ARTICLE
Auteur(s) : Madeleine Collette,
Géraldine Descamps, Catherine Pellat-Deceunynck,
Régis Bataille, Martine
Amiot
INSERM, U601, Département de Recherche en Cancérologie, LNC
Label, Institut de Biologie, 9 quai Moncousu, 44000 Nantes,
France
accepté le 5 Juillet 2007
Multiple myeloma (MM) is a fatal, plasma cell malignancy
characterized by the accumulation of malignant plasma cells within
the bone marrow [1]. MM presents as a heterogeneous disease, with
patients having very different clinical outcomes. IL-6 and IGF-1
are known to be essential growth and survival factors in this
malignancy [2-5]. IL-6 induces activation of both the Ras/MAP
kinase and the JAK/STAT pathways, the latter promoting MM cell
survival. On the other hand, activation of the IGF-1 receptor
(IGF-1R) results in activation of both the PI 3-kinase/Akt and the
Ras/MAP kinase cascades. A significant role for the PI 3-kinase/Akt
pathway, as a mediator of tumor expansion in MM, has been recently
demonstrated [6, 7]. Indeed, selective inhibition of the Akt
pathway results in both inhibition of MM cell proliferation [6] and
sensitization to apoptosis [7]. Furthermore, we have recently
provided evidence that the proliferation of myeloma cells through
the PI 3-kinase pathway, was clearly associated with the CD45-
phenotype [8], which correlated to an aggressive clinical
presentation of MM [9], associated with increased IGF-1 [8] and
insulin receptor signaling [10]. In addition to IL-6 and IGF-1, the
heparin-binding growth factors HGF, HB-EGF and FGF have all been
demonstrated to have a role in MM [11]. The heparan sulfate
syndecan (CD138), whose expression is a hallmark of normal and
malignant plasma cells, is able to bind heparin-binding factors and
to present them to their specific receptors. As with IGF-1, HGF,
HB-EGF and FGF, all activate both the PI 3-kinase/Akt and the
Ras/MAP kinase pathways [11] and, although all of them are involved
in myeloma cell proliferation, the relative importance of each
growth factor remains to be established. For this purpose, we set
up a myeloma cell colony–forming assay, which does not allow the
spontaneous formation of myeloma cell colonies. This assay is
highly efficient in comparing the capacity of the different growth
factors to stimulate the generation of myeloma cell colonies. Thus,
in the present study, we investigated the capacity of IL-6, IGF-1,
FGF, HB-EGF and HGF to stimulate the generation of myeloma cell
colonies from fourteen, selected, human myeloma cell lines (HMCL).
The HMCL were carefully chosen to represent the phenotypic
heterogeneity of MM and were segregated into two groups based on
CD45 expression.
Materials and methods
Human myeloma cell lines and culture conditions
LP-1, L363, NCI-H929 and OMP-2 HMCL were purchased from DSM
(Braunschweig, Germany) and RPMI-8226 and U266 from the ATCC
(Rockville, MA, USA). JIM-3 and JJN-3 were kindly provided by Pr.
L. Bergsagel, USA and Pr. B. Van Camp, Belgium respectively. The
XG-1, XG-2, XG-6, NAN-1, NAN-4 and MDN HMCLs had been previously
established in our laboratory from peripheral blood samples or
pleural effusion of patients with MM (see table
1) [12], and were cultured in the presence of 3 ng/ml of
r-IL-6 (Novartis, Basel, Switzerland). All HMCL expressed CD138
(table 1) [12]. Cell lines were
maintained in RPMI-1640 medium supplemented with 10% FCS, 2 mM
glutamine, antibiotics and 5x10-5M 2-βME.
