NTAL is associated with treatment outcome, cell proliferation and differentiation in acute promyelocytic leukemia

Abstract Non-T cell activation linker (NTAL) is a lipid raft-membrane protein expressed by normal and leukemic cells and involved in cell signaling. In acute promyelocytic leukemia (APL), NTAL depletion from lipid rafts decreases cell viability through regulation of the Akt/PI3K pathway. The role of...

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Autores principales: Carolina Hassibe Thomé, Germano Aguiar Ferreira, Diego Antonio Pereira-Martins, Guilherme Augusto dos Santos, César Alexander Ortiz, Lucas Eduardo Botelho de Souza, Lays Martins Sobral, Cleide Lúcia Araújo Silva, Priscila Santos Scheucher, Cristiane Damas Gil, Andréia Machado Leopoldino, Douglas R. A. Silveira, Juan L. Coelho-Silva, Fabíola Traina, Luisa C. Koury, Raul A. M. Melo, Rosane Bittencourt, Katia Pagnano, Ricardo Pasquini, Elenaide C. Nunes, Evandro M. Fagundes, Ana Beatriz F. Gloria, Fábio Rodrigues Kerbauy, Maria de Lourdes Chauffaille, Armand Keating, Martin S. Tallman, Raul C. Ribeiro, Richard Dillon, Arnold Ganser, Bob Löwenberg, Peter Valk, Francesco Lo-Coco, Miguel A. Sanz, Nancy Berliner, Vitor Marcel Faça, Eduardo M. Rego
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Publicado: Nature Portfolio 2020
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spelling oai:doaj.org-article:1687378c1dd345e09a5c08f24c4834592021-12-02T17:45:12ZNTAL is associated with treatment outcome, cell proliferation and differentiation in acute promyelocytic leukemia10.1038/s41598-020-66223-22045-2322https://doaj.org/article/1687378c1dd345e09a5c08f24c4834592020-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-66223-2https://doaj.org/toc/2045-2322Abstract Non-T cell activation linker (NTAL) is a lipid raft-membrane protein expressed by normal and leukemic cells and involved in cell signaling. In acute promyelocytic leukemia (APL), NTAL depletion from lipid rafts decreases cell viability through regulation of the Akt/PI3K pathway. The role of NTAL in APL cell processes, and its association with clinical outcome, has not, however, been established. Here, we show that reduced levels of NTAL were associated with increased all-trans retinoic acid (ATRA)-induced differentiation, generation of reactive oxygen species, and mitochondrial dysfunction. Additionally, NTAL-knockdown (NTAL-KD) in APL cell lines led to activation of Ras, inhibition of Akt/mTOR pathways, and increased expression of autophagy markers, leading to an increased apoptosis rate following arsenic trioxide treatment. Furthermore, NTAL-KD in NB4 cells decreased the tumor burden in (NOD scid gamma) NSG mice, suggesting its implication in tumor growth. A retrospective analysis of NTAL expression in a cohort of patients treated with ATRA and anthracyclines, revealed that NTAL overexpression was associated with a high leukocyte count (P = 0.007) and was independently associated with shorter overall survival (Hazard Ratio: 3.6; 95% Confidence Interval: 1.17–11.28; P = 0.026). Taken together, our data highlights the importance of NTAL in APL cell survival and response to treatment.Carolina Hassibe ThoméGermano Aguiar FerreiraDiego Antonio Pereira-MartinsGuilherme Augusto dos SantosCésar Alexander OrtizLucas Eduardo Botelho de SouzaLays Martins SobralCleide Lúcia Araújo SilvaPriscila Santos ScheucherCristiane Damas GilAndréia Machado LeopoldinoDouglas R. A. SilveiraJuan L. Coelho-SilvaFabíola TrainaLuisa C. KouryRaul A. M. MeloRosane BittencourtKatia PagnanoRicardo PasquiniElenaide C. NunesEvandro M. FagundesAna Beatriz F. GloriaFábio Rodrigues KerbauyMaria de Lourdes ChauffailleArmand KeatingMartin S. TallmanRaul C. RibeiroRichard DillonArnold GanserBob LöwenbergPeter ValkFrancesco Lo-CocoMiguel A. SanzNancy BerlinerVitor Marcel FaçaEduardo M. RegoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-12 (2020)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Carolina Hassibe Thomé
Germano Aguiar Ferreira
Diego Antonio Pereira-Martins
Guilherme Augusto dos Santos
César Alexander Ortiz
Lucas Eduardo Botelho de Souza
Lays Martins Sobral
Cleide Lúcia Araújo Silva
Priscila Santos Scheucher
Cristiane Damas Gil
Andréia Machado Leopoldino
Douglas R. A. Silveira
Juan L. Coelho-Silva
Fabíola Traina
Luisa C. Koury
