Mayani H, Guilbert L J, Janowska-Wieczorek A
Department of Medicine, University of Alberta, Canada.
Leukemia. 1993 Oct;7(10):1564-9.
We have investigated the role of acute myelogenous leukemia (AML) marrow-derived fibroblastic cells in the development of the hemopoietic microenvironment in vitro, and compared their functional integrity with that of their normal marrow-derived counterparts. Our results indicate that the development of stromal adherent layers in AML long-term marrow culture (LTMC) depends to a large extent on the presence of fibroblastic progenitors (fibroblast colony-forming units, CFU-F) in the bone marrow inoculum. Positive correlations were observed between the numbers of CFU-F in fresh AML marrow samples (nine cases studied) and the numbers of adherent nucleated cells (r = 0.91), adherent CFU-F (r = 0.87), adherent hemopoietic progenitors (r = 0.71), and colony-stimulating factor-1 (CSF-1) levels (r = 0.74) in LTMC. All the above parameters were drastically reduced in LTMC derived from AML marrows that contained low numbers of CFU-F (i.e. below the normal range of 76-130 CFU-F per 10(6) bone marrow cells) when compared with LTMC established from normal marrows. In contrast, no difference was observed in such parameters when normal LTMC and LTMC from AML patients with normal levels of marrow CFU-F were compared. Fibroblast adherent layers derived from AML patients with normal marrow CFU-F numbers produced normal levels of CSF-1 and showed a similar hemopoietic supportive capacity to that of fibroblast layers from normal bone marrow. Thus, our results suggest that (i) the presence of CFU-F in adequate levels in the bone marrow inoculum is critical for the adequate development of the hemopoietic microenvironment in LTMC, and (ii) AML marrow-derived fibroblasts seem to be functionally normal, at least in some AML patients.
我们研究了急性髓性白血病(AML)骨髓来源的成纤维细胞在体外造血微环境发育中的作用,并将其功能完整性与其正常骨髓来源的对应细胞进行了比较。我们的结果表明,AML长期骨髓培养(LTMC)中基质黏附层的发育在很大程度上取决于骨髓接种物中成纤维祖细胞(成纤维细胞集落形成单位,CFU-F)的存在。在新鲜AML骨髓样本(研究了9例)中CFU-F的数量与LTMC中黏附的有核细胞数量(r = 0.91)、黏附的CFU-F数量(r = 0.87)、黏附的造血祖细胞数量(r = 0.71)以及集落刺激因子-1(CSF-1)水平(r = 0.74)之间观察到正相关。与从正常骨髓建立的LTMC相比,来自CFU-F数量低(即每10(6)个骨髓细胞低于76 - 130 CFU-F的正常范围)的AML骨髓的LTMC中,上述所有参数均大幅降低。相反,当比较正常LTMC和骨髓CFU-F水平正常的AML患者的LTMC时,在这些参数上未观察到差异。来自骨髓CFU-F数量正常的AML患者的成纤维细胞黏附层产生正常水平的CSF-1,并显示出与正常骨髓的成纤维细胞层相似的造血支持能力。因此,我们的结果表明:(i)骨髓接种物中足够水平的CFU-F的存在对于LTMC中造血微环境的充分发育至关重要;(ii)至少在一些AML患者中,AML骨髓来源的成纤维细胞似乎功能正常。