Kinase-Inactivating Braf Mutation Drives Aneuploidy In Splenic Myeloid Cells by Deregulation of Craf

Blood ◽  
2010 ◽  
Vol 116 (21) ◽  
pp. 3138-3138
Author(s):  
Tamihiro Kamata ◽  
Susan Giblett ◽  
Robert Hayward ◽  
Richard Marais ◽  
Catrin A Pritchard

Abstract Abstract 3138 BRAF belongs to RAF family serine/threonine kinases regulating the downstream MEK/ERK pathway, and is known as an oncogene mutated in ∼7% of human cancers, including some hematopoietic neoplasms (e.g. childhood ALL, therapy-related AML, and Langerhans cell histiocytosis). Although most oncogenic BRAF mutants aberrantly activate the MEK/ERK pathway, D594BRAF mutant, which represents ∼1% of oncogenic BRAF mutants, lacks in vitro kinase activity and in vivo ERK-activating potential when ectopically expressed, implying that this mutant might contribute to tumorigenesis through MEK/ERK-independent mechanisms. Using a compound knock-in mouse model, we recently reported that kinase-inactive D594ABraf cooperates with oncogenic Kras to promote tumorigenesis through another Raf family kinase, Craf (Cell. 2010; 140(2):209-221). To further understand how the BrafD594A mutation contributes to tumorigenesis, we analyzed BrafD594A/+ mice retaining wild-type ras alleles. Braf D594A/+ mice developed splenomegaly at 100% penetrance within three months after birth, with increased CD11b+ splenic myeloid (monocytic) cells (mutants: 4.50 ×107/spleen, littermate controls: 0.96 ×107/spleen, p=0.003, student's t-test). In vivo BrdU incorporation assay revealed that CD11b+ cells in the mutant spleen were actively cycling compared to littermate wild-type controls (mutants: 35.0 +/&− 6.2%, controls: 14.5 +/&− 4.0%, p=0.027, student's t-test). The aberrant myeloid expansion was restricted to spleen, and there was no significant difference in bone marrow cellularity and differential cell count between the mutants and wild-type controls. Interestingly, DNA ploidy analysis of the mutant splenic CD11b+ cells frequently exhibited aneuploid populations. Clear aneuploid (hyperdiploid to near-triploid) peaks were detected in 4 out of 10 mutant spleens, while a minor aneuploid peak detected in only one out of 24 control spleens (p=0.007, chi-square test). Karyotyping of CD11b+ macrophages/monocytic cells developed from BrafD594A/+ splenocytes in culture also revealed that more than 70% of mitotic cells were aneuploid (hypodiploid 55.6%, hyperdiploid 12.6%, near-tetraploid 5.2%, in total 135 metaphases from 3 independent cultures on day 10). These data indicate that D594ABRaf promotes myeloid expansion with compromising chromosome stability, specifically in the splenic microenvironment. Craf kinase activity in BrafD594A/+ splenocytes was about 2.5 times higher than littermate wild-type controls, suggesting that D594ABraf could transactivate Craf even in the absence of oncogenic Ras. Craf was also found to be essential for D594ABraf-induced aneuploidy because pharmacological inhibition of Craf by sorafenib or reduced Craf protein expression by genetic modification (CrafD486A allele, Mol Cell. 2008; 31(6):862-72) rescued the aneuploidization of BrafD594A/+ splenic myeloid cells. Unexpectedly, increased ERK phosphorylation was also found in BrafD594A/+ splenocytes, suggesting that D594ABraf could activate the MEK/ERK pathway through Craf transactivation when endogenously expressed. However, MEK inhibition by UO126 rather facilitated tetraploidization of BrafD594A/+ splenocytes in culture without improving aneuploidy, and constitutive MEK/ERK activation introduced by BrafV600E mutation (Cancer Res. 2005; 65(24):11493-500) did not promote aneuploidization of splenocytes. Collectively, we conclude that Craf transactivation by kinase-inactive Braf promotes aneuploidization of splenic myeloid cells in a MEK/ERK-independent manner. These results shed light on the potential involvement of Craf in the pathogenesis of aneuploid myeloid neoplasms. Disclosures: No relevant conflicts of interest to declare.

