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Integrin signaling is critical for myeloid-mediated support of T-cell acute lymphoblastic leukemia

Aram Lyu, Ryan S. Humphrey, Seo Hee Nam, Tyler A. Durham, Zicheng Hu, Dhivya Arasappan, Terzah M. Horton and Lauren I. R. Ehrlich ()
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Aram Lyu: The University of Texas at Austin
Ryan S. Humphrey: The University of Texas at Austin
Seo Hee Nam: The University of Texas at Austin
Tyler A. Durham: The University of Texas at Austin
Zicheng Hu: University of California, San Francisco
Dhivya Arasappan: The University of Texas at Austin
Terzah M. Horton: Baylor College of Medicine/Dan L. Duncan Cancer Center and Texas Children’s Cancer Center
Lauren I. R. Ehrlich: The University of Texas at Austin

Nature Communications, 2023, vol. 14, issue 1, 1-17

Abstract: Abstract We previously found that T-cell acute lymphoblastic leukemia (T-ALL) requires support from tumor-associated myeloid cells, which activate Insulin Like Growth Factor 1 Receptor (IGF1R) signaling in leukemic blasts. However, IGF1 is not sufficient to sustain T-ALL in vitro, implicating additional myeloid-mediated signals in leukemia progression. Here, we find that T-ALL cells require close contact with myeloid cells to survive. Transcriptional profiling and in vitro assays demonstrate that integrin-mediated cell adhesion activates downstream focal adhesion kinase (FAK)/ proline-rich tyrosine kinase 2 (PYK2), which are required for myeloid-mediated T-ALL support, partly through activation of IGF1R. Blocking integrin ligands or inhibiting FAK/PYK2 signaling diminishes leukemia burden in multiple organs and confers a survival advantage in a mouse model of T-ALL. Inhibiting integrin-mediated adhesion or FAK/PYK2 also reduces survival of primary patient T-ALL cells co-cultured with myeloid cells. Furthermore, elevated integrin pathway gene signatures correlate with higher FAK signaling and myeloid gene signatures and are associated with an inferior prognosis in pediatric T-ALL patients. Together, these findings demonstrate that integrin activation and downstream FAK/PYK2 signaling are important mechanisms underlying myeloid-mediated support of T-ALL progression.

Date: 2023
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DOI: 10.1038/s41467-023-41925-z

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