Apoptosis in the myelodysplastic syndromes : protective effect of G-CSF
Author: Schmidt-Mende, Jan
Date: 2005-10-14
Location: Föreläsningssalen M63, Karolinska Universitetssjukhuset, Huddinge
Time: 9.30
Department: Institutionen för medicin, Huddinge Sjukhus / Department of Medicine at Huddinge University Hospital
View/ Open:
Thesis (715.0Kb)
Abstract
Increased apoptosis of hematopoietic progenitor cells is a hallmark for
the myelodysplastic syndromes (MDS), and one of the main reasons for the
ineffective hematopoiesis and subsequent cytopenia characteristic for the
disease. In particular in low risk MDS, such as refractory anemia (RA)
and refractory anemia with ringed sideroblasts (RARS), severe
transfusion-dependent anemia leading to constant fatigue and weakness and
therefore reduced quality of life often constitutes the main clinical
problem. The development of specific treatment strategies for MDS is
hampered by the lack of deep pathogenetic understanding of the disease.
We have previously shown that treatment with granulocyte colony
stimulation factor (G-CSF) and erythropoietin (EPO) reduces the number of
apoptotic erythroid bone marrow precursors, and may abolish transfusion
need in patients with low-risk MDS. Although our data suggest that G-CSF
blockage of erythroid apoptosis occurs at the mitochondrial level,
additional studies are required to understand the entire mechanism of
G-CSF action. Thus, the present studies were initiated to explore
mechanisms for apoptosis and the effects of G-CSF in cell lines and
primary MDS progenitors.
Bone marrow cells from RARS cultured in vitro showed increased spontaneous apoptosis and a higher sensitivity to ligation of the Fas death receptor compared to progenitor cells from healthy individuals. Both erythroid and myeloid colony growth was reduced, indicating a defect at the stem cell level. Moreover, RARS cells displayed elevated caspase-3 activity, which could be reduced by the caspase inhibitor DEVD-fmk. Fas-antagonistic antibody fragments did not inhibit apoptosis in RARS cultures. Co-culture with G-CSF reduced caspase activity and generation of reactive oxygen species, while restoring mitochondrial potential and erythroid colony growth. No such effects were observed in normal bone marrow.
In order to further explore the anti-apoptotic effects of G-CSF, the myeloid P39 cell line, originally derived from an MDS patient, was treated with all-trans retinoic acid (ATRA) in the presence of G-CSF. ATRA induced differentiation and subsequent apoptosis. It affected mitochondrial functioning long before any signs of apoptosis appeared. ATRA-induced mitochondrial alterations were characterized by diminished mitochondrial oxygen consumption and decreased calcium uptake by mitochondria, leading to a lower mitochondrial matrix calcium concentration. Interestingly, G-CSF prevented mitochondrial deterioration. It partially restored respiration as well as the capacity of mitochondria to accumulate calcium. Mitochondrial alterations occurred at an early time point in ATRA-treated cells and were later followed by apoptosis, as detected by apoptotic nuclear morphology. G-CSF prevented both the early mitochondrial changes and the later apoptotic manifestations suggesting that mitochondrial dysfunction is an important step for ATRA-induced apoptosis.
Thus, the ability of ATRA and G-CSF to modulate mitochondrial respiration and intracellular calcium control are novel findings which help to give a better insight in their precise molecular mode of action. The restoration of mitochondrial functioning by G-CSF offers a new explanation for its anti-apoptotic function in the treatment of MDS.
Bone marrow cells from RARS cultured in vitro showed increased spontaneous apoptosis and a higher sensitivity to ligation of the Fas death receptor compared to progenitor cells from healthy individuals. Both erythroid and myeloid colony growth was reduced, indicating a defect at the stem cell level. Moreover, RARS cells displayed elevated caspase-3 activity, which could be reduced by the caspase inhibitor DEVD-fmk. Fas-antagonistic antibody fragments did not inhibit apoptosis in RARS cultures. Co-culture with G-CSF reduced caspase activity and generation of reactive oxygen species, while restoring mitochondrial potential and erythroid colony growth. No such effects were observed in normal bone marrow.