Blood ◽  
2010 ◽  
Vol 116 (21) ◽  
pp. 969-969
Author(s):  
Timothy Pardee ◽  
Teresa Mascenik ◽  
Britt H. Bolemon ◽  
Guerry J Cook

Abstract Abstract 969 Acute myeloid leukemia (AML) is an accumulation of immature myeloid precursors that leads to progressive marrow failure and death. This disease affects approximately 12,000 people per year in the United States, causing 9,000 deaths. Despite decades of active research the overall 5 year survival remains a dismal 30–40%. The backbone of initial therapy for the last 30 years is combination chemotherapy containing cytarabine (Ara-C) and an anthracycline. Resistance to these therapies is a major problem and most patients diagnosed with AML will ultimately die from resistant disease. AML is characterized by heterogeneous genetic alterations that can be used to delineate prognosis. Using standard karyotyping techniques patients can be divided into good, intermediate and poor prognostic categories. There is a clear link between these chromosomal aberrations and response to chemotherapy as complete remission rates are significantly different between groups. Patients with no detectable cytogenetic abnormality fall into an intermediate prognostic group with a very heterogeneous outcome. Recent work has begun to uncover submicroscopic genetic alterations that effect prognosis for these patients. These alterations can be mutations, over or under expression of a particular gene. The MN1 gene encodes a transcription co-factor first identified by its involvement in a balanced translocation in a patient with a meningioma. Since its initial description it has been found over-expressed in multiple AML patient samples. There are several reports that over-expression of MN1 confers a worse prognosis in AML. High MN1 expressers were less likely to achieve a remission and had a lower 3 year survival rate. Additionally, over expression of MN1 in murine bone marrow leads to AML in transplanted recipients and predicts for resistance to ATRA in elderly AML patients. However, the effect of MN1 over expression on response to standard chemotherapy is currently unknown. To answer this question we used a murine model of AML driven by MLL-ENL. AML blasts were infected with retroviral vectors that contained MN1 and a GFP reporter. Partially infected blast populations were then exposed to various concentrations of either Ara-C or doxorubicin and the ratio of GFP positive and negative cells was compared to untreated controls. When blasts were exposed to 150 nM Ara-C the GFP+ percentage went from 21.10 (+/− 0.5302) in the control samples to 35.68 (+/−1.230) in the treated samples. This result was even more profound when cells were treated with 15 ng/ml doxorubicin where the percentage went from 21.10 (+/− 0.5302) to 80.27 (+/−1.615). Both results were highly statistically significant by two tailed student's t test with p values of 0.004 and <0.0001 respectively. Consistent results were obtained in multiple different infections and with separately derived MLL-ENL lines. These data demonstrate that blasts expressing MN1 had an advantage when exposed to either Ara-C or doxorubicin although the effect was far more pronounced with doxorubicin exposure. MN1 expressing blasts were also resistant to the combination of Ara-C and doxorubicin. In order to determine if MN1 conferred resistance to Ara-C and doxorubicin in vivo we injected sublethally irradiated, Ly5.1+ C57Bl6 recipients with a partially infected population of blasts. Ly5.1+ animals do not express the Ly5.2 allele; thus, staining cells for Ly5.2 allows differentiation of leukemic cells from endogenous marrow. Eight days after injection of blasts animals were treated with 100 mg/kg Ara-C plus 3 mg/kg doxorubicin daily for 5 days or observed. On day 6 animals were sacrificed and bone marrow from bilateral femurs was harvested, stained for Ly5.2 and analyzed by flow cytometery. Animals treated with Ara-C plus doxorubicin had 90.58% (+/−0.6638) Ly5.2+, GFP+ blasts compared to 55.38% (+/−5.245) in control animals. This result was highly statistically significant with a p value of <0.0001 by two tailed student's t test. This observation was reproducible in a separately derived MLL-ENL driven cell line. These data suggest that over expression of MN1 in this murine AML model confers resistance to both Ara-C and doxorubicin in vitro and in vivo and provides a biological explanation for the clinical observation that it confers a worse prognosis. The mechanisms involved in this resistance are currently under study. Disclosures: No relevant conflicts of interest to declare.


