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STROMAL CELLS ENGINEERED TO EXPRESS T CELL FACTORS INDUCE ROBUST CLL CELL PROLIFERATION IN VITRO AND IN PDX COTRANSPLANTATIONS ALLOWING THE IDENTIFICATION OF ANTI-PROLIFERATIVE DRUGS

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HOFERKOVÁ Eva FILIP Daniel ONDRIŠOVÁ Laura ŠEDA Václav VERNER Jan MATULOVÁ Květoslava SKUHROVÁ FRANCOVÁ Hana BOUDNÝ Miroslav VEČEŘA Josef KACZ Péter HLAVÁČ Kryštof PAVELKOVÁ Petra KOŠŤÁLOVÁ Lenka MICHAELOU Androniki POSPÍŠILOVÁ Šárka DORAZILOVÁ J. DOUBEK Michael VOJTOVÁ Lucy HAMPL Aleš KŘEN Leoš MAYER Jiří MRÁZ Marek

Year of publication 2024
Type Conference abstract
MU Faculty or unit

Central European Institute of Technology

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Description Several in vitro models have been developed to mimic CLL proliferation in immune niches; however, they typically do not induce robust proliferation. We prepared a novel model based on mimicking T-cell signals. Six supportive cell lines were prepared by engineering HS5 stromal cells with stable expression of human CD40L, IL4, IL21, and their combinations. Co-culture with HS5 expressing CD40L and IL4 led to mild CLL cell proliferation (median 7% at day 7), while the HS5 expressing CD40L, IL4, and IL21 led to unprecedented proliferation rate of 44%, which is higher and more reproducible then in other available models. The co-cultures mimicked the gene expression fingerprint of lymph node CLL cells (MYC, NFkB, and E2F signatures; as defined by Herishanu et al, 2011). The other induced pathways reveal novel CLL vulnerabilities in context of CLL-T cell-induced proliferation, and we tested 10 inhibitors based on these data. This revealed for the first time that RAF inhibitors and FOXO1 inhibitors block CLL proliferation. The co-culture model can be downscaled to five microliter volume for large drug screening purposes or upscaled to CLL PDXs by HS5-CD40L-IL4±IL21 co-transplantation. We co-transplanted 41 NSG mice with CLL cells and HS5-CD40L-IL4 or HS5-CD40L-IL4-IL21 using a subcutaneous scaffold and intraperitoneal injection leading to 47% or 82% engraftment efficacy, respectively, with ~20% of PDXs being clonally related to CLL. This shows that CLL cell engraftment in NSG mice can be supported by engineered HS5 cells, thus bypassing the need to use primary T cells in PDX (Bagnara et al, 2011).
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