Table 1 Characteristics of HMCL
|
HMCL
|
Isotype
|
Sample
|
CD138
|
CD38
|
CD45
|
CD45RA
|
CD45RO
|
CD45RB
|
CD126
|
CD221
|
|
LP1
|
IgG λ
|
PB
|
+
|
+
|
-
|
-
|
-
|
-
|
+
|
+
|
|
OPM2
|
IgG λ
|
PB
|
+
|
+
|
-
|
-
|
-
|
-
|
+
|
+
|
|
NCI-H929
|
IgA κ
|
PE
|
+
|
+
|
18%
|
-
|
18%
|
-
|
+
|
+
|
|
JIM-3
|
IgA
|
PE
|
+
|
+
|
-
|
-
|
-
|
-
|
+
|
+
|
|
NAN-1
|
IgA κ
|
PE
|
+
|
+
|
-
|
-
|
-
|
-
|
+
|
+
|
|
RPMI8226
|
IgG λ
|
PB
|
+
|
+
|
-
|
-
|
-
|
-
|
+
|
+
|
|
JJN3
|
IgA κ
|
PE
|
+
|
+
|
43%
|
-
|
43%
|
-
|
-
|
+
|
|
L363
|
NS
|
PE
|
+
|
+
|
-
|
-
|
-
|
-
|
+
|
+
|
|
XG-6
|
IgG λ
|
PB
|
+
|
-
|
+
|
+
|
+
|
+
|
+
|
+
|
|
NAN-4
|
IgA κ
|
PB
|
+
|
+
|
+
|
+
|
+
|
+
|
+
|
+
|
|
MDN
|
IgG κ
|
PB
|
+
|
+
|
+
|
+
|
-
|
+
|
+
|
+
|
|
XG-1
|
IgA κ
|
PB
|
+
|
+
|
+
|
-
|
+
|
+
|
+
|
+
|
|
XG-2
|
IgG λ
|
PE
|
+
|
+
|
+
|
-
|
+
|
+
|
+
|
+
|
|
U266
|
IgE λ
|
PB
|
+
|
-
|
86%
|
-
|
86%
|
86%
|
+
|
+
|
Monoclonal antibodies (mAbs) and reagents
Human recombinant IGF-1 was purchased from Sigma (St Louis, MI,
USA). Human recombinant IL-6 was kindly provided by Novartis. Human
recombinant FGF, HB-EGF and HGF were purchased from Preprotech
(Rockhill, NJ, USA). Anti-phospho -p44/42 MAP kinase, anti-p44/42
MAP kinase and anti-phospho-Akt (Ser 473) are from Cell Signaling
(Ozyme, Saint Quentin Yvelines, France). U0126 and wortmannin are
from Alexis Biochemicals (Carlsbad, CA, USA).
Immunofluorescence analysis
Cells (0.5 x106) were incubated with different
PE-conjugated mAb or anti-CD45-FITC (Beckman Coulter, Marseilles)
for 20 min at 4°C. The different PE-conjugated mAb were
anti-CD138, anti-CD126 from Beckman Coulter, Marseilles, France and
anti-CD38, anti-IGF-1R, anti-CD45RA and anti-CD45RB from BD,
Biosciences, Le Pont de Claix, France. After two washes, cells were
fixed in 1% formaldehyde. Flow cytometry analysis was performed on
a FACSCalibur using the CELLQuest program (Becton Dickinson, San
Jose, CA, USA). The fluorescence ratio was determined by dividing
the mean fluorescence intensity by the mean fluorescence intensity
of the respective control.
Myeloma cell colony-forming assay
Myeloma cells (103 cells) were plated in 1ml IMDM
serum-free, cytokine-free, human purified collagen-based,
semi-solid medium (stemα III, StemAlpha SA, France) in triplicate
(330 μL/well), in 4-well plates and grown for 15 days. For
cytokine-stimulated assays in the presence or not of inhibitors,
cytokines and/or inhibitors were mixed with the cell suspension in
IMDM before addition of the collagen. The gels were harvested on
glass slides, dried and stained with May-Grunwald-Giemsa. Colonies
were counted on triplicate gels by microscopy. The number of
colonies was expressed as an average per 103 cells.