Blood ◽  
2014 ◽  
Vol 124 (21) ◽  
pp. 3236-3236
Author(s):  
Stefan Pasichnyk Tarnawsky ◽  
Momoko Yoshimoto ◽  
Gordon Chan ◽  
Benjamin Neel ◽  
Rebecca J. Chan ◽  
...  

Abstract Juvenile Myelomonocytic Leukemia is the most common pediatric myeloproliferative neoplasm (MPN). JMML is characterized by myeloid populations with mutually-exclusive mutations in Ras-Erk signaling genes, most commonly PTPN11, which confer growth hypersensitivity to GM-CSF. JMML is notable among pediatric MPNs as being refractory to chemotherapy and having a 50% relapse rate following allogeneic hematopoietic stem cell (HSC) transplantation. As such, there is an urgent need for novel JMML therapies. The recent discovery of yolk sac myeloid lineages that persist into adulthood independently of bone marrow HSC contributions suggests a mechanism for JMML relapse following HSC transplantation. In this study, we sought to determine whether yolk sac HSC-independent myeloid progenitors bear hallmarks of MPN in a mouse model of JMML. Using the Vav1 promoter-directed Cre recombinase, we generated a mouse model of JMML that expresses the PTPN11D61Y gain of function mutation in all waves of embryonic and adult hematopoiesis, including yolk sac myeloid progenitors that emerge prior to and independently from HSCs. PTPN11D61Y/+; VavCre+ mice are viable, born at expected Mendelian ratios, and develop peripheral blood monocytosis as early as 4 weeks of age. Given this early onset, we hypothesized MPN may develop in these mice during embryonic development. E14.5 fetal liver progenitors from PTPN11D61Y/+; VavCre+ embryos displayed marked GM-CSF hypersensitivity in methylcellulose colony forming assays (Figure-1A), possessed hyperactive Ras-Erk pathway signaling (Figure-2), and had a skewed progenitor distribution with a greater proportion of megakaryocyte-erythroid progenitors (63.5% vs. 50.1%, p<0.01) and fewer common myeloid progenitors (9.2% vs. 19.3%, p<0.01) than littermate controls. Since the E14.5 fetal liver contains both HSC-dependent and HSC-independent myeloid progenitors, we repeated these experiments using E9.5 yolk sac samples to restrict our analysis to HSC-independent hematopoiesis. Compared to littermate controls, PTPN11D61Y/+; VavCre+ E9.5 embryos had no difference in overall number of yolk sac myeloid progenitors (Ter119-; cKit+, CD41Dim), and in the number and distribution of CFU-E/GM/GEMM colonies in methylcellulose assay. However, PTPN11D61Y/+; VavCre+ yolk sac progenitors demonstrated marked GM-CSF hypersensitivity in colony forming assay (Figure-1B) as well as hyperactive Ras-Erk signalling by western blot analysis (Figure-2) and intracellular flow cytometry with antibodies against pSTAT5 and pERK (Figure-3). We have demonstrated that HSC-independent myeloid lineages from the murine yolk sac possess