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05.01.2022 | Research Article

Negative value of CD10/CD34 immunophenotype in pediatric leukemia and development of a related cell line model for investigating drug resistance

verfasst von: N. Aberuyi, S. Rahgozar

Erschienen in: Clinical and Translational Oncology | Ausgabe 6/2022

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Abstract

Purpose

Appropriate sub-classification of leukemia according to the immunophenotypic characteristics of the malignant cells may improve therapeutic strategies. The aim of this study was to investigate the prognostic value of CD10/CD34 surface markers in pediatric acute lymphoblastic leukemia (pALL).

Patients and methods

A retrospective cohort study was performed in 79 children with ALL. Possible correlation between leukemia prognosis and CD10 CD34 immunophenotype was assessed using Kaplan–Meier and Cox regression analyses. A CD10- CD34- pre-B-ALL cell line was generated from a patient with resistant ALL. RN95 was characterized using light microscopy, immunophenotyping, karyotyping, and Western blotting. Drug sensitivity and resistant genes’ expression profile were assessed using MTT and RT-PCR assays.

Results

Kaplan–Meier analysis showed negative correlation between CD10/CD34 double negativity and patients’ 2- and 5-year disease-free survival (DFS). Multivariate analysis indicated that the absence of CD10 and CD34 expression in the ALL patients was an independent negative prognostic marker for 2- and 5-year DFS. A novel cell line model, RN95, was developed with similar immunophenotype from a primary relapsed sample. Cells showed p53 positive functionality and demonstrated partial sensitivity to Vincristine, but complete resistance to Cytarabine. Overexpression of ABCB1, ABCA2, and ABCA3 was detected.

