Abstract

Osteolytic bone lesions can be a consequence of leukemic bone infiltration or focal bone destruction by inflammatory factors released from leukemic cells. Destructive bone lesions have a negative impact on the quality of life of leukemia patients, causing unbearable pain and, in some cases, limb paralysis. However, the mechanism, by which leukemic cells produce destructive bone lesions, and the effect of therapeutics on osteolytic lesions have not been fully elucidated yet and, thus, stand to benefit from an in vivo model. To that end, HL-60 cells were transformed by retrovirus-mediated constitutively active (CA) STAT5 expression and injected into nonobese diabetic (NOD)/SCID mice via the tail vein. After three weeks, lumbar spines were subjected to histocytometric analysis. Xenograft mice developed hind limb paralysis in 2-3 weeks, which was consistent with the consequences of spinal bone destruction by extramedullary invasion of leukemia cells. The in vivo model will improve the understanding and treatment of osteolytic bone lesions caused by myeloid leukemic cells.

Highlights

  • Myeloid leukemia (ML) is a clonal myeloproliferative hematopoietic stem cell disorder [1]

  • Aside from more common complications such as bleeding and infection, acute myeloblastic leukemia (AML) patients may suffer from bone marrow necrosis (BMN)

  • The overall survival of AML with BMN is 3.7 months compared to 14 months in those without BMN [6]

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Summary

Introduction

Myeloid leukemia (ML) is a clonal myeloproliferative hematopoietic stem cell disorder [1]. Transformation of retrovirus driver leukemia cells with constitutively active (CA) STAT5 signaling was employed to achieve second hit and leukemic transformation ability [13]. HL-60 cells were transformed by retrovirus-mediated CA-STAT5 expression and injected into nonobese diabetic (NOD)/SCID mice via the tail vein before histocytochemical analysis of lumbar spines after a period of three weeks.

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