Raul A. M. Melo
Rosane Bittencourt
Katia Pagnano
Ricardo Pasquini
Elenaide C. Nunes
Evandro M. Fagundes
Ana Beatriz F. Gloria
Fábio Rodrigues Kerbauy
Maria de Lourdes Chauffaille
Armand Keating
Martin S. Tallman
Raul C. Ribeiro
Richard Dillon
Arnold Ganser
Bob Löwenberg
Peter Valk
Francesco Lo-Coco
Miguel A. Sanz
Nancy Berliner
Vitor Marcel Faça
Eduardo M. Rego
NTAL is associated with treatment outcome, cell proliferation and differentiation in acute promyelocytic leukemia
description Abstract Non-T cell activation linker (NTAL) is a lipid raft-membrane protein expressed by normal and leukemic cells and involved in cell signaling. In acute promyelocytic leukemia (APL), NTAL depletion from lipid rafts decreases cell viability through regulation of the Akt/PI3K pathway. The role of NTAL in APL cell processes, and its association with clinical outcome, has not, however, been established. Here, we show that reduced levels of NTAL were associated with increased all-trans retinoic acid (ATRA)-induced differentiation, generation of reactive oxygen species, and mitochondrial dysfunction. Additionally, NTAL-knockdown (NTAL-KD) in APL cell lines led to activation of Ras, inhibition of Akt/mTOR pathways, and increased expression of autophagy markers, leading to an increased apoptosis rate following arsenic trioxide treatment. Furthermore, NTAL-KD in NB4 cells decreased the tumor burden in (NOD scid gamma) NSG mice, suggesting its implication in tumor growth. A retrospective analysis of NTAL expression in a cohort of patients treated with ATRA and anthracyclines, revealed that NTAL overexpression was associated with a high leukocyte count (P = 0.007) and was independently associated with shorter overall survival (Hazard Ratio: 3.6; 95% Confidence Interval: 1.17–11.28; P = 0.026). Taken together, our data highlights the importance of NTAL in APL cell survival and response to treatment.
format article
author Carolina Hassibe Thomé
Germano Aguiar Ferreira
Diego Antonio Pereira-Martins
Guilherme Augusto dos Santos
César Alexander Ortiz
Lucas Eduardo Botelho de Souza
Lays Martins Sobral
Cleide Lúcia Araújo Silva
Priscila Santos Scheucher
Cristiane Damas Gil
Andréia Machado Leopoldino
Douglas R. A. Silveira
Juan L. Coelho-Silva
Fabíola Traina
Luisa C. Koury
Raul A. M. Melo
Rosane Bittencourt
Katia Pagnano
Ricardo Pasquini
Elenaide C. Nunes
Evandro M. Fagundes
Ana Beatriz F. Gloria
Fábio Rodrigues Kerbauy
Maria de Lourdes Chauffaille
Armand Keating
Martin S. Tallman
Raul C. Ribeiro
Richard Dillon
Arnold Ganser
Bob Löwenberg
Peter Valk
Francesco Lo-Coco
Miguel A. Sanz
Nancy Berliner
Vitor Marcel Faça
Eduardo M. Rego
author_facet Carolina Hassibe Thomé
Germano Aguiar Ferreira
Diego Antonio Pereira-Martins
Guilherme Augusto dos Santos
César Alexander Ortiz
Lucas Eduardo Botelho de Souza
Lays Martins Sobral
Cleide Lúcia Araújo Silva
Priscila Santos Scheucher
Cristiane Damas Gil
Andréia Machado Leopoldino
Douglas R. A. Silveira
Juan L. Coelho-Silva
Fabíola Traina
Luisa C. Koury
Raul A. M. Melo
Rosane Bittencourt
Katia Pagnano
Ricardo Pasquini
Elenaide C. Nunes
Evandro M. Fagundes
Ana Beatriz F. Gloria
Fábio Rodrigues Kerbauy
Maria de Lourdes Chauffaille
Armand Keating
Martin S. Tallman
Raul C. Ribeiro
Richard Dillon
Arnold Ganser
Bob Löwenberg
Peter Valk
Francesco Lo-Coco
Miguel A. Sanz
Nancy Berliner
Vitor Marcel Faça
Eduardo M. Rego
author_sort Carolina Hassibe Thomé
title NTAL is associated with treatment outcome, cell proliferation and differentiation in acute promyelocytic leukemia
title_short NTAL is associated with treatment outcome, cell proliferation and differentiation in acute promyelocytic leukemia
title_full NTAL is associated with treatment outcome, cell proliferation and differentiation in acute promyelocytic leukemia
title_fullStr NTAL is associated with treatment outcome, cell proliferation and differentiation in acute promyelocytic leukemia
title_full_unstemmed NTAL is associated with treatment outcome, cell proliferation and differentiation in acute promyelocytic leukemia
title_sort ntal is associated with treatment outcome, cell proliferation and differentiation in acute promyelocytic leukemia
publisher Nature Portfolio
publishDate 2020
url https://doaj.org/article/1687378c1dd345e09a5c08f24c483459
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