Bittoto, C. Boveri, E. Messa, P. Nicoli, E. Bracco, G. Saglio<br />

University <strong>of</strong> Turin, TURIN, Italy<br />

Background. The Wilms’ tumour gene (WT1) is overexpressed in a<br />

variety <strong>of</strong> hematological malignancies including acute and chronic<br />

leukemias, myeloproliferative disorders and myelodysplastic syndromes<br />

and nowadays it is considered a sort <strong>of</strong> universal marker <strong>of</strong> leukaemia.<br />

WT1 was originally identified as responsible for <strong>the</strong> kidney tumour <strong>of</strong><br />

Wilms and described as a tumour suppressor gene but, in <strong>the</strong> setting <strong>of</strong><br />

leukaemia, it seems to function as an oncogene. WT1 has different is<strong>of</strong>orms.<br />

In particular, KTS + and KTS – are 2 is<strong>of</strong>orms derived from alternative<br />

spicing <strong>of</strong> exon 9. In normal cells <strong>the</strong> two is<strong>of</strong>orms are approximately<br />

equally represented. Aims. <strong>the</strong> aim <strong>of</strong> <strong>the</strong> study was to analyze<br />

<strong>the</strong> different function and distribution <strong>of</strong> <strong>the</strong> two is<strong>of</strong>orms. Methods.<br />

After informed consent, 132 BM samples were collected from 86 AML<br />

and 46 CML patients at diagnosis and 20 samples from healthy subjects.<br />

62 patients were also evaluated during follow-up. WTS + and KTS –<br />

is<strong>of</strong>orms were quantified by capillary electrophoresis The relative<br />

amount <strong>of</strong> two is<strong>of</strong>orms was calculated by measuring <strong>the</strong> picks area <strong>of</strong><br />

electropherogram . NIH3T3 and 293T cell lines were transfected with<br />

WT1 KTS + or WT1 KTS – plasmids. WT1 protein was studied by Western<br />

blot and immun<strong>of</strong>luorescence in BM cells and transfected cell lines.<br />

Downstream genes transcriptionally activated by WT1 such as Spred-2<br />

and E-Cadherin were evaluated by Real Time PCR. Results. We demonstrated<br />

that AML and CML patients have an unbalanced KTS + /KTS – ratio<br />

with a significant increase <strong>of</strong> KTS + is<strong>of</strong>orm as compared to KTS – . The<br />

ratio observed ranges from 1.6 to 6.1 in AML from 1.6 to 9.5 in CML.<br />

In 10% <strong>of</strong> <strong>the</strong> patients we observed a complete disappearance <strong>of</strong> <strong>the</strong><br />

KTS- is<strong>of</strong>orm . Western blot and immun<strong>of</strong>luorescence carried out in BM<br />

cells and transfected cell lines allow to establish that <strong>the</strong> KTS+ is<strong>of</strong>orm<br />

is mainly localized in <strong>the</strong> cytoplasm and KTS – is<strong>of</strong>orm is mainly nuclear<br />

localized. In BM cells carrying <strong>the</strong> is<strong>of</strong>orm KTS + or in cells transfected<br />

with KTS + is<strong>of</strong>orm we observed <strong>the</strong> lack <strong>of</strong> transcription <strong>of</strong> downstream<br />

genes such as Spred1 or E-cadherin. In addition, in patients who<br />

achieved a complete remission after chemo<strong>the</strong>rapy, WT1 KTS + /KTS –<br />

ratio returned within <strong>the</strong> normal range and Spred1 and E-cadherin transcript<br />

and protein were significantly upregulated. Finally, cells transfected<br />

with KTS + is<strong>of</strong>orm presented morphology changes, altered adhesion<br />

properties and increased proliferation as compared to KTS- transfected<br />

cells. Conclusions. This study demonstrates that in leukemic cells <strong>the</strong>re<br />

is a disruption <strong>of</strong> <strong>the</strong> normal transcription activity <strong>of</strong> WT1 and this is<br />

mainly due to <strong>the</strong> unbalanced ratio between <strong>the</strong> two is<strong>of</strong>orms KTS + and<br />

KTS – with different localization and function. This alteration results in<br />

a defective transcriptional activity <strong>of</strong> WT1 which can probably play an<br />

oncogenic role in leukemic cells.<br />

56 | haematologica/<strong>the</strong> hematology journal | 2007; 92(s1)<br />

0157<br />

ANKHD1 PROTECTS LEUKEMIA CELLS FROM APOPTOSIS AND BINDS TO SIVA, A<br />

PROAPOPTOTIC PROTEIN<br />

FT Traina, P.R.M. Lima, F.F. Costa, S.T.O. Saad<br />

State University <strong>of</strong> Campinas, CAMPINAS, Brazil<br />

Background. Ankyrin-repeat-containing proteins regulate multiple cellular<br />

functions including transcription, cell-cycle, cell survival and participate<br />

in protein'protein interactions via <strong>the</strong>ir repeat motifs. Ankyrin<br />