Conclusion

In the current study, simultaneous absence of CD10 and CD34 cell surface markers was introduced as an unfavorable prognostic factor in pediatric B-ALL. Moreover, a special cell line was established to help delineation of novel therapeutics for B-ALL drug resistance.
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Literatur
1.
Zurück zum Zitat Kachalaki S, Ebrahimi M, Khosroshahi LM, Mohammadinejad S, Baradaran B. Cancer chemoresistance; biochemical and molecular aspects: a brief overview. Eur J Pharm Sci. 2016;89:20–30.CrossRef Kachalaki S, Ebrahimi M, Khosroshahi LM, Mohammadinejad S, Baradaran B. Cancer chemoresistance; biochemical and molecular aspects: a brief overview. Eur J Pharm Sci. 2016;89:20–30.CrossRef
2.
Zurück zum Zitat Wang X, Zhang H, Chen X. Drug resistance and combating drug resistance in cancer. Cancer Drug Resist. 2019;2:141–60.PubMedPubMedCentral Wang X, Zhang H, Chen X. Drug resistance and combating drug resistance in cancer. Cancer Drug Resist. 2019;2:141–60.PubMedPubMedCentral
3.
Zurück zum Zitat Aberuyi N, Rahgozar S, Moafi A. The role of ATP-binding cassette transporter A2 in childhood acute lymphoblastic leukemia multidrug resistance. Iran J Pediatr Hematol Oncol. 2014;4(3):118. Aberuyi N, Rahgozar S, Moafi A. The role of ATP-binding cassette transporter A2 in childhood acute lymphoblastic leukemia multidrug resistance. Iran J Pediatr Hematol Oncol. 2014;4(3):118.
4.
Zurück zum Zitat Aberuyi N, Rahgozar S, Ghodousi ES, Ghaedi K. Drug resistance biomarkers and their clinical applications in childhood acute lymphoblastic leukemia. Front Oncol. 2019;9:1496.CrossRef Aberuyi N, Rahgozar S, Ghodousi ES, Ghaedi K. Drug resistance biomarkers and their clinical applications in childhood acute lymphoblastic leukemia. Front Oncol. 2019;9:1496.CrossRef
5.
Zurück zum Zitat Ghodousi ES, Aberuyi N, Rahgozar S. Simultaneous changes in expression levels of BAALC and miR-326: a novel prognostic biomarker for childhood ALL. Jpn J Clin Oncol. 2020;50:671–8.CrossRef Ghodousi ES, Aberuyi N, Rahgozar S. Simultaneous changes in expression levels of BAALC and miR-326: a novel prognostic biomarker for childhood ALL. Jpn J Clin Oncol. 2020;50:671–8.CrossRef
6.
Zurück zum Zitat Zhang J, Gu Y, Chen B. Mechanisms of drug resistance in acute myeloid leukemia. Onco Targets Ther. 2019;12:1937.CrossRef Zhang J, Gu Y, Chen B. Mechanisms of drug resistance in acute myeloid leukemia. Onco Targets Ther. 2019;12:1937.CrossRef
7.
Zurück zum Zitat Chen KG, Duran GE, Mogul MJ, Wang YC, Ross KL, Jaffrézou J-P, et al. Genomic stability at the coding regions of the multidrug transporter gene ABCB1: insights into the development of alternative drug resistance mechanisms in human leukemia cells. Cancer Drug Resist. 2020;3(4):959–79.PubMedPubMedCentral Chen KG, Duran GE, Mogul MJ, Wang YC, Ross KL, Jaffrézou J-P, et al. Genomic stability at the coding regions of the multidrug transporter gene ABCB1: insights into the development of alternative drug resistance mechanisms in human leukemia cells. Cancer Drug Resist. 2020;3(4):959–79.PubMedPubMedCentral
8.
Zurück zum Zitat Van Dongen J, Orfao A. EuroFlow: resetting leukemia and lymphoma immunophenotyping. Basis for companion diagnostics and personalized medicine. Leukemia. 2012;26(9):1899–907.CrossRef Van Dongen J, Orfao A. EuroFlow: resetting leukemia and lymphoma immunophenotyping. Basis for companion diagnostics and personalized medicine. Leukemia. 2012;26(9):1899–907.CrossRef
