Aldehyde dehydrogenases inhibition eradicates leukemia stem cells while sparing normal progenitors

Blood Cancer Journal - Tập 6 Số 9 - Trang e469-e469
Geoffroy Venton1, Mileidys Pérez‐Alea2, Céline Baier1, Guy Fournet3, G Quash4, Yasmine Labiad1, G Martín4, F. Sanderson5, Pascale Poullin5, Pierre Suchon6, Laure Farnault7, Cong Tu Nguyen1, C. L. Brunet8, İsmail Çeylan4, Régis Costello7
1Aix-Marseille Université, INSERM, UMR1090, TAGC Campus, Marseille, France
2Lab Animal Models and Cancer Laboratory Anatomy Pathology Program, Institut de Recerca Valld' Hebron, Barcelona, Spain
3Univ Lyon, Université Claude Bernard Lyon 1, ICBMS UMR5246, Villeurbanne, France
4Advanced BioDesign, Lyon, France
5Department of Apheresis and Autotransfusion, APHM, Conception Hospital, Marseille, France
6Hematology laboratory, APHM, Hôpital de la Timone, Marseille, France
7Department of Hematology and Cellular therapy, AP-HM, Conception Hospital, Marseille, France
8Hematology laboratory, APHM, Hôpital de la Conception, Marseille, France

Tóm tắt

AbstractThe vast majority of patients with acute myeloid leukemia (AML) achieve complete remission (CR) after standard induction chemotherapy. However, the majority subsequently relapse and die of the disease. A leukemia stem cell (LSC) paradigm has been invoked to explain this failure of CR to reliably translate into cure. Indeed, LSCs are highly enriched in CD34+CD38− leukemic cells that exhibit positive aldehyde dehydrogenase activity (ALDH+) on flow cytometry, these LSCs are resistant to currently existing treatments in AML such as cytarabine and anthracycline that, at the cost of great toxicity on normal cells, are highly active against the leukemic bulk, but spare the LSCs responsible for relapse. To try to combat the LSC population selectively, a well-characterized ALDH inhibitor by the trivial name of dimethyl ampal thiolester (DIMATE) was assessed on sorted CD34+CD38− subpopulations from AML patients and healthy patients. ALDH activity and cell viability were monitored by flow cytometry. From enzyme kinetic studies DIMATE is an active enzyme-dependent, competitive, irreversible inhibitor of ALDH1. On cells in culture, DIMATE is a powerful inhibitor of ALDHs 1 and 3, has a major cytotoxic activity on human AML cell lines. Moreover, DIMATE is highly active against leukemic populations enriched in LSCs, but, unlike conventional chemotherapy, DIMATE is not toxic for healthy hematopoietic stem cells which retained, after treatment, their self-renewing and multi-lineage differentiation capacity in immunodeficient mice, xenografted with human leukemic cells. DIMATE eradicates specifically human AML cells and spares healthy mouse hematologic cells.

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Blood Cancer Journal

Tập 6 Số 9

e469-e469

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