Insights on the mechanisms involved in acquired resistance to dasatinib in lymphoma cell lines Introduction Lymphoma cells (type DLBCL and CLL cells), as it has been recently reported, are sensitive to the dual c-abl/src kinase inhibitor dasatinib in vitro in the clinical attainable range, and de novo resistance to the drug is associated with SRC independent calcium mobilization induced by IgG/IgM stimulation. As well, acquired resistance to dasatinib is associated with abrogation of IgG/IgM-induced signalling downstream the Bcell receptor (BCR) (Hollmann, 2009). We hypothesize that lymphoma cells with acquire resistance to dasatinib are able to activate survival pathways that are downstream the BCR receptor by activating alternative autocrine/paracrine pathways. This leads us to test the cell’s response to dasatinib treatment while being maintained in conditioned media versus fresh media. Further explanations on procedures will be given in the materials and methods step. Preliminary results using mRNA microarray expression analysis has suggested that in lymphoma cells with acquired resistance to dasatinib there is an activation of proinflammatory pathways. This leads to the hypothesis that chronic exposure to dasatinib will result in the selection of cells with alternative autocrine / paracrine survival pathways mediated by cytokines. There have already been experiments associated with a cell’s conditioned media. According the paper published by Infection and Innunity (Jan. 1988), it was reported that there are factors released from the cells into the supernatants after being suspended for a period of time. This brings us to the topic of cytokines. Cytokines, which are extremely important for cell communication, is often associated with the extracellular matrix of a cell. In diffuse large B-cell lymphoma (DLBCL), dasatinib cytotoxicity is mediated by the inhibition of signaling downstream the BCR receptor (Hollmann et a.. 2009). This prompted us to investigate the signaling events associated with acquired resistance to dasatinib in a panel of DLBCL cell lines. We obtained independent clones (2) of 3 DLBCL cell lines sensitive to dasatinib. Sensitivity defined as an IC50 which falls in the attainable range (<200nM). We find that selection in non toxic concentrations of dasatinib resulted in resistance to dasatinib (2 to 1000 fold) and abrogation of signaling downstream the BCR, suggesting that the selected cells are not dependent on the BCR receptor activation for survival (Hollmann et al., submitted manuscript, March 2010). The hypothesis to be tested is that acquired dasatinib resistance is mediated by a shift on the phenotype of DLBCL cells where the survival signals mediated by activation Bo Pang – Oncology Summer Scholarship 2010 Report | Page 1 of the BCR receptor are replaced by paracrine/autocrine mechanisms that sustain the survival of DLBCL. Materials and Methods: Cell Line Culture DHL4 and OCI-Ly1 (sensitive cell lines) and DHL4B1 and OCI-Ly1B1 (cells with acquired resistance to dasatinib) were maintained in RPMI1640, 10% fetal calf serum, 0.05 mM mercaptoethanol, 10 U/mL of penicillin and 10 µg/mL of streptomycin at 37˚C in 5% CO2. The passage of the cells was kept under 30 and the cells were passage every three days. MTT Assay Cells were seeded in 96-welled plates, and depending on the cell line, exposed to different concentrations of dasatinib at 37˚C in 5% CO2 for 72 hours. The different concentrations of dasatinib were diluted with PBS and the number of cells used for drug treatment was 60 000 cells per well. Plating efficiencies were also plated and measured to ensure that the number of cells used was sufficient. For control, certain columns of cells were left untreated, and certain cells were treated