Immunoblot analysis
Cells (4x106) were resuspended in lysis buffer (10 mM
Tris-HCl pH 7.6, 150 mM NaCl, 5 mM EDTA, 1 mM PMSF, 2 mM
Na3VO4, 1 mM NaF, 2 μg/mL aprotinin,
leupeptin 1 μg/mL and 0.5% NP40). After 40 min on ice, lysates
were cleared by centrifugation at 12 000 x g for 30 min at
4°C. Protein concentration was measured using bicinchoninic acid
(BCA protein assay, Pierce Rockford, IL, USA). One hundred μg of
proteins were loaded for each lane. The proteins were separated by
10% SDS-PAGE and then electrotransferred to PVDF membranes. Western
blot analysis was performed using standard techniques with ECL
detection (Roche, France).
Statistical analysis
The Fisher’s test was used for statistical analysis.
Results
IL-6 is a clonogenic factor for both CD45+ and CD45- human
myeloma cell lines (HMCL), whereas IGF-1 and other growth factors
(FGF, HGF and HB-EGF) are clonogenic only for CD45- HMCL
This study was designed to compare the capacity of the different
myeloma cell growth factors to act as clonogenic factors for HMCL
in a collagen-based assay. The serum-free and cytokine-free,
collagen-based assay was designed not to allow the generation of
spontaneous myeloma colonies in the absence of exogenous growth
factors, and, with the exception of RPMI-8226 (10% of clonogenic
cells) and L363 (2% of clonogenic cells), no other HMCL was able to
generate significant numbers of colonies (> 1% of clonogenic
cells) spontaneously. Fourteen HMCL were studied, six expressed
CD45 on a majority of cells (> 80%), and eight were lacking CD45
expression on a majority of cells (> 50%). The observed CD45
expression corresponded to the CD45RB isoform expression associated
with either CD45RA or RO (n = 4) or both CD45RA and CD45RO (n = 2).
IL-6 generated myeloma colonies in 10 out of the 14 HMCL. The
clonogenicity ranged from 7% to 50% (figure 1). Notably, IL-6
did not enhance the spontaneous colony formation of RPMI-8226. In
contrast to IL-6, IGF-1 generated colonies in five out of the 14
HMCL, inducing a weak effect (< 3% of clonogenic cells) for L363
cells. This was not due to a lack of IGF-1R expression since all 14
HMCL expressed the IGF-1R (table 1)
[13]. The ability of FGF to stimulate colony formation was
restricted to LP1 and RPMI-8226 HMCL (figure 1). HGF and HB-EGF
had a very weak stimulating effect on colony formation of LP1,
RPMI-8226 and L363 (< 2% of clonogenic cells) and of LP1
(3% of clonogenic cells), respectively. Interestingly, the capacity
of IGF-1, FGF, HGF and HB-EGF to stimulate clonogenicity was
restricted to CD45- HMCL, whereas IL-6 was a clonogenic factor for
both CD45- and CD45+ HMCL. Finally, IGF-1 had a broader range of
activity than FGF, HGF and HB-EGF as it was able to stimulate the
clonogenicity in more HMCL. Moreover, the number of colonies
generated by IGF-1 was greater compared to FGF, HGF or HB-EGF,
except for LP1, where FGF generated more (36% of clonogenic cells
with FGF versus 22% of clonogenic cells with IGF-1).
IL-6-induced colony formation involves the MAPK pathway in
CD45+ but not in CD45- HMCL
IL-6 triggers both the Ras/MAP kinase and the JAK/STAT pathways,
the latter promoting MM cell survival. Since, IL-6 is a clonogenic
factor for both CD45+ and CD45- HMCL, we next examined whether the
Erk pathway was involved in clonogenicity, using the
pharmacological MEK1/2 inhibitor, U0126. U0126 inhibited the
IL-6-induced clonogenicity of all CD45+ HMCL tested with an
inhibition ranging from 36% to 67% (mean value m = 53%) (figure 2). In contrast,
U0126 only reduced the clonogenicity (16%) of one out of five CD45-
HMCL tested. Of note, U0126 strongly increased the IL-6-induced
clonogenicity of NCI-H929 (243% increase) (figure 2). Altogether,
these results demonstrated that the Erk/MAPK cascade was
significantly involved in IL-6-induced clonogenicity in CD45+HMCL
but not CD45-HMCL (p < 0.05) (Fisher’s test).
