TY - JOUR A1 - Karantanou, Christina A1 - Minciacchi, Valentina R. A1 - Kumar, Rahul A1 - Zanetti, Costanza A1 - Bravo, Jimena A1 - Pereira, Raquel Soares A1 - Tascher, Georg A1 - Tertel, Tobias A1 - Covarrubias-Pinto, Adriana A1 - Bankov, Katrin A1 - Pfeffermann, Lisa-Marie A1 - Bönig, Halvard-Björn A1 - Divieti-Pajevic, Paola A1 - McEwan, David G. A1 - Giebel, Bernd A1 - Münch, Christian A1 - Đikić, Ivan A1 - Krause, Daniela Sandra T1 - Impact of mesenchymal stromal cell–derived vesicular cargo on B-cell acute lymphoblastic leukemia progression T2 - Blood Advances N2 - Leukemia cells reciprocally interact with their surrounding bone marrow microenvironment (BMM), rendering it hospitable to leukemia cell survival, for instance through the release of small extracellular vesicles (sEVs). In contrast, we show here that BMM deficiency of pleckstrin homology domain family M member 1 (PLEKHM1), which serves as a hub between fusion and secretion of intracellular vesicles and is important for vesicular secretion in osteoclasts, accelerates murine BCR-ABL1+ B-cell acute lymphoblastic leukemia (B-ALL) via regulation of the cargo of sEVs released by BMM-derived mesenchymal stromal cells (MSCs). PLEKHM1-deficient MSCs and their sEVs carry increased amounts of syntenin and syndecan-1, resulting in a more immature B-cell phenotype and an increased number/function of leukemia-initiating cells (LICs) via focal adhesion kinase and AKT signaling in B-ALL cells. Ex vivo pretreatment of LICs with sEVs derived from PLEKHM1-deficient MSCs led to a strong trend toward acceleration of murine and human BCR-ABL1+ B-ALL. In turn, inflammatory mediators such as recombinant or B-ALL cell–derived tumor necrosis factor α or interleukin-1β condition murine and human MSCs in vitro, decreasing PLEKHM1, while increasing syntenin and syndecan-1 in MSCs, thereby perpetuating the sEV-associated circuit. Consistently, human trephine biopsies of patients with B-ALL showed a reduced percentage of PLEKHM1+ MSCs. In summary, our data reveal an important role of BMM-derived sEVs for driving specifically BCR-ABL1+ B-ALL, possibly contributing to its worse prognosis compared with BCR-ABL1− B-ALL, and suggest that secretion of inflammatory cytokines by cancer cells in general may similarly modulate the tumor microenvironment. Y1 - 2023 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/75625 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-756253 SN - 2473-9529 VL - 7 IS - 7 SP - 1190 EP - 1203 PB - American Society of Hematology CY - Washington, DC ER -