GM-CSF hypersensitivity and Ras-Erk pathway hyperactivation in a mouse model of JMML. These findings suggest that HSC-independent hematopoietic populations may be involved in the development of JMML. Our study highlights the need to further assess the role of bone marrow-independent myeloid lineages in pediatric MPN, and to identify innovative therapies that can specifically target HSC-independent hematopoietic lineages. Figure 1. Embryonic myeloid progenitors from PTPN11D61Y/+; VavCre+ embryos demonstrate GM-CSF growth hypersensitivity. A) E14.5 fetal liver mononuclear cells (n=7) or B) E9.5 yolk sac cells (n=8) were plated in methylcellulose colony forming assays and colonies were counted 7 days later. * p<0.05; ** p<0.001 by two-tailed Student’s t-test. Figure 1. Embryonic myeloid progenitors from PTPN11D61Y/+; VavCre+ embryos demonstrate GM-CSF growth hypersensitivity. A) E14.5 fetal liver mononuclear cells (n=7) or B) E9.5 yolk sac cells (n=8) were plated in methylcellulose colony forming assays and colonies were counted 7 days later. * p<0.05; ** p<0.001 by two-tailed Student’s t-test. Figure 2. Western blot analysis demonstrates hyperactive Ras-Erk signaling in E14.5 fetal liver and E9.5 yolk sac progenitors from PTPN11D61Y/+; VavCre+ embryos. Cultured progenitors were starved overnight and stimulated with GM-CSF for 60min prior to protein extraction. p, phosphorylated protein; t, total protein; WT, wild type. Figure 2. Western blot analysis demonstrates hyperactive Ras-Erk signaling in E14.5 fetal liver and E9.5 yolk sac progenitors from PTPN11D61Y/+; VavCre+ embryos. Cultured progenitors were starved overnight and stimulated with GM-CSF for 60min prior to protein extraction. p, phosphorylated protein; t, total protein; WT, wild type. Figure 3. Yolk Sac Myeloid Progenitors from PTPN11D61Y/+; VavCre+ embryos demonstrate Ras-Erk pathway hypersensitivity at baseline and following GM-CSF stimulation. Cultured yolk sac progenitors were stimulated for 30min with 5ng/ml of GM-CSF, processed for intracellular flow cytometry, and stained with the indicated fluorescent antibody. Histograms display representative median fluorescence intensity among CD45+ cells in each sample (n=3). * p<0.05 by two-tailed Student’s t-test. ADDIN EN.REFLIST Figure 3. Yolk Sac Myeloid Progenitors from PTPN11D61Y/+; VavCre+ embryos demonstrate Ras-Erk pathway hypersensitivity at baseline and following GM-CSF stimulation. Cultured yolk sac progenitors were stimulated for 30min with 5ng/ml of GM-CSF, processed for intracellular flow cytometry, and stained with the indicated fluorescent antibody. Histograms display representative median fluorescence intensity among CD45+ cells in each sample (n=3). * p<0.05 by two-tailed Student’s t-test. ADDIN EN.REFLIST Disclosures No relevant conflicts of interest to declare.


