Analysis of acute lymphoblastic leukemia drug sensitivity by changes in impedance via stromal cell adherence.

The bone marrow is a frequent location of primary relapse after conventional cytotoxic drug treatment of human B-cell precursor acute lymphoblastic leukemia (BCP-ALL). Because stromal cells have a major role in promoting chemotherapy resistance, they should be included to more realistically model in...

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Main Authors: Annie Luong, Fabio Cerignoli, Yama Abassi, Nora Heisterkamp, Hisham Abdel-Azim
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0258140&type=printable
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author Annie Luong
Fabio Cerignoli
Yama Abassi
Nora Heisterkamp
Hisham Abdel-Azim
author_facet Annie Luong
Fabio Cerignoli
Yama Abassi
Nora Heisterkamp
Hisham Abdel-Azim
author_sort Annie Luong
collection DOAJ
description The bone marrow is a frequent location of primary relapse after conventional cytotoxic drug treatment of human B-cell precursor acute lymphoblastic leukemia (BCP-ALL). Because stromal cells have a major role in promoting chemotherapy resistance, they should be included to more realistically model in vitro drug treatment. Here we validated a novel application of the xCELLigence system as a continuous co-culture to assess long-term effects of drug treatment on BCP-ALL cells. We found that bone marrow OP9 stromal cells adhere to the electrodes but are progressively displaced by dividing patient-derived BCP-ALL cells, resulting in reduction of impedance over time. Death of BCP-ALL cells due to drug treatment results in re-adherence of the stromal cells to the electrodes, increasing impedance. Importantly, vincristine inhibited proliferation of sensitive BCP-ALL cells in a dose-dependent manner, correlating with increased impedance. This system was able to discriminate sensitivity of two relapsed Philadelphia chromosome (Ph) positive ALLs to four different targeted kinase inhibitors. Moreover, differences in sensitivity of two CRLF2-drivenBCP-ALL cell lines to ruxolitinib were also seen. These results show that impedance can be used as a novel approach to monitor drug treatment and sensitivity of primary BCP-ALL cells in the presence of protective microenvironmental cells.
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spelling doaj-art-fb726bee2dec474d82344c0560cf0c592025-01-17T05:32:02ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01169e025814010.1371/journal.pone.0258140Analysis of acute lymphoblastic leukemia drug sensitivity by changes in impedance via stromal cell adherence.Annie LuongFabio CerignoliYama AbassiNora HeisterkampHisham Abdel-AzimThe bone marrow is a frequent location of primary relapse after conventional cytotoxic drug treatment of human B-cell precursor acute lymphoblastic leukemia (BCP-ALL). Because stromal cells have a major role in promoting chemotherapy resistance, they should be included to more realistically model in vitro drug treatment. Here we validated a novel application of the xCELLigence system as a continuous co-culture to assess long-term effects of drug treatment on BCP-ALL cells. We found that bone marrow OP9 stromal cells adhere to the electrodes but are progressively displaced by dividing patient-derived BCP-ALL cells, resulting in reduction of impedance over time. Death of BCP-ALL cells due to drug treatment results in re-adherence of the stromal cells to the electrodes, increasing impedance. Importantly, vincristine inhibited proliferation of sensitive BCP-ALL cells in a dose-dependent manner, correlating with increased impedance. This system was able to discriminate sensitivity of two relapsed Philadelphia chromosome (Ph) positive ALLs to four different targeted kinase inhibitors. Moreover, differences in sensitivity of two CRLF2-drivenBCP-ALL cell lines to ruxolitinib were also seen. These results show that impedance can be used as a novel approach to monitor drug treatment and sensitivity of primary BCP-ALL cells in the presence of protective microenvironmental cells.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0258140&type=printable
spellingShingle Annie Luong
Fabio Cerignoli
Yama Abassi
Nora Heisterkamp
Hisham Abdel-Azim
Analysis of acute lymphoblastic leukemia drug sensitivity by changes in impedance via stromal cell adherence.
PLoS ONE
title Analysis of acute lymphoblastic leukemia drug sensitivity by changes in impedance via stromal cell adherence.
title_full Analysis of acute lymphoblastic leukemia drug sensitivity by changes in impedance via stromal cell adherence.
title_fullStr Analysis of acute lymphoblastic leukemia drug sensitivity by changes in impedance via stromal cell adherence.
title_full_unstemmed Analysis of acute lymphoblastic leukemia drug sensitivity by changes in impedance via stromal cell adherence.
title_short Analysis of acute lymphoblastic leukemia drug sensitivity by changes in impedance via stromal cell adherence.
title_sort analysis of acute lymphoblastic leukemia drug sensitivity by changes in impedance via stromal cell adherence
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0258140&type=printable
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