Significant Erk phosphorylation induction in response to IGF-1
or FGF correlates with the capacity to generate colony
formation
We searched for a correlation between clonogenicity and the
signaling pathway activated by IGF-1 and FGF in MM cells. We and
others, have recently demonstrated that PI-3 kinase pathway
activation was induced in all HMCL in response to IGF-1. However,
the magnitude of Akt phosphorylation in response to IGF-1 was
greater in CD45- than in CD45+ HMCL [8]. Finally, the strong
activation of the PI3-kinase pathway in all CD45- HMCL does not
seem to be sufficient to explain the IGF-1-restricted clonogenicity
of five out out the eight CD45- HMCL. Thus, we focused on Erk
phosphorylation induced by IGF-1 and FGF. Under IGF-1 stimulation,
Erk phosphorylation was induced in L363, JIM-3, LP-1 and RPMI-8226
CD45- HMCL (figure
3A), whereas induction of Erk phosphorylation was
undetectable in NAN-4, XG-1, XG-6 and MDN CD45+ HMCL. A kinetic
study of Erk phosphorylation in a CD45-HMCL (L363) indicated that
the ERK response was similar between 15 min to 120 min
under IGF-1 stimulation (figure 3B). Similar
kinetics in a CD45+ HMCL (NAN-4) confirmed that the absence of ERK
induction of CD45+ HMCL was not due to a difference in kinetic
response, but to a total absence of response. Altogether, these
results demonstrated that the ERK response to IGF-1 is
significantly different between CD45- HMCL and CD45+ HMCL (p <
0.05). Of interest, the ERK phosphorylation induced by IGF-1 was
completely restricted to the CD45- HMCL able to generate myeloma
colonies in the presence of IGF-1. The same analysis was performed
with FGF, demonstrating that induction of ERK phosphorylation by
FGF is restricted to LP1 and RPMI-8226 (figure 3C). Thus, the
activation of the MAPK pathway by IGF-1 or FGF correlated with the
capacity of these factors to generate myeloma colonies. Taken
together, these results highlight the importance of the ERK/MAPK
pathway in IGF-1- or FGF-induced clonogenicity of CD45- HMCL.
IL-6 and growth factors do not co-operate to induce
clonogenicity, whereas IGF-1 and HGF can synergize to induce colony
formation
Since cross-talk between IL-6R and IGF-1R has been demonstrated
[14], we next evaluated the potential of IGF-1 and IL-6 in
combination, to generate myeloma cell colonies. In all HMCL tested
(n = 5), the number of myeloma cell colonies induced by IGF-1 and
IL-6 combination was never higher than that induced by IL-6 alone,
indicating that IL-6 and IGF-1 do not co-operate in colony
formation induction (figure 4). Similarly, we
found that the combination of IL-6 with the other growth factors
(FGF, HB-EGF and HGF), did not co-operate to induce clonogenicity
(result not shown). Consistent with these results, in CD45- HMCL,
where both cytokines induced the Erk/MAPK pathway, the combination
of IL-6 and IGF-1 did not result in an additive effect of Erk
phosphorylation (figure
5B). Finally, we analyzed the effect of IGF-1 in
combination with the other growth factors (FGF, HB-EGF and HGF); we
found that the combination of IGF-1 and HGF synergized in inducing
clonogenicity. As illustrated in figure 5A, a marked
increase in clonogenicity was observed with the combination of
IGF-1 and HGF compared to IGF-1 alone (324 ± 1 colonies versus 134
± 4 colonies) for NCI-H929. Consistent with this, IGF-1 in
combination with HGF, and compared to IGF-1 alone, was associated
with a marked increase in the levels of both Erk phosphorylation
(324% increase) and Akt phosphorylation (133% increase) (figure 5B).
Discussion
In the present study, we have described a serum-free,
cytokine-free, collagen-based assay that identified the capacity of
an isolated cell to self-renew only when the right growth factor or
combination of growth factors were present. This assay also allowed
the prioritization of specific clonogenic factors for HMCL.