9.
Zurück zum Zitat Kruse A, Abdel-Azim N, Kim HN, Ruan Y, Phan V, Ogana H, et al. Minimal residual disease detection in acute lymphoblastic leukemia. Int J Mol Sci. 2020;21(3):1054.CrossRef Kruse A, Abdel-Azim N, Kim HN, Ruan Y, Phan V, Ogana H, et al. Minimal residual disease detection in acute lymphoblastic leukemia. Int J Mol Sci. 2020;21(3):1054.CrossRef
10.
Zurück zum Zitat Sharma M, Sachdeva MUS, Varma N, Varma S, Marwaha R. Characterization of immunophenotypic aberrancies in adult and childhood acute lymphoblastic leukemia: a study from Northern India. J Cancer Res Ther. 2016;12(2):620.CrossRef Sharma M, Sachdeva MUS, Varma N, Varma S, Marwaha R. Characterization of immunophenotypic aberrancies in adult and childhood acute lymphoblastic leukemia: a study from Northern India. J Cancer Res Ther. 2016;12(2):620.CrossRef
11.
Zurück zum Zitat Shahni A, Saud M, Siddiqui S, Mukry SN. Expression of aberrant antigens in hematological malignancies: a single center experience. Pak J Med Sci. 2018;34(2):457.CrossRef Shahni A, Saud M, Siddiqui S, Mukry SN. Expression of aberrant antigens in hematological malignancies: a single center experience. Pak J Med Sci. 2018;34(2):457.CrossRef
12.
Zurück zum Zitat Dakka N, Bellaoui H, Bouzid N, Khattab M, Bakri Y, Benjouad A. CD10 and CD34 expression in childhood acute lymphoblastic leukemia in Morocco: clinical relevance and outcome. Pediatr Hematol Oncol. 2009;26(4):216–31.CrossRef Dakka N, Bellaoui H, Bouzid N, Khattab M, Bakri Y, Benjouad A. CD10 and CD34 expression in childhood acute lymphoblastic leukemia in Morocco: clinical relevance and outcome. Pediatr Hematol Oncol. 2009;26(4):216–31.CrossRef
13.
Zurück zum Zitat Supriyadi E, Veerman A, Sutaryo S, van de Ven P, Cloos J. Detection of CD10, CD34 and their combined expression on childhood acute lymphoblastic leukemia and the association with clinical outcome in Indonesia. J Cancer Ther Res. 2012;1:1–10.CrossRef Supriyadi E, Veerman A, Sutaryo S, van de Ven P, Cloos J. Detection of CD10, CD34 and their combined expression on childhood acute lymphoblastic leukemia and the association with clinical outcome in Indonesia. J Cancer Ther Res. 2012;1:1–10.CrossRef
14.
Zurück zum Zitat Pui C-H, Hancock ML, Head DR, Rivera GK, Look AT, Sandlund JT, et al. Clinical significance of CD34 expression in childhood acute lymphoblastic leukemia. Blood. 1993;82(3):889–94.CrossRef Pui C-H, Hancock ML, Head DR, Rivera GK, Look AT, Sandlund JT, et al. Clinical significance of CD34 expression in childhood acute lymphoblastic leukemia. Blood. 1993;82(3):889–94.CrossRef
15.
Zurück zum Zitat Hann I, Richards S, Eden O, Hill F. Analysis of the immunophenotype of children treated on the Medical Research Council United Kingdom Acute Lymphoblastic Leukaemia trial XI (MRC UKALLXI). Leukemia. 1998;12(8):1249–55.CrossRef Hann I, Richards S, Eden O, Hill F. Analysis of the immunophenotype of children treated on the Medical Research Council United Kingdom Acute Lymphoblastic Leukaemia trial XI (MRC UKALLXI). Leukemia. 1998;12(8):1249–55.CrossRef
16.
Zurück zum Zitat Jaafar FH, Kadhom AE. Expression of CD45, CD34, CD10, and human leukocyte antigen-DR in acute lymphoblastic leukemia. Iraq J Hematol. 2018;7(1):14–9. Jaafar FH, Kadhom AE. Expression of CD45, CD34, CD10, and human leukocyte antigen-DR in acute lymphoblastic leukemia. Iraq J Hematol. 2018;7(1):14–9.
18.
