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Targeting cytokine- and therapy-induced PIM1 activation in preclinical models of T-cell acute lymphoblastic leukemia and lymphoma

Authors: Tim Lammens; Wouter Van Loocke; Julie Morscio; Barbara De Moerloose; Tom Taghon; Marc R. Mansour; Valentina Bardelli; +17 Authors

Targeting cytokine- and therapy-induced PIM1 activation in preclinical models of T-cell acute lymphoblastic leukemia and lymphoma

Abstract

Abstract T-cell acute lymphoblastic leukemia (T-ALL) and T-cell acute lymphoblastic lymphoma (T-LBL) are aggressive hematological malignancies that are currently treated with high-dose chemotherapy. Over the last several years, the search toward novel and less-toxic therapeutic strategies for T-ALL/T-LBL patients has largely focused on the identification of cell-intrinsic properties of the tumor cell. However, non–cell-autonomous activation of specific oncogenic pathways might also offer opportunities that could be exploited at the therapeutic level. In line with this, we here show that endogenous interleukin 7 (IL7) can increase the expression of the oncogenic kinase proviral integration site for Moloney-murine leukemia 1 (PIM1) in CD127+ T-ALL/T-LBL, thereby rendering these tumor cells sensitive to in vivo PIM inhibition. In addition, using different CD127+ T-ALL/T-LBL xenograft models, we also reveal that residual tumor cells, which remain present after short-term in vivo chemotherapy, display consistent upregulation of PIM1 as compared with bulk nontreated tumor cells. Notably, this effect was transient as increased PIM1 levels were not observed in reestablished disease after abrogation of the initial chemotherapy. Furthermore, we uncover that this phenomenon is, at least in part, mediated by the ability of glucocorticoids to cause transcriptional upregulation of IL7RA in T-ALL/T-LBL patient-derived xenograft (PDX) cells, ultimately resulting in non–cell-autonomous PIM1 upregulation by endogenous IL7. Finally, we confirm in vivo that chemotherapy in combination with a pan-PIM inhibitor can improve leukemia survival in a PDX model of CD127+ T-ALL. Altogether, our work reveals that IL7 and glucocorticoids coordinately drive aberrant activation of PIM1 and suggests that IL7-responsive CD127+ T-ALL and T-LBL patients could benefit from PIM inhibition during induction chemotherapy.

Keywords

PROMOTER, PROTEIN-KINASES, T-Lymphocytes, 610, lymphoma, lymphoblastic t-cell lymphoma, Apoptosis, chemotherapy, Precursor T-Cell Lymphoblastic Leukemia-Lymphoma, MURINE, IL-7 RECEPTOR, chemotherapy regimen, Mice, Proto-Oncogene Proteins c-pim-1, Antineoplastic Combined Chemotherapy Protocols, cytokine, Tumor Cells, Cultured, Animals, Humans, PHOSPHORYLATION, adult t-cell lymphoma/leukemia, interleukin 7 receptor, lymphoblastic t-cell lymphoma, t-cell leukemia, acute, interleukin-7, cytokine, glucocorticoids, chemotherapy regimen, transplantation, heterologous, Cell Proliferation, Science & Technology, glucocorticoids, interleukin-7, JAK/STAT PATHWAY INHIBITION, TRANSCRIPTIONAL REGULATION, t-cell leukemia, neoadjuvant, PROLIFERATION, acute, Hematology, Xenograft Model Antitumor Assays, Gene Expression Regulation, Neoplastic, adult t-cell lymphoma/leukemia, interleukin 7 receptor, GROWTH, Cytokines, Drug Therapy, Combination, Life Sciences & Biomedicine, SERINE/THREONINE KINASES

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    citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    29
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
29
Top 10%
Average
Top 10%
Green
bronze