Myeloid Neoplasm-Related Gene Abnormalities Differentially Affect FLT3-Ligand Mediated Dendritic Cell Differentiation From Murine Hematopoietic Stem/Progenitor Cells
Authors: Fujita Jiro , Mizuki Masao , Otsuka Masayasu , Ezoe Sachiko , Tanaka Hirokazu , Satoh Yusuke , Fukushima Kentaro , Tokunaga Masahiro , Matsumura Itaru , Kanakura Yuzuru 
Published: October 2019

Abstract
Abstract 3899
DCs play important roles in tumor immunology. In patients with myeloid neoplasm such as AML, CML, and MDS, there are spontaneously-differentiated DCs in vivo from leukemic cells (in vivo leukemic DCs), which are thought to retain leukemia-associated antigens (LAAs). Therefore it is postulated that in vivo leukemic DCs affect host immune responses in a LAA-specific manner. However, there have been only a few concise examinations about their subsets, maturation state, or function. DC differentiation is crucially regulated by STAT3/5 and in part associated with myeloid differentiation. Myeloid neoplasm develops from hematopoietic stem/progenitors cells (HSCs/HPCs) bearing various gene abnormalities, named class I and class II mutations, which contribute to growth augmentation and myeloid differentiation block, respectively. Therefore, this study tested the hypothesis that myeloid neoplasm-related gene abnormalities may affect steady-state DC differentiation from HSCs/HPCs. We first established an efficient and reproducible in vitro FLT3-ligand (FL)-mediated DC (FL-DC) differentiation system from murine HSCs/HPCs-rich population, lineage-, Sca-I+, c-Kithigh cells (LSKs). After 9 days of culture, the proportion of whole FL-DCs (CD11c+ cells), pDCs (CD11c+B220+ cells) and cDCs (CD11c+B220- cells) were reproducibly constant (whole FL-DCs; 87.5 ± 0.9 %, pDCs; 30.4 ± 6.4 %, cDCs; 57.1 ± 6.4 %, pDCs/cDCs ratio; 0.55 ± 0.19). FL-DCs from LSKs efficiently stimulated allogeneic CD4+ T cells. FL-DCs from LSKs yielded high amount of type I interferon by CpG-stimulation. These results indicated that our culture method efficiently and reproducibly induced functionally competent FL-DCs from LSKs. Next, we transduced various myeloid neoplasm-related gene abnormalities, named class I and II mutations, into LSKs, and then analyzed their effects on FL-DC differentiation from LSKs. We selected FLT3-ITD, FLT3-TKD, constitutive active (CA)-N-Ras, c-Kit-TKD, TEL/PDGFRβ, and FIP1L1/PDGFRα as representative of class I mutations, and AML1/ETO, PML/RARα, CBFβ/MYH11, and AML1dC as representative of class II mutations, respectively (Table). All class II mutations consistently showed mild impairment of FL-DCs keeping comparable pDCs/cDCs ratio with control. In contrast, class I mutations induced the heterogeneous impairment of FL-DCs. Both FLT3-ITD and FLT3-TKD showed a mild decrease in whole FL-DCs retaining comparable pDCs/cDCs ratio with control. CA-N-Ras showed the mild impairment of whole FL-DCs with a severe decrease in pDCs/cDCs ratio. c-Kit-TKD, TEL/PDGFRβ, and FIP1L1/PDGFRα displayed a severe decrease in both whole FL-DCs and their pDCs/cDCs ratio.
whole FL-DCs (%) pDCs/cDCs ratio mock 85.4 ± 3.0 0.50 ± 0.21 FLT3-WT 46.1 ± 5.7 0.42 ± 0.19 FLT3-ITD 30.6 ± 14.5 0.60 ± 0.23 FLT3-TKD 29.4 ± 10.0 0.82 ± 0.48 CA-N-Ras 55.2 ± 6.3 0.02 ± 0.01 c-Kit-TKD 9.4 ± 5.7 0.19 ± 0.10 TEL/PDGFRβ 13.3 ± 2.9 0.05 ± 0.04 FIP1L1/PDGFRα 14.8 ± 4.7 0.03 ± 0.04 AML1/ETO 51.6 ± 8.4 0.63 ± 0.11 PML/RARα 35.6 ± 3.0 0.60 ± 0.30 CBFβ/MYH11 40.9 ± 17.3 0.48 ± 0.27 AML1dC 55.8 ± 7.9 0.29 ± 0.15
Time course study showed that each differentiation pattern of CA-N-Ras, c-Kit-TKD, TEL/PDGFRβ, or FIP1L1/PDGFRα was quite different from that of control. The analysis of the effects of signal transduction molecules revealed that CA-STAT5 and CA-MEK1, but not CA-STAT3 and CA-PI3 kinase, severely inhibited pDC differentiation. These data suggested that class I mutations differentially regulated FL-DC differentiation, possibly via their individual sets and magnitude of each constitutive active signal transduction pathway. We next investigated whether this DC differentiation heterogeneity seen in class I mutations influence on DC maturation. Overall, surface expressions of MHC II, CD80, and CD86 on whole FL-DCs induced by class I mutations were higher than those induced by control. FLT3-ITD-expressing FL-DCs, showing relatively immature phenotype among class I mutations, stimulated allogeneic CD4+ T cells comparably with control. CA-N-Ras-expressing FL-DCs, showing relatively mature phenotype among class I mutations, more efficiently stimulated allogeneic CD4+ T cells. These data suggested that class I mutations caused heterogeneous maturation and function of FL-DC. In conclusion, FL-DC differentiation from LSKs, its maturation, and function were affected in a myeloid neoplasm-related gene abnormality-specific manner.

Disclosures:
No relevant conflicts of interest to declare.