Zurück zum Zitat Gao C, Liu S-G, Yue Z-X, Liu Y, Liang J, Li J, et al. Clinical-biological characteristics and treatment outcomes of pediatric pro-B ALL patients enrolled in BCH-2003 and CCLG-2008 protocol: a study of 121 Chinese children. Cancer Cell Int. 2019;19(1):293.CrossRef Gao C, Liu S-G, Yue Z-X, Liu Y, Liang J, Li J, et al. Clinical-biological characteristics and treatment outcomes of pediatric pro-B ALL patients enrolled in BCH-2003 and CCLG-2008 protocol: a study of 121 Chinese children. Cancer Cell Int. 2019;19(1):293.CrossRef
19.
Zurück zum Zitat Rivera-Luna R, Cardenas-Cardos R, Leal-Leal C, Navarro-Alegría I, Meza-Coria C, Gómez-Martínez R, et al. B-lineage acute lymphoblastic leukemia of childhood. An institutional experience. Arch Med Res. 1997;28(2):233–9.PubMed Rivera-Luna R, Cardenas-Cardos R, Leal-Leal C, Navarro-Alegría I, Meza-Coria C, Gómez-Martínez R, et al. B-lineage acute lymphoblastic leukemia of childhood. An institutional experience. Arch Med Res. 1997;28(2):233–9.PubMed
20.
Zurück zum Zitat Consolini R, Legitimo A, Rondelli R, Guguelmi C, Barisone E, Lippi A, et al. Clinical relevance of CD10 expression in childhood ALL. The Italian Association for Pediatric Hematology and Oncology (AIEOP). Haematologica. 1998;83(11):967–73.PubMed Consolini R, Legitimo A, Rondelli R, Guguelmi C, Barisone E, Lippi A, et al. Clinical relevance of CD10 expression in childhood ALL. The Italian Association for Pediatric Hematology and Oncology (AIEOP). Haematologica. 1998;83(11):967–73.PubMed
21.
Zurück zum Zitat Thomas X, Archimbaud E, Charrin C, Magaud J, Fiere D. CD34 expression is associated with major adverse prognostic factors in adult acute lymphoblastic leukemia. Leukemia. 1995;9(2):249–53.PubMed Thomas X, Archimbaud E, Charrin C, Magaud J, Fiere D. CD34 expression is associated with major adverse prognostic factors in adult acute lymphoblastic leukemia. Leukemia. 1995;9(2):249–53.PubMed
22.
Zurück zum Zitat Rahimi BS, Rahgozar S, Mohammadi M. Ginger extract has anti-leukemia and anti-drug resistant effects on malignant cells. J Cancer Res Clin Oncol. 2019;145:1987–98.CrossRef Rahimi BS, Rahgozar S, Mohammadi M. Ginger extract has anti-leukemia and anti-drug resistant effects on malignant cells. J Cancer Res Clin Oncol. 2019;145:1987–98.CrossRef
23.
Zurück zum Zitat Jandu H, Aluzaite K, Fogh L, Thrane SW, Noer JB, Proszek J, et al. Molecular characterization of irinotecan (SN-38) resistant human breast cancer cell lines. BMC Cancer. 2016;16(1):34.CrossRef Jandu H, Aluzaite K, Fogh L, Thrane SW, Noer JB, Proszek J, et al. Molecular characterization of irinotecan (SN-38) resistant human breast cancer cell lines. BMC Cancer. 2016;16(1):34.CrossRef
24.
Zurück zum Zitat Barch MJ, Knutsen T, Spurbeck JL. The AGT cytogenetics laboratory manual. 3rd ed. Philadelphia: Lippincott-Raven; 1997. Barch MJ, Knutsen T, Spurbeck JL. The AGT cytogenetics laboratory manual. 3rd ed. Philadelphia: Lippincott-Raven; 1997.
25.
Zurück zum Zitat Kumar D, Panigrahi M, Saikia K, Kapoor G, Mehta A. Molecular analysis of childhood B-acute lymphoblastic leukemia: identification and prognosis of rare breakpoints. Mol Biol. 2015;49(6):843–7.CrossRef Kumar D, Panigrahi M, Saikia K, Kapoor G, Mehta A. Molecular analysis of childhood B-acute lymphoblastic leukemia: identification and prognosis of rare breakpoints. Mol Biol. 2015;49(6):843–7.CrossRef
26.