2009 ◽  
Vol 17 (1) ◽  
pp. 28-33 ◽  
Author(s):  
Alexandre Pazetto Balsanelli ◽  
Isabel Cristina Kowal Olm Cunha ◽  
Iveth Yamaguchi Whitaker

This study aims to explore the association between nurses' leadership styles and personal and professional nursing profile and workload. The sample consisted of seven nurses and seven nursing technicians who were grouped into pairs. At the end of three months, nurses were queried regarding what leadership style would be adopted when the nursing technician under their evaluation delivered care to patients admitted to the ICU. Relevant data was analyzed by applying descriptive statistics, Tukey's multiple comparison test and Student's t-test (p< 0.05). Nursing workload reached 80.1% on average. The personal and professional profile variables did not show any relation with the leadership styles chosen by nurses (p>0.05). The determine, persuade, and share leadership styles prevailed. However, whenever the nursing workload peaked, the determine and persuade styles were used (p<0.05).


2010 ◽  
Vol 14 (1) ◽  
pp. 15 ◽  
Author(s):  
G. QUADRI ◽  
N. NATALE ◽  
C. SPREAFICO ◽  
C. BELLONI ◽  
D. BARISANI ◽  
...  

Intravesical prostaglandin E2 is effective in the recovery of spontaneous voiding after transvaginal reconstruction of the pubocervical fascia and short arm sling according to Lahodny. The aim of the study was to compare the effects of intravesical prostaglandin E2 in the prevention of urinary retention after transvaginal reconstruction of the pubocervical fascia and short arm sling according to Lahodny. STUDY DESIGN: From November 1996 to June 1999 fifty women underwent the Lahodny procedure for moderate/severe cystocele and stress urinary incontinence. Women were randomly assigned to 1 of the 2 study groups: intravesical prostaglandin E2 versus controls. Data obtained were analyzed with the Student t test and the Fisher exact test. RESULTS: Two patients of the treatment group had to be excluded from the study, one because of the wrong measurement of the post-voidal residual volume and another due to a fastidious burning sensation which appeared immediately after prostaglandin instillation and required the suspension of the treatment. No other side effects such as nausea, vomiting, diarrhea or hyperthermia were observed. Patients who underwent the prostaglandin E2 treatment showed a recovery of spontaneous voiding after 7.9&plusmn;6.7 days, whereas this interval was significantly longer in the control group, being 12.9&plusmn;9.7 days (p=0.04, Two tailed Unpaired Student's T test). CONCLUSION: The effectiveness and the low associated morbidity mark the treatment with intravesical prostaglandin E2 useful in the recovery of normal voiding after transvaginal pubocervical fascia reconstruction and short arm sling with the procedure according to Lahodny.


2018 ◽  
Vol 5 (2) ◽  
pp. 105-108
Author(s):  
Lijo Isaac ◽  
A. P. Nirmal Raj ◽  
Reshma Karkera ◽  
R Naveen Reddy

Very little studies were done on relationship of the dental status and the nutritional status. The present study was done to study relation between edentulism and the presence of anemia. The study was included of 46 adult patients with edentulism and same numbers of patients were taken as controls. The results were tabulated and analyzed with the help of IBM SPSS statistics 20 using student’s t test. The hemoglobin levels were lower in the edentulous patients that that of the control group. The present study had shown that the nutritional status were poor resulting in anemia in case of edentulous patients as compared to control group with the same age group.  


2002 ◽  
Vol 130 (3-4) ◽  
pp. 64-67
Author(s):  
Dejan Petrovic ◽  
Radmila Obrenovic ◽  
Mileta Poskurica ◽  
Biljana Stojimirovic

Functional and structural damages of tubulointerstitium are caused by proteinuria. The aim of this study was to assess the influence of different proteinuria levels on Na+, K+, Cl tubular transport. We examined 50 patients (24 males, 26 females), mean age 46.50 ? 13.08 years, with mean creati-nine clearence of 87.29 ? 31.17 mL/min. They were separated in three groups depending on proteinuria value. The first group with proteinuria less than 0.3 g/24h included 19 persons (7 males, 12 females), mean age 45.12 ? 13.28 years, with mean creatinine clearance of 94.27 ? 34.70 mL/min. The second group of 18 patients (8 males, 10 females), mean age 45.39 ? 12.64 years had proteinuria of 0.3-3,0 g/24h and mean creatinine clearance of 90.07 ? 31.89 mL/min. The third group had proteinuria level higher than 3.0g/24h and mean creatinine clearance of 73.25 ? 20.44 mL/min. It included 13 patients (9 males, 4 females), mean age 50.08 ? 13.73 years. As a parameter of proteinuria influence on tubular transport of Na+, K+ and Cl-, fractional excretion of these electrolytes, was studied. Student's T test, Mann Whitney U test and c2 test were used for statistical analysis. No statistically significant influence of proteinuria was found on Na+, K+ and Cl tubular transport.