In order to further explore the anti-apoptotic effects of G-CSF, the myeloid P39 cell line, originally derived from an MDS patient, was treated with all-trans retinoic acid (ATRA) in the presence of G-CSF. ATRA induced differentiation and subsequent apoptosis. It affected mitochondrial functioning long before any signs of apoptosis appeared. ATRA-induced mitochondrial alterations were characterized by diminished mitochondrial oxygen consumption and decreased calcium uptake by mitochondria, leading to a lower mitochondrial matrix calcium concentration. Interestingly, G-CSF prevented mitochondrial deterioration. It partially restored respiration as well as the capacity of mitochondria to accumulate calcium. Mitochondrial alterations occurred at an early time point in ATRA-treated cells and were later followed by apoptosis, as detected by apoptotic nuclear morphology. G-CSF prevented both the early mitochondrial changes and the later apoptotic manifestations suggesting that mitochondrial dysfunction is an important step for ATRA-induced apoptosis.
Thus, the ability of ATRA and G-CSF to modulate mitochondrial respiration and intracellular calcium control are novel findings which help to give a better insight in their precise molecular mode of action. The restoration of mitochondrial functioning by G-CSF offers a new explanation for its anti-apoptotic function in the treatment of MDS.
List of papers:
I. Schmidt-Mende J, Hellstrom-Lindberg E, Joseph B, Zhivotovsky B (2000). Freezing induces artificial cleavage of apoptosis-related proteins in human bone marrow cells. J Immunol Methods. 245(1-2): 91-4.
Pubmed
II. Hellstrom-Lindberg E, Schmidt-Mende J, Forsblom AM, Christensson B, Fadeel B, Zhivotovsky B (2001). Apoptosis in refractory anaemia with ringed sideroblasts is initiated at the stem cell level and associated with increased activation of caspases. Br J Haematol. 112(3): 714-26.
Pubmed
III. Schmidt-Mende J, Tehranchi R, Forsblom AM, Joseph B, Christensson B, Fadeel B, Zhivotovsky B, Hellstrom-Lindberg E (2001). Granulocyte colony-stimulating factor inhibits Fas-triggered apoptosis in bone marrow cells isolated from patients with refractory anemia with ringed sideroblasts. Leukemia. 15(5): 742-51.
Pubmed
IV. Schmidt-Mende J, Gogvadze V, Hellstrom-Lindberg E, Zhivotovsky B (2005). Early mitochondrial alterations in ATRA-induced cell death. Cell Death Differ. Jul 8: Epub ahead of print.
Pubmed
I. Schmidt-Mende J, Hellstrom-Lindberg E, Joseph B, Zhivotovsky B (2000). Freezing induces artificial cleavage of apoptosis-related proteins in human bone marrow cells. J Immunol Methods. 245(1-2): 91-4.
Pubmed
II. Hellstrom-Lindberg E, Schmidt-Mende J, Forsblom AM, Christensson B, Fadeel B, Zhivotovsky B (2001). Apoptosis in refractory anaemia with ringed sideroblasts is initiated at the stem cell level and associated with increased activation of caspases. Br J Haematol. 112(3): 714-26.
Pubmed
III. Schmidt-Mende J, Tehranchi R, Forsblom AM, Joseph B, Christensson B, Fadeel B, Zhivotovsky B, Hellstrom-Lindberg E (2001). Granulocyte colony-stimulating factor inhibits Fas-triggered apoptosis in bone marrow cells isolated from patients with refractory anemia with ringed sideroblasts. Leukemia. 15(5): 742-51.
Pubmed
IV. Schmidt-Mende J, Gogvadze V, Hellstrom-Lindberg E, Zhivotovsky B (2005). Early mitochondrial alterations in ATRA-induced cell death. Cell Death Differ. Jul 8: Epub ahead of print.
Pubmed
Issue date: 2005-09-23
Rights:
Publication year: 2005
ISBN: 91-7140-471-6
Statistics
Total Visits
Views | |
---|---|
Apoptosis ...(legacy) | 809 |
Apoptosis ... | 110 |
Total Visits Per Month
October 2023 | November 2023 | December 2023 | January 2024 | February 2024 | March 2024 | April 2024 | |
---|---|---|---|---|---|---|---|
Apoptosis ... | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
File Visits
Views | |
---|---|
thesis.pdf(legacy) | 349 |
thesis.pdf | 62 |
thesis.pdf.txt(legacy) | 2 |
Top country views
Views | |
---|---|
United States | 313 |
China | 90 |
Sweden | 80 |
Germany | 70 |
South Korea | 18 |
Finland | 10 |
United Kingdom | 8 |
Ireland | 7 |
Russia | 7 |
Denmark | 6 |
Top cities views
Views | |
---|---|
Beijing | 37 |
Kiez | 29 |
Romeo | 29 |
Sunnyvale | 28 |
Seoul | 18 |
Stockholm | 15 |
Shenzhen | 13 |
Ashburn | 7 |
Dublin | 7 |
London | 7 |