Repeat and KH Domain Containing 1, ANKHD1, has been recently<br />

described, in humans, as a cytoplasmic protein overexpressed in prostate<br />

cancer cell line and in leukemia cells compared to normal hematopoietic<br />

cells. Its homologous protein, MASK, was described in Drosophila<br />

melanogaster as an essential protein for differentiation, proliferation and<br />

cell survival. However, <strong>the</strong> role <strong>of</strong> ANKHD1 in leukemia cells has not<br />

been fully elucidated. Aims. The aim <strong>of</strong> this study was to identify new<br />

proteins associated with ANKHD1 and <strong>the</strong> role <strong>of</strong> ANKHD1 in <strong>the</strong><br />

apoptotic process <strong>of</strong> leukemia cells. Methods. In order to identify possible<br />

targets <strong>of</strong> <strong>the</strong> ANKHD1 protein, we performed a yeast two-hybrid<br />

screen using ANKHD1 protein (amino acids 1130-1243) in pGBKT7 vector,<br />

as <strong>the</strong> bait, and a Matchmaker pACT2-cDNA library from normal<br />

human bone marrow (Clontech), as <strong>the</strong> prey. The protein interaction<br />

detected was confirmed using <strong>the</strong> yeast two-hybrid assay, through cotransfections<br />

<strong>of</strong> AH109 yeast with <strong>the</strong> ANKHD1-pGBKT7 bait and <strong>the</strong><br />

new candidate for protein interaction identified in pGADT7 vector. Posttranscriptional<br />

ANKHD1 gene silencing was done using small interfering<br />

RNA, SMARTpool siRNA duplexes (Dharmacon), at a concentration<br />

<strong>of</strong> 400 nM. Transient transfections <strong>of</strong> Jurkat cells were performed by<br />

electroporation in a Bio-Rad Gene Pulser II (300V, 975 micr<strong>of</strong>arads).<br />

Cells were cultured for 48 h after transfections and <strong>the</strong>n submitted to<br />

Western blotting and apoptosis analysis. Apoptotic cell death was evaluated<br />

using Annexin V-FITC/PI staining and FACS analysis. Results. The<br />

yeast two-hybrid screening identified <strong>the</strong> new protein interaction<br />

between ANKHD1 and SIVA. Co-transfections <strong>of</strong> AH109 with pGBKT7-<br />

ANKHD1 and different SIVA-pGADT7 constructs (SIVA1, SIVA2, SIVA<br />

C-terminal, SIVA N-terminal, SIVA Dead Domain) confirmed <strong>the</strong> association<br />

between ANKHD1/SIVA1 and ANKHD1/SIVA2, and <strong>the</strong> need<br />

for both <strong>the</strong> N-terminal and C-terminal regions <strong>of</strong> SIVA for <strong>the</strong> interaction<br />

with ANKHD1. Western blotting confirmed that ANKHD1 expression<br />

was reduced by 80% in <strong>the</strong> Jurkat cells transfected with ANKHD1<br />

siRNA compared with controls cells (electroporated cells). Treatment<br />

<strong>of</strong> Jurkat cells with <strong>the</strong> ANKHD1 siRNA resulted in increased apoptosis<br />

(27% <strong>of</strong> apoptotic cells) compared with control cells (14% <strong>of</strong> apoptotic<br />

cells). Conclusions. The association between ANKHD1 and SIVA<br />

is<strong>of</strong>orms suggests that ANKHD1 participates in <strong>the</strong> apoptotic signaling<br />

in leukemia cells, since we know that SIVA1 and SIVA2 are overexpressed<br />

in acute lymphoblast leukemia cell lines and induce apoptosis<br />

in Jurkat cells. The increased apoptotic rate after posttranscriptional<br />

ANKHD1 gene silencing indicates an anti-apoptotic function <strong>of</strong><br />

ANKHD1 in Jurkat cells. In conclusion, ANKHD1 protects leukemia<br />

cells from apoptosis and binds to SIVA, possibly inhibiting <strong>the</strong> proapoptotic<br />

function <strong>of</strong> SIVA. These results indicate that ANKHD1 is associated<br />

with <strong>the</strong> abnormal phenotype <strong>of</strong> leukemia cells; <strong>the</strong> identification <strong>of</strong><br />

new disease-specific targets for acute leukemia immuno<strong>the</strong>rapy expands<br />

treatment options and increases our chances <strong>of</strong> successfully treating this<br />

heterogeneous disease and lowering <strong>the</strong> unacceptably high mortality<br />

rate.

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