Abstract

Simple SummaryThe mechanisms of leukemic cell resistance to antitumor immunity remains a topical issue. In this work, we found an increase in TRAIL-resistance of human acute myeloid leukemia cells THP-1 in high-density populations in vitro. The results obtained show that a macrophage-like phenotype of the acute myeloid leukemia cells, caused by stressful conditions in high-density culture, can increaser resistance to TRAIL-induced apoptosis, while retaining proliferative potential. The mechanism of the increase in TRAIL-resistance can be related to a decrease in the expression of death receptors DR4 and DR5. The possible realization of these events in vivo may be the reason for tumor progression.Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL/Apo2L) is a highly selective and promising anticancer agent due to its specific apoptosis-inducing effect on tumor cells, rather than most normal cells. TRAIL is currently under investigation for use in the treatment of leukemia. However, the resistance of leukemic cells to TRAIL-induced apoptosis may limit its efficacy. The mechanisms of leukemic cell resistance to antitumor immunity remains a topical issue. In this work, we have found an increase in the resistance to TRAIL-induced cell death in human leukemia THP-1 cells, which was caused by differentiation into a macrophage-like phenotype in high-density culture in vitro. Stressful conditions, manifested by the inhibition of cell growth and the activation of cell death in high-density culture of THP-1 cells, induced the appearance of cells adhered to culture dishes. The THP-1ad cell line was derived by selection of these adhered cells. The genetic study, using STR and aCGH assays, has shown that THP-1ad cells were derived from THP-1 cells due to mutagenesis. The THP-1ad cells possessed high proliferative potential and a macrophage-like immunophenotype. The adhesion of THP-1ad cells to the extracellular matrix was mediated by αVβ5 integrin. The cytokine production, as well as the rise of intracellular ROS and NO activities by LPS in THP-1ad cell culture, were characteristic of macrophage-like cells. The THP-1ad cells were found to appear to increase in resistance to TRAIL-induced cell death in comparison with THP-1 cells. The mechanism of the increase in TRAIL-resistance can be related to a decrease in the expression of death receptors DR4 and DR5 on the THP-1ad cells. Thus, the macrophage-like phenotype formation with the maintenance of a high proliferative potential of leukemic cells, caused by stress conditions in high-density cell cultures in vitro, can induce an increase in resistance to TRAIL-induced cell death due to the loss of DR4 and DR5 receptors. The possible realization of these events in vivo may be the reason for tumor progression.

Highlights

  • TNFα-related apoptosis inducing ligand (TRAIL) is one of the key effectors of antitumor immunity, and the increase in the resistance of leukemic cells to TRAIL-induced apoptosis is an important mechanism required to overcome the antitumor control of the immune system [1,2]

  • We have shown that resistance of the THP-1ad cells to TRAIL-induced cell death is associated with a decrease in the number of DR4- and DR5-positive cells

  • Cells resistant to TRAIL-induced death may appear in high-density cultures of THP-1

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Summary

Introduction

TNFα-related apoptosis inducing ligand (TRAIL) is one of the key effectors of antitumor immunity, and the increase in the resistance of leukemic cells to TRAIL-induced apoptosis is an important mechanism required to overcome the antitumor control of the immune system [1,2]. The modulation of cell sensitivity to TRAIL appears to have an important role in the regulation of hematopoiesis [8,9]. The induction of granulocytic differentiation in promyelocytic leukemia HL-60 cells by dimethyl sulfoxide (DMSO) can be accompanied by an increase in their TRAIL-resistance [10]. The appearance of the signs of differentiation in leukemic cells induced by exogenic stimuli is consistent with the formation of resistance to TRAIL-mediated apoptosis within them [11]. THP-1 cells can be differentiated in vitro into a macrophage-like phenotype using PMA or other stimuli [12]. The spontaneous appearance of macrophage-like cells was reported in populations of THP-1 without the action of any exogenous inducers [13,14,15].

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