Document Detail


Tumor necrosis factor alpha and adiponectin in bone marrow interstitial fluid from patients with acute myeloid leukemia inhibit normal hematopoiesis.
MedLine Citation:
PMID:  16203766     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Locally residing cytokines may inhibit bone marrow hematopoiesis in acute myeloid leukemia (AML). Using a novel method to isolate bone marrow interstitial fluid, we examined if this fluid from 10 adult AML patients could affect normal bone marrow hematopoiesis. EXPERIMENTAL DESIGN: Bone marrow interstitial fluid was isolated by centrifugation of bone marrow biopsies obtained at time of diagnosis and 2 to 4 weeks after start of induction therapy. The isolated fluid was added to normal bone marrow CD34 hematopoietic progenitor cells sampled from five healthy subjects. RESULTS: Unlike plasma, AML-derived bone marrow interstitial fluid clearly repressed hematopoietic progenitor cell growth as determined by an in vitro colony assay, an effect that was lost after successful induction treatment. Antibodies against tumor necrosis factor alpha (TNFalpha) and adiponectin abolished growth inhibition by bone marrow interstitial fluid, suggesting a mechanistic role of these cytokines in impairing normal hematopoiesis in AML. The plasma levels of adiponectin and TNFalpha were unaffected by therapy whereas bone marrow interstitial fluid levels of both cytokines fell significantly in patients entering remission. Transcripts for TNFalpha, but not for adiponectin, were found in AML blast cells. Neither the plasma levels nor the bone marrow interstitial fluid levels of the proangiogenic factors vascular endothelial growth factor or basic fibroblast growth factor were appreciably elevated in the patients nor did they change with treatment. CONCLUSIONS: Specific analyses of bone marrow interstitial fluid may give novel information on normal and malignant hematopoietic activity and thus form the basis for mechanism-based therapy.
Authors:
Per Ole Iversen; Helge Wiig
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Clinical cancer research : an official journal of the American Association for Cancer Research     Volume:  11     ISSN:  1078-0432     ISO Abbreviation:  Clin. Cancer Res.     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-10-05     Completed Date:  2006-02-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9502500     Medline TA:  Clin Cancer Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  6793-9     Citation Subset:  IM    
Affiliation:
Department of Nutrition, Institute of Basic Medical Research, University of Oslo, Norway. poiverson@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adiponectin / metabolism,  physiology*
Adult
Aged
Aged, 80 and over
Antigens, CD34 / biosynthesis
Biopsy
Bone Marrow / metabolism
Bone Marrow Cells / cytology*,  metabolism
Centrifugation
Cytokines / metabolism
Down-Regulation
Extracellular Fluid / metabolism
Female
Hematopoiesis
Hematopoietic Stem Cells / metabolism
Hematopoietic System
Humans
Leukemia, Myeloid, Acute / blood*,  metabolism*
Male
Middle Aged
Neovascularization, Pathologic
Remission Induction
Time Factors
Tumor Necrosis Factor-alpha / physiology*
Chemical
Reg. No./Substance:
0/Adiponectin; 0/Antigens, CD34; 0/Cytokines; 0/Tumor Necrosis Factor-alpha

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