Zurück zum Zitat Franklin M, Gentles L, Matheson E, Bown N, Cross P, Ralte A, et al. Characterization and drug sensitivity of a novel human ovarian clear cell carcinoma cell line genomically and phenotypically similar to the original tumor. Cancer Med. 2018;7(9):4744–54.CrossRef Franklin M, Gentles L, Matheson E, Bown N, Cross P, Ralte A, et al. Characterization and drug sensitivity of a novel human ovarian clear cell carcinoma cell line genomically and phenotypically similar to the original tumor. Cancer Med. 2018;7(9):4744–54.CrossRef
27.
Zurück zum Zitat Aberuyi N, Rahgozar S, Pourabutaleb E, Ghaedi K. Selective dysregulation of ABC transporters in methotrexate-resistant leukemia T-cells can confer cross-resistance to cytarabine, vincristine and dexamethasone, but not doxorubicin. Curr Res Transl Med. 2020;69:103269.CrossRef Aberuyi N, Rahgozar S, Pourabutaleb E, Ghaedi K. Selective dysregulation of ABC transporters in methotrexate-resistant leukemia T-cells can confer cross-resistance to cytarabine, vincristine and dexamethasone, but not doxorubicin. Curr Res Transl Med. 2020;69:103269.CrossRef
28.
Zurück zum Zitat Aberuyi N, Rahgozar S, Pourabutaleb E, Ghaedi K. Selective dysregulation of ABC transporters in methotrexate-resistant leukemia T-cells can confer cross-resistance to cytarabine, vincristine and dexamethasone, but not doxorubicin. Curr Res Transl Med. 2021;69(1):103269.CrossRef Aberuyi N, Rahgozar S, Pourabutaleb E, Ghaedi K. Selective dysregulation of ABC transporters in methotrexate-resistant leukemia T-cells can confer cross-resistance to cytarabine, vincristine and dexamethasone, but not doxorubicin. Curr Res Transl Med. 2021;69(1):103269.CrossRef
29.
Zurück zum Zitat Rahgozar S, Moafi A, Abedi M, Entezar-E-Ghaem M, Moshtaghian J, Ghaedi K, et al. mRNA expression profile of multidrug-resistant genes in acute lymphoblastic leukemia of children, a prognostic value for ABCA3 and ABCA2. Cancer Biol Ther. 2014;15(1):35–41.CrossRef Rahgozar S, Moafi A, Abedi M, Entezar-E-Ghaem M, Moshtaghian J, Ghaedi K, et al. mRNA expression profile of multidrug-resistant genes in acute lymphoblastic leukemia of children, a prognostic value for ABCA3 and ABCA2. Cancer Biol Ther. 2014;15(1):35–41.CrossRef
30.
Zurück zum Zitat DiGiuseppe JA, Cardinali JL. Immunophenotyping of acute lymphoblastic leukemia. In: Immunophenotyping. Berlin: Springer; 2019. p. 297–310.CrossRef DiGiuseppe JA, Cardinali JL. Immunophenotyping of acute lymphoblastic leukemia. In: Immunophenotyping. Berlin: Springer; 2019. p. 297–310.CrossRef
31.
Zurück zum Zitat Chiaretti S, Zini G, Bassan R. Diagnosis and subclassification of acute lymphoblastic leukemia. Mediterr J Hematol Infect Dis. 2014;6(1):e2014073.CrossRef Chiaretti S, Zini G, Bassan R. Diagnosis and subclassification of acute lymphoblastic leukemia. Mediterr J Hematol Infect Dis. 2014;6(1):e2014073.CrossRef
32.
Zurück zum Zitat Irving J. Diagnostic flow cytometry and immunophenotypic classification. Childhood acute lymphoblastic leukemia. Berlin: Springer; 2017. p. 49–59.CrossRef Irving J. Diagnostic flow cytometry and immunophenotypic classification. Childhood acute lymphoblastic leukemia. Berlin: Springer; 2017. p. 49–59.CrossRef
33.
Zurück zum Zitat Sidhom I, Shaaban K, Soliman S, Ezzat S, El-Anwar W, Hamdy N, et al. Clinical significance of immunophenotypic markers in pediatric T-cell acute lymphoblastic leukemia. J Egypt Natl Canc Inst. 2008;20(2):111–20.PubMed Sidhom I, Shaaban K, Soliman S, Ezzat S, El-Anwar W, Hamdy N, et al. Clinical significance of immunophenotypic markers in pediatric T-cell acute lymphoblastic leukemia. J Egypt Natl Canc Inst. 2008;20(2):111–20.PubMed