Furthermore, we utilized a panel of heterogeneous HMCL reflecting
the genetic diversity of clinical MM. With the exception of
RPMI-8226, none of the HMCL retains the capacity to self-renew and
proliferate in the absence of cytokines or growth factors. We
identified IL-6 as a ubiquitous clonogenic factor for human MM
cells that acted independently of their CD45 phenotype. Of note,
all HMCL expressed the IL-6R except JJN-3, which is one of the two
HMCL unable to clone under the influence of IL-6. These data are
consistent with the major role of IL-6 in the proliferation and
survival of myeloma cells [11, 15]. The level of clonogenicity
induced by IL-6 of up to 50%, clearly indicated that clonogenic
cells in HMCL are highly representative. IL-6 triggers both the
Ras/MAP kinase and the JAK/STAT pathways, the latter promoting MM
cell survival [16]. Thus, we investigated the involvement of
Ras/MAPK pathway using a specific MEK 1/2 inhibitor, U0126. Our
results demonstrated that this pathway is involved in IL-6-induced
colony formation of CD45+ HMCL but not in that of CD45-HMCL.
Consistent with these results, previous data have shown that
activation of src kinase is also dependent on CD45 expression and
is necessary to induce IL-6-dependent proliferation [17, 18].
Moreover, translocation of CD45 to lipid rafts is also required to
confer the ability to respond to IL-6. This is consistent with our
observation that all the CD45+ HMCL expressed the CD45RB isoform of
CD45, which, unlike CD45RA, is able to translocate to lipid rafts
[19]. Thus, both the Ras/MAP kinase pathway and src activation are
necessary for the IL-6-induced proliferation and clonogenicity of
CD45+ HMCL, whereas IL-6 is a clonogenic factor for CD45- HMCL,
independent of these pathways. Further investigations are necessary
to elucidate the signaling pathway responsible for the latter
observation. In this respect, a working hypothesis will be that
IL-6 induces the generation of an autocrine clonogenic factor in
CD45- HMCL. Although this factor has not yet been identified, we
can already exclude the growth factors tested in this study.
Furthermore, the inability of IGF-1 inhibition to prevent
IL-6-induced clonogenicity, and the ability of Baff to induce
colony formation in only a limited number of HMCL (LP1, L363 and
RPMI-8226) (data not shown) would argue against a role for an
autocrine production of these factors in IL-6-induced
clonogenicity. Interestingly, our study demonstrated that whereas
CD45+ HMCL could benefit from IL-6 only, CD45- myeloma cells
responded to both IL-6 and a range of other growth factors (IGF-1,
FGF, HB-EGF, HGF) to generate myeloma colonies. The capacity of
IGF-1 to generate myeloma colonies correlated with the induction of
Erk /MAPK signaling and activation of the PI 3-kinase pathway.
Indeed, IGF-1 was unable to activate the Erk/MAPK pathway or induce
colony formation in CD45+ HMCL. Moreover, in the CD45-HMCL, IGF-1
synergized with HGF to induce colony formation, as well as Erk/MAPK
and Akt activation. Finally, it has been previously reported that
IL-6 and growth factors co-operate to induce MM cell growth [13,
20, 21]. However, in our semi-solid assay, we observed that IL-6
did not synergize with IGF-1, FGF, HB-EGF or HGF, and indeed the
combination of IL-6 and IGF-1 was inhibitory. In accordance with
these data, in cell lines where IGF-1 or IL-6 induced Erk
activation, this activation was never enhanced with IL-6 and IGF-1
combinations. A more detailed analysis of cross-talk between these
factors will help us to understand these results.
In conclusion, CD45 is essential for the control of signaling
and proliferation of human myeloma cells in response to IL-6, IGF-1
and other growth factors. The poor outcome of CD45- myeloma
patients could be related to the capacity of CD45- myeloma cells to
take advantage of multiple growth factors. Thus, treatment
strategies for CD45- patients should combined the disruption of
signaling induced by both IL-6 and IGF-1, and other growth
factors.
Acknowledgments
We thank Dr Andrew Spencer for the critical reading of the
manuscript. This work was supported by The Ligue Nationale Contre
le Cancer (équipe labelisée 2005).
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