Suppr超能文献

白血病衍生的外泌体和细胞因子为进入大脑铺平了道路。

Leukemia-derived exosomes and cytokines pave the way for entry into the brain.

机构信息

Department of Pathology, University of New Mexico, Albuquerque, New Mexico, USA.

Department of Neurosurgery, University of New Mexico, Albuquerque, New Mexico, USA.

出版信息

J Leukoc Biol. 2019 Apr;105(4):741-753. doi: 10.1002/JLB.3A0218-054R. Epub 2019 Jan 31.

Abstract

Infiltration of acute lymphoblastic leukemia (ALL) blasts into the CNS remains as a major clinical problem, with high risk for chemotherapy-resistant relapse and treatment-related morbidity. Despite the common inclusion of CNS prophylaxis treatments in therapy regimens, there are significant gaps in understanding the mechanisms that mediate leukemia cell entry into the CNS as well as roles for resident cells in the brain. In this study, we employ a xenograft model of human B cell precursor (BCP)-ALL in immunocompromised mice. This model system recapitulates key pathological characteristics of leptomeningeal involvement seen in patients and provides insights into rare cases that involve parenchymal invasion. We examine the infiltration of engrafted leukemia blasts into brains of recipient mice and provide evidence that the interaction between blasts and brain resident cells causes aberrant activation of host cells in the brain microenvironment. BCP-ALL blasts also release multiple cytokines and exosomes containing IL-15 that bind and are internalized by astrocytes and brain vessel endothelial cells. Leukemic invasion is linked to production of VEGF-AA by astrocytes and disruption of the blood-brain-barrier (BBB) integrity. Knockdown of either IL-15 or IL-15Rα in the NALM6 cell line decreases CNS infiltration in engrafted mice. These results provide important insights into the multiple mechanisms by which lymphoblasts modulate the brain microenvironment to breach the BBB for metastatic invasion.

摘要

急性淋巴细胞白血病 (ALL) blasts 浸润中枢神经系统仍然是一个主要的临床问题,具有化疗耐药复发和治疗相关发病率高的风险。尽管中枢神经系统预防治疗通常包含在治疗方案中,但对于介导白血病细胞进入中枢神经系统的机制以及驻留细胞在大脑中的作用仍存在很大的理解差距。在这项研究中,我们采用了免疫缺陷小鼠中人类 B 细胞前体 (BCP)-ALL 的异种移植模型。该模型系统重现了患者中脑膜受累的关键病理特征,并为涉及实质浸润的罕见病例提供了见解。我们检查了植入白血病blasts 对受体小鼠大脑的浸润,并提供证据表明blasts 与脑驻留细胞之间的相互作用导致宿主细胞在大脑微环境中异常激活。BCP-ALL blasts 还释放多种细胞因子和含有 IL-15 的外泌体,这些细胞因子和外泌体与星形胶质细胞和脑血管内皮细胞结合并被内化。白血病浸润与星形胶质细胞产生 VEGF-AA 和血脑屏障 (BBB) 完整性破坏有关。在 NALM6 细胞系中敲低 IL-15 或 IL-15Rα 均可减少植入小鼠的中枢神经系统浸润。这些结果为淋巴细胞调节大脑微环境以突破 BBB 进行转移浸润的多种机制提供了重要的见解。

相似文献

1
Leukemia-derived exosomes and cytokines pave the way for entry into the brain.
J Leukoc Biol. 2019 Apr;105(4):741-753. doi: 10.1002/JLB.3A0218-054R. Epub 2019 Jan 31.
3
The ability to cross the blood-cerebrospinal fluid barrier is a generic property of acute lymphoblastic leukemia blasts.
Blood. 2016 Apr 21;127(16):1998-2006. doi: 10.1182/blood-2015-08-665034. Epub 2016 Feb 11.
8
Chronic myeloid leukemia-derived exosomes promote tumor growth through an autocrine mechanism.
Cell Commun Signal. 2015 Feb 3;13:8. doi: 10.1186/s12964-015-0086-x.
9
Leukemia-derived Exosomes Can Induce Responses Related to Tumorigenesis on Non-tumoral Astrocytes.
Appl Biochem Biotechnol. 2023 Dec;195(12):7624-7637. doi: 10.1007/s12010-023-04428-7. Epub 2023 Apr 17.
10
Enhancement of Anti-Leukemia Immunity by Leukemia-Derived Exosomes Via Downregulation of TGF-β1 Expression.
Cell Physiol Biochem. 2017;44(1):240-254. doi: 10.1159/000484677. Epub 2017 Nov 9.