34.
Zurück zum Zitat Bene M, Castoldi G, Knapp W, Ludwig W-D, Matutes E, Orfao A, et al. Proposals for the immunological classification of acute leukemias. European Group for the Immunological Characterization of Leukemias (EGIL). Leukemia. 1995;9(10):1783–6.PubMed Bene M, Castoldi G, Knapp W, Ludwig W-D, Matutes E, Orfao A, et al. Proposals for the immunological classification of acute leukemias. European Group for the Immunological Characterization of Leukemias (EGIL). Leukemia. 1995;9(10):1783–6.PubMed
35.
Zurück zum Zitat Ross J, Rashkovan M, Fraszczak J, Joly-Beauparlant C, Vadnais C, Winkler R, et al. Deletion of the Miz-1 POZ domain increases efficacy of cytarabine treatment in T-and B-ALL/lymphoma mouse models. Can Res. 2019;79(16):4184–95.CrossRef Ross J, Rashkovan M, Fraszczak J, Joly-Beauparlant C, Vadnais C, Winkler R, et al. Deletion of the Miz-1 POZ domain increases efficacy of cytarabine treatment in T-and B-ALL/lymphoma mouse models. Can Res. 2019;79(16):4184–95.CrossRef
36.
Zurück zum Zitat Atra A, Gerrard M, Hobson R, Imeson J, Ashley S, Pinkerton C. Improved cure rate in children with B-cell acute lymphoblastic leukaemia (B-ALL) and stage IV B-cell non-Hodgkin’s lymphoma (B-NHL)-results of the UKCCSG 9003 protocol. Br J Cancer. 1998;77(12):2281–5.CrossRef Atra A, Gerrard M, Hobson R, Imeson J, Ashley S, Pinkerton C. Improved cure rate in children with B-cell acute lymphoblastic leukaemia (B-ALL) and stage IV B-cell non-Hodgkin’s lymphoma (B-NHL)-results of the UKCCSG 9003 protocol. Br J Cancer. 1998;77(12):2281–5.CrossRef
37.
Zurück zum Zitat Galmarini CM, Warren G, Senanayake MT, Vinogradov SV. Efficient overcoming of drug resistance to anticancer nucleoside analogs by nanodelivery of active phosphorylated drugs. Int J Pharm. 2010;395(1–2):281–9.CrossRef Galmarini CM, Warren G, Senanayake MT, Vinogradov SV. Efficient overcoming of drug resistance to anticancer nucleoside analogs by nanodelivery of active phosphorylated drugs. Int J Pharm. 2010;395(1–2):281–9.CrossRef
38.
Zurück zum Zitat Jordheim LP, Durantel D, Zoulim F, Dumontet C. Advances in the development of nucleoside and nucleotide analogues for cancer and viral diseases. Nat Rev Drug Discov. 2013;12(6):447–64.CrossRef Jordheim LP, Durantel D, Zoulim F, Dumontet C. Advances in the development of nucleoside and nucleotide analogues for cancer and viral diseases. Nat Rev Drug Discov. 2013;12(6):447–64.CrossRef
39.
Zurück zum Zitat Aberuyi N, Rahgozar S, Dehaghi ZK, Moafi A, Masotti A, Paolini A. The translational expression of ABCA2 and ABCA3 is a strong prognostic biomarker for multidrug resistance in pediatric acute lymphoblastic leukemia. Onco Targets Ther. 2017;10:3373.CrossRef Aberuyi N, Rahgozar S, Dehaghi ZK, Moafi A, Masotti A, Paolini A. The translational expression of ABCA2 and ABCA3 is a strong prognostic biomarker for multidrug resistance in pediatric acute lymphoblastic leukemia. Onco Targets Ther. 2017;10:3373.CrossRef
Metadaten
Titel
Negative value of CD10−/CD34− immunophenotype in pediatric leukemia and development of a related cell line model for investigating drug resistance
verfasst von
N. Aberuyi
S. Rahgozar
Publikationsdatum
05.01.2022
Verlag
Springer International Publishing
Erschienen in
Clinical and Translational Oncology / Ausgabe 6/2022
Print ISSN: 1699-048X
Elektronische ISSN: 1699-3055
DOI
https://doi.org/10.1007/s12094-021-02755-x

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