2013 ◽  
Author(s):  
Σουσάνα Ανίσογλου

ΣΚΟΠΟΣ: Η συλλογή, ανάλυση και επεξεργασία στοιχείων ογκολογικών ασθενών που νοσηλεύθηκαν στη Μονάδα Εντατικής Θεραπείας (Μ.Ε.Θ.) και η συσχέτισή τους με συγκεκριμένους πιθανούς παράγοντες κινδύνου .ΥΛΙΚΟ: Πρόκειται για μία προοπτική μελέτη παρατήρησης (prospective observational) σε δείγμα 125 ογκολογικών ασθενών που νοσηλεύθηκαν στη Μ.Ε.Θ. κατά την τελευταία διετία.ΜΕΘΟΔΟΣ: Αξιολογήθηκαν επιδημιολογικοί, κλινικοί και λειτουργικοί παράγοντες. Ειδικότερα ελέγχθηκαν η πρωτοπαθής νεοπλασματική νόσος, η ηλικία, η παρουσία στεφανιαίας νόσου, χρόνιας αποφρακτικής πνευμονοπάθειας, σακχαρώδους διαβήτη, νεφρικής ανεπάρκειας, ο δείκτης μάζας σώματος, η εφαρμογή χημειοθεραπείας ή και ακτινοθεραπείας, η διάρκεια νοσηλείας, τα score βαρύτητας (APACHE II, SAPS II, SOFA) και η έκβαση (εξιτήριο ή θάνατος) και έγιναν συσχετίσεις με τα προηγούμενα στοιχεία. Χρησιμοποιήθηκε το στατιστικό λογισμικό πακέτο SPSS 17.0 (SPSS, Chicago, IL, USA) για Windows. Οι συνεχείς μεταβλητές παρουσιάζονται ως μέσοι όροι + τυπική απόκλιση (mean + standard deviation). Για τη σύγκριση των μέσων όρων μεταξύ δύο ομάδων έγινε χρήση του student’s t-test, εφόσον οι μεταβλητές ακολουθούσαν την κανονική κατανομή και του Mann-Whitney U test στην αντίθετη περίπτωση. Για την ανάδειξη συσχετίσεων μεταξύ ποιοτικών μεταβλητών έγινε χρήση του x2 test.ΑΠΟΤΕΛΕΣΜΑΤΑ: Η θνητότητα ανήλθε στο 48.8%. Στατιστικά σημαντικοί παράγοντες κακής έκβασης κατά την εισαγωγή του ασθενούς στη ΜΕΘ ήταν τα score βαρύτητας (APACHE II, SAPS II, SOFA), το πτωχό performance status και τα συνυπάρχοντα σοβαρά νοσήματα. Στατιστικά σημαντικοί παράγοντες κακής έκβασης κατά τη διάρκεια νοσηλείας του ασθενούς στη Μ.Ε.Θ. ήταν η διάρκεια του μηχανικού αερισμού, η χρήση αγγειοσυσπαστικών, η πολυοργανική ανεπάρκεια και η σηπτική κατάσταση. Από τις εργαστηριακές εξετάσεις στατιστικά σημαντικές ήταν ο χαμηλός αριθμός αιμοπεταλίων και η θετική αιμοκαλλιέργεια. Ο στατιστικός έλεγχος αξιολόγησης κατά Hosmer Lemeshow παρά τον σχετικά μικρό αριθμό του δείγματος επιβεβαίωσε τη χρησιμότητα των APACHE II, SAPS II, SOFA ως προγνωστικών μοντέλων.ΣΥΜΠΕΡΑΣΜΑΤΑ: Η πρόγνωση ογκολογικών ασθενών που εισάγονται στη ΜΕΘ είναι μέτρια. Υπάρχουν σαφείς προγνωστικοί παράγοντες κινδύνου που μπορούν να συνθέσουν ένα είδος προγνωστικού μοντέλου, ωστόσο απαιτούνται περαιτέρω πολυκεντρικές μελέτες με προοπτικό χαρακτήρα σε μεγαλύτερο αριθμό ασθενών.


Biometrika ◽  
1949 ◽  
Vol 36 (3/4) ◽  
pp. 426
Author(s):  
S. G. Ghurye

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