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Selection of myeloid progenitors lacking BCR/ABL mRNA in chronic
myelogenous leukemia patients after in vitro treatment with the tyrosine
kinase inhibitor genistein
C Carlo-Stella, G Dotti, L Mangoni, E Regazzi, D Garau, A Bonati, C Almici, G Sammarelli, B Savoldo, MT Rizzo and V Rizzoli
Department of Hematology, University of Parma, Italy.
Chronic myelogenous leukemia (CML) is a clonal disorder of the
hematopoietic stem cell characterized by a chimeric BCR/ABL gene giving
rise to a 210-kD fusion protein with dysregulated tyrosine kinase activity.
We investigated the effect of genistein, a protein tyrosine kinase
inhibitor, on the in vitro growth of CML and normal marrow- derived
multi-potent (colony-forming unit-mix [CFU-Mix]), erythroid (burst-forming
unit-erythroid [BFU-E]), and granulocyte-macrophage (colony-forming
unit-granulocyte-macrophage [CFU-GM]) hematopoietic progenitors. Continuous
exposure of CML and normal marrow to genistein induced a statistically
significant and dose-dependent suppression of colony formation. Genistein
doses causing 50% inhibition of CML and normal progenitors were not
significantly different for CFU-Mix (27 mumol/L v 23 mumol/L), BFU-E (31
mumol/L v 29 mumol/L), and CFU-GM (40 mumol/L v 32 mumol/L v 32 mumol/L).
Preincubation of CML and normal marrow with genistein (200 mumol/ L for 1
to 18 hours) induced a time- dependent suppression of progenitor cell
growth, while sparing a substantial proportion of long-term
culture-initiating cells (LTC-IC) from CML (range, 91% +/- 9% to 32% +/-
3%) and normal marrow (range, 85% +/- 8% to 38% +/- 9%). Analysis of
individual CML colonies for the presence of the hybrid BCR/ABL mRNA by
reverse transcription-polymerase chain reaction (RT-PCR) showed that
genistein treatment significantly reduced the mean +/- SD percentage of
marrow BCR/ABL+ progenitors both by continuous exposure (76% +/- 18% v 24%
+/- 12%, P < or = .004) or preincubation (75% +/- 16% v 21% +/- 10%, P
< or = .002) experiments. Preincubation with genistein reduced the
percentage of leukemic LTC-IC from 87% +/- 12% to 37% +/- 12% (P < or =
.003). Analysis of individual colonies by cytogenetics and RT-PCR confirmed
that genistein-induced increase in the percentage of nonleukemic
progenitors was not due to suppression of BCR/ABL transcription. Analysis
of nuclear DNA fragmentation by DNA gel electrophoresis and terminal
deoxynucleotidyl transferase assay showed that preincubation of CML
mononuclear and CD34+ cells with genistein induced significant evidence of
apoptosis. These observations show that genistein is capable of (1)
exerting a strong antiproliferative effect on CFU-Mix, BFU-E, and CFU-GM
while sparing the more primitive LTC-IC and (2) selecting benign
hematopoietic progenitors from CML marrow, probably through an apoptotic
mechanism.
Volume 88,
Issue 8,
pp. 3091-3100,
10/15/1996
Copyright © 1996 by The American Society of Hematology

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