Exploitation of the fibrinolytic system by B-cell acute lymphoblastic leukemia and its therapeutic targeting

Abstract Fibrinolysis influences the mobilization of hematopoietic stem cells from their bone marrow microenvironment (BMM). Here we show that activation of plasmin, a key fibrinolytic agent, by annexin A2 (ANXA2) distinctly impacts progression of BCR-ABL1+ B-cell acute lymphoblastic leukemia (B-ALL...

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Main Authors: Valentina R. Minciacchi, Jimena Bravo, Christina Karantanou, Raquel S. Pereira, Costanza Zanetti, Rahul Kumar, Nathalie Thomasberger, Pablo Llavona, Theresa Krack, Katrin Bankov, Melanie Meister, Sylvia Hartmann, Véronique Maguer-Satta, Sylvain Lefort, Mateusz Putyrski, Andreas Ernst, Brian J. P. Huntly, Eshwar Meduri, Wolfram Ruf, Daniela S. Krause
Format: Article
Language:English
Published: Nature Portfolio 2024-11-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-024-54361-4
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author Valentina R. Minciacchi
Jimena Bravo
Christina Karantanou
Raquel S. Pereira
Costanza Zanetti
Rahul Kumar
Nathalie Thomasberger
Pablo Llavona
Theresa Krack
Katrin Bankov
Melanie Meister
Sylvia Hartmann
Véronique Maguer-Satta
Sylvain Lefort
Mateusz Putyrski
Andreas Ernst
Brian J. P. Huntly
Eshwar Meduri
Wolfram Ruf
Daniela S. Krause
author_facet Valentina R. Minciacchi
Jimena Bravo
Christina Karantanou
Raquel S. Pereira
Costanza Zanetti
Rahul Kumar
Nathalie Thomasberger
Pablo Llavona
Theresa Krack
Katrin Bankov
Melanie Meister
Sylvia Hartmann
Véronique Maguer-Satta
Sylvain Lefort
Mateusz Putyrski
Andreas Ernst
Brian J. P. Huntly
Eshwar Meduri
Wolfram Ruf
Daniela S. Krause
author_sort Valentina R. Minciacchi
collection DOAJ
description Abstract Fibrinolysis influences the mobilization of hematopoietic stem cells from their bone marrow microenvironment (BMM). Here we show that activation of plasmin, a key fibrinolytic agent, by annexin A2 (ANXA2) distinctly impacts progression of BCR-ABL1+ B-cell acute lymphoblastic leukemia (B-ALL) via modulation of the extracellular matrix (ECM) in the BMM. The dense ECM in a BMM with decreased plasmin activity entraps insulin-like growth factor (IGF) 1 and reduces mTORC2-dependent signaling and proliferation of B-ALL cells. Conversely, B-ALL conditions the BMM to induce hepatic generation of plasminogen, the plasmin precursor. Treatment with ε-aminocaproic acid (EACA), which inhibits plasmin activation, reduces tumor burden and prolongs survival, including in xenogeneic models via increased fibronectin in the BMM. Human data confirm that IGF1 and fibronectin staining in trephine biopsies are correlated. Our studies suggest that fibrinolysis-mediated ECM remodeling and subsequent growth factor release influence B-ALL progression and inhibition of this process by EACA may be beneficial as adjunct therapy.
