Journal: Lymphatics
Article Title: BCL2 Protein Progressively Declines during Robust CLL Clonal Expansion: Potential Impact on Venetoclax Clinical Efficacy and Insights on Mechanism
doi: 10.3390/lymphatics2020005
Figure Lengend Snippet: IL-15-triggered STAT5/PI-3K pathway reduces BCL2 mRNA within ODN (TLR9)-primed CLL cells. These experiments sought evidence for altered BCL2 mRNA levels after IL15 exposure to ODN-stimulated CLL cells. ODN priming was important because we earlier reported that 20 h ODN exposure elicited the NF-kB-dependent upregulation of IL15 receptors (CD122 and IL15Rα) above negligible baseline levels on resting CLL cells . Any evidence that short-term IL15 exposure resulted in dampened BCL2 mRNA might be explained by an IL15-fostered rise in BCL2 repressive miR (e.g., miR15a/miR16-1) . Our rationale for suspecting a critical role for IL15 cytokine in mediating BCL2 repression was based upon the following. First, IL15 signaling was necessary for a significant rise in p53 TF protein within CLL cells receiving ODN signals ( - ), as well as for significant CLL clonal expansion within ODN-stimulated cultures [ , , ]. Second, the IL15 boost in p53 TF (a direct transactivator of miR15a/miR16-1 synthesis) was detected in undivided CLL cells by at least day 3, even prior to IL15-driven divisions characterized by sustained/further elevated p53 TF protein ( , ). For these experiments, quiescent CLL cells were primed with ODN for 20 h and subsequently pulsed with IL-15 (or medium alone) for 4 h or 20–28 h intervals before total RNA was harvested and BCL2 and MCL1 mRNA quantified by specific q-PCR. ( A,B ) ΔCt values for ( A ) BCL2 mRNA and ( B ) MCL1 mRNA within IL15-pulsed or un-pulsed cultures at differing intervals after the IL15 pulse. A paired, 2-sided t-test was used to compare ΔCt values from primed cultures with/without IL15. ( C ) More intuitive fold-change values, calculated with the 2 −ΔΔCt method , better reveal the altered levels of BCL2 and MCL1 mRNA at 20–28 h after the IL15 pulse. Bars represent the mean ± SD of the diverse experiments, with overlaid symbols representing values from individual CLL. Statistical significance was determined by the non-parametric Mann–Whitney rank sum test. ( C ) Experiments with STAT5/PI-3K inhibitors examined whether IL15 activation of STAT5/PI-3K pathways is critical for IL15-triggered BCL2 mRNA repression, as earlier noted for IL15-facilitated growth of ODN-primed CLL cells . Specific inhibitors of PI-3K (LY294002), STAT5 (pimozide or STAT5 INH II), or vehicle alone were added to ODN-primed cultures 30 min prior to a 20 h pulse with IL-15. By q-PCR, the yield of BCL2 mRNA in IL15 pulsed cultures was compared to the yield in ODN-primed cultures that had been exposed to DMSO but not IL15. Consequently, IL15-induced fold change in BCL2 mRNA was determined. (Note: in cultures pulsed with DMSO alone, IL15-elicited fold change in BCL2 mRNA was 0.57 ± 0.04 (mean ± SD) for the diverse experiments). When pooling inhibitor results from these experiments, data from each CLL experiment was normalized by comparing IL15-induced fold change “with inhibitor” to IL15-induced fold change “with DMSO alone”. From the latter determinations, plotted values for % of IL15-elicited fold change without inhibitor” could be calculated. Bar blots display median/range values for the above determination noted with the diverse CLL evaluated, with overlaid symbols representing values for individual CLL evaluated. The dotted horizontal line represents the fact that, with this approach, all values for “IL15-induced fold change without inhibitor” are effectively normalized to 100%. Any rise in this relative percentage indicates that the inhibitor blocked the IL15-induced BCL2 mRNA decline. p values for statistical significance were determined using a non-parametric Mann–Whitney rank sum test.
Article Snippet: To monitor cell divisions, CLL clonal populations were pre-labeled with CFSE [ ] and cultured for 5–7 days in an enriched medium optimized for B cell viability [ , ], at 10 5 cells/200 μL in 96-well culture plates, with synergistic activating stimuli [ , , ]: CpG DNA TLR-9 ligand (ODN-2006; Invivogen, San Diego, CA, USA; final concentration of 0.2 mM) and recombinant human IL15 (R&D Systems, Minneapolis, MN, USA; final concentration of 15 ng/mL).
Techniques: MANN-WHITNEY, Activation Assay