引用本文的文献

1
Role of Extracellular Vesicles in the Pathogenesis of Brain Metastasis.
J Extracell Biol. 2025 May 6;4(5):e70051. doi: 10.1002/jex2.70051. eCollection 2025 May.
2
Harnessing the power of exosomes for diagnosis, prognosis, and treatment of hematological malignancies.
Stem Cell Res Ther. 2025 Jan 7;16(1):6. doi: 10.1186/s13287-024-04125-0.
3
Unveiling the hidden role of extracellular vesicles in brain metastases: a comprehensive review.
Front Immunol. 2024 Apr 25;15:1388574. doi: 10.3389/fimmu.2024.1388574. eCollection 2024.
4
The functions of exosomes targeting astrocytes and astrocyte-derived exosomes targeting other cell types.
Neural Regen Res. 2024 Sep 1;19(9):1947-1953. doi: 10.4103/1673-5374.390961. Epub 2023 Dec 15.
6
The emerging role of exosomes in communication between the periphery and the central nervous system.
MedComm (2020). 2023 Oct 30;4(6):e410. doi: 10.1002/mco2.410. eCollection 2023 Dec.
8
Leukemia-derived Exosomes Can Induce Responses Related to Tumorigenesis on Non-tumoral Astrocytes.
Appl Biochem Biotechnol. 2023 Dec;195(12):7624-7637. doi: 10.1007/s12010-023-04428-7. Epub 2023 Apr 17.
9
The role of microenvironment in the initiation and evolution of B-cell precursor acute lymphoblastic leukemia.
Front Oncol. 2023 Mar 7;13:1150612. doi: 10.3389/fonc.2023.1150612. eCollection 2023.

本文引用的文献

1
Targeted therapy of CNS leukemia?
Blood. 2017 Aug 3;130(5):562-563. doi: 10.1182/blood-2017-06-788430.
2
Central nervous system involvement in acute lymphoblastic leukemia is mediated by vascular endothelial growth factor.
Blood. 2017 Aug 3;130(5):643-654. doi: 10.1182/blood-2017-03-769315. Epub 2017 May 26.
3
The Role of the Central Nervous System Microenvironment in Pediatric Acute Lymphoblastic Leukemia.
Front Pediatr. 2017 Apr 26;5:90. doi: 10.3389/fped.2017.00090. eCollection 2017.
5
Hypoxic adaptation of leukemic cells infiltrating the CNS affords a therapeutic strategy targeting VEGFA.
Blood. 2017 Jun 8;129(23):3126-3129. doi: 10.1182/blood-2016-06-721712. Epub 2017 Apr 19.
6
The emerging roles of tumor-derived exosomes in hematological malignancies.
Leukemia. 2017 Jun;31(6):1259-1268. doi: 10.1038/leu.2017.91. Epub 2017 Mar 21.
7
The role of exosomes in cancer metastasis.
Semin Cancer Biol. 2017 Jun;44:170-181. doi: 10.1016/j.semcancer.2017.02.006. Epub 2017 Feb 13.
9
Molecular Analysis of Central Nervous System Disease Spectrum in Childhood Acute Lymphoblastic Leukemia.
Clin Med Insights Oncol. 2016 Mar 14;10:5-15. doi: 10.4137/CMO.S18180. eCollection 2016.
10
Role of CXCR4-mediated bone marrow colonization in CNS infiltration by T cell acute lymphoblastic leukemia.
J Leukoc Biol. 2016 Jun;99(6):1077-87. doi: 10.1189/jlb.5MA0915-394R. Epub 2016 Mar 1.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验