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spelling doaj-art-b12036d37cd94e1e9d6b5fe68f4e452e2024-11-24T12:32:46ZengNature PortfolioNature Communications2041-17232024-11-0115111910.1038/s41467-024-54361-4Exploitation of the fibrinolytic system by B-cell acute lymphoblastic leukemia and its therapeutic targetingValentina R. Minciacchi0Jimena Bravo1Christina Karantanou2Raquel S. Pereira3Costanza Zanetti4Rahul Kumar5Nathalie Thomasberger6Pablo Llavona7Theresa Krack8Katrin Bankov9Melanie Meister10Sylvia Hartmann11Véronique Maguer-Satta12Sylvain Lefort13Mateusz Putyrski14Andreas Ernst15Brian J. P. Huntly16Eshwar Meduri17Wolfram Ruf18Daniela S. Krause19Center for Thrombosis and Hemostasis (CTH), Johannes Gutenberg University Medical CenterInstitute of Transfusion Medicine – Transfusion Center, Johannes Gutenberg University Medical CenterDepartment of Vascular Dysfunction - Medical Faculty Mannheim of Heidelberg UniversityInstitute for Experimental Pediatric Hematology and Oncology, Goethe-University FrankfurtDivision of mRNA Cancer Immunotherapy, Helmholtz Institute for Translational Oncology MainzInstitute of Transfusion Medicine – Transfusion Center, Johannes Gutenberg University Medical CenterBioNTech SEThe Institute of Molecular BiologyInstitute of Transfusion Medicine – Transfusion Center, Johannes Gutenberg University Medical CenterDepartment of Pediatrics (Hematology/Oncology), Charité-UniversitätsmedizinAbbVieDepartment of Pathology, Goethe UniversityCRCL, Inserm U1052-CNRS UMR5286, Centre Léon BérardCRCL, Inserm U1052-CNRS UMR5286, Centre Léon BérardFraunhofer Institute for Molecular Biology and Applied Ecology IME, Project Group Translational Medicine & Pharmacology TMPPharmazentrum/ZAFES Frankfurt, Faculty of Medicine, Goethe-University FrankfurtDepartment of Haematology, University of CambridgeDepartment of Haematology, University of CambridgeCenter for Thrombosis and Hemostasis (CTH), Johannes Gutenberg University Medical CenterInstitute of Transfusion Medicine – Transfusion Center, Johannes Gutenberg University Medical CenterAbstract Fibrinolysis influences the mobilization of hematopoietic stem cells from their bone marrow microenvironment (BMM). Here we show that activation of plasmin, a key fibrinolytic agent, by annexin A2 (ANXA2) distinctly impacts progression of BCR-ABL1+ B-cell acute lymphoblastic leukemia (B-ALL) via modulation of the extracellular matrix (ECM) in the BMM. The dense ECM in a BMM with decreased plasmin activity entraps insulin-like growth factor (IGF) 1 and reduces mTORC2-dependent signaling and proliferation of B-ALL cells. Conversely, B-ALL conditions the BMM to induce hepatic generation of plasminogen, the plasmin precursor. Treatment with ε-aminocaproic acid (EACA), which inhibits plasmin activation, reduces tumor burden and prolongs survival, including in xenogeneic models via increased fibronectin in the BMM. Human data confirm that IGF1 and fibronectin staining in trephine biopsies are correlated. Our studies suggest that fibrinolysis-mediated ECM remodeling and subsequent growth factor release influence B-ALL progression and inhibition of this process by EACA may be beneficial as adjunct therapy.https://doi.org/10.1038/s41467-024-54361-4
spellingShingle Valentina R. Minciacchi
Jimena Bravo
Christina Karantanou
Raquel S. Pereira
Costanza Zanetti
Rahul Kumar
Nathalie Thomasberger
Pablo Llavona
Theresa Krack
Katrin Bankov
Melanie Meister
Sylvia Hartmann
Véronique Maguer-Satta
Sylvain Lefort
Mateusz Putyrski
Andreas Ernst
Brian J. P. Huntly
Eshwar Meduri
Wolfram Ruf
Daniela S. Krause
Exploitation of the fibrinolytic system by B-cell acute lymphoblastic leukemia and its therapeutic targeting
Nature Communications
title Exploitation of the fibrinolytic system by B-cell acute lymphoblastic leukemia and its therapeutic targeting
title_full Exploitation of the fibrinolytic system by B-cell acute lymphoblastic leukemia and its therapeutic targeting
title_fullStr Exploitation of the fibrinolytic system by B-cell acute lymphoblastic leukemia and its therapeutic targeting
title_full_unstemmed Exploitation of the fibrinolytic system by B-cell acute lymphoblastic leukemia and its therapeutic targeting
title_short Exploitation of the fibrinolytic system by B-cell acute lymphoblastic leukemia and its therapeutic targeting
title_sort exploitation of the fibrinolytic system by b cell acute lymphoblastic leukemia and its therapeutic targeting
url https://doi.org/10.1038/s41467-024-54361-4
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