with DMSO, the solvent for dasatinib. After 72 hours of drug treatment, 10 uL of MTT (2-(3,5-diphenyltetrazol-2-ium-2-yl)4,5-dimethyl-1,3-thiazole bromide) was added to each well, and the plates were again incubated for an hour. After one hour, the plates were centrifuged for 10 minutes at 1500 rpm and the supernatants were then removed. The cells were then dissolved in 25uL of Sorenson’s Buffer and 100 uL of DMSO on a rocker, and the MTT absorption data were collected one hour later using an ELISA reader at 570nm. These data were then evaluated using Microsoft Excel. IC50 Calculations The optical density readings were plotted on excel against the number of cells plated, and the IC50s were calculated based on a logarithmic scale; this is the concentration of drug that will kill 50% of the cells relative to the vehicle cells. Working With Supernatants Conditioned media (72 hours) from the different clones of DHL4 and OCI-Ly1 cells with acquired resistance to dasatinib were collected. The parental sensitive cell lines were harvested and resuspended in the different conditioned media and exposed to different concentrations of dasatinib. Survival (IC50) was assessed using the MTT assay after 3 days. The hypothesis was that the conditioned media of cells with acquired resistance will antagonize dasatinib cytotoxicity. Bo Pang – Oncology Summer Scholarship 2010 Report | Page 2 Calcium Mobilization: 2×106 OCI-Ly1 sensitive cells were suspended in 500uL of either RPMI media or DHL4 B1 conditioned supernatants. 30 minutes into the incubation, 2.5uL of Fluo-4 AM and Fura-Red AM respectively were added to the tubes, and the cells were allowed to incubate for another 30 minutes for a total of one hour of media exposure. Samples were then centrifuged for 5 minutes at 1500 rpm, and the pellets were resuspended in 500 uL of HBBS. We then used anti-IgG antibody (10ug/mL) to induce the calcium flux, and the samples were analyzed on the BD LSRII flow cytometer with the BD FACSDiva software. Results: The IC50 of all the cell lines were determined in RPMI1640, 10% fetal calf serum, 0.05 mM mercaptoethanol, 10 U/mL of penicillin and 10 µg/mL of streptomycin at 37˚C in 5% CO2. The DHL4 cells were determined experimentally while the DHL4B1, OCI-Ly1, and OCI-Ly1B1 IC50s were obtained previously (Hollmann et al., submitted manuscript, March 2010) DHL4 IC50s: Trial 1 2 3 4 5 6 7 AVG SD SE IC50 (nM) 18.2 27.0 13.9 30.6 13.5 11.7 21.0 19.4 7.21 2.72 Table 1 – DHL4 IC50s treated with dasatinib in RPMI media DHL4 B1(with acquire resistance to dasatinib derived from DHL4, Table 1) IC50: 4.7 ± 0.5uM (4700nM) (SD) OCI-Ly1 repeated IC50: 70± 10nM (SD) OCI-Ly1B1 repeated IC50: Bo Pang – Oncology Summer Scholarship 2010 Report | Page 3 2300 ± 500nM (SD) With the IC50s of the cell lines in mind, we then proceeded to treat the sensitive cell lines with different medias (RPMI Media and resistant supernatants respectively) to compare their responses to dasatinib. As stated, we hypothesize that the conditioned media of cells with acquired resistance will antagonize dasatinib cytotoxicity. The results are listed below: DHL4 Treatments with different Supernatants: Treated in: Jun-20 IC50 (nM) Jul-2 IC50 (nM) Jul-15 IC50 (nM) Jul-23 IC50 (nM) AVG IC50 (nM) RPMI 39.2 18.3 7.12 19.0 20.9 With DHL4B1 Supernatant 12.0 1.80 6.8 With OCI-Ly1B1 Supernatant Fold Difference 3.25 SD IC50 (nM) 10.0 3.30 5.30 4.3 2.11 3.59 4.74 3.56 Table 2 – DHL4 IC50s treated with dasatinib in RPMI media, DHL4B1, and OCILy1B1 supernatants respectively Example of Curves: 120.00% 100.00% 80.00% 60.00% 40.00% 20.00% 0.00% -20.00% 0 20 40 60 80 100 120 -40.00% Figure 1 – DLH4 treatment with dasatinib with both RPMI media (pink series) and DHL4 B1 resistant supernatant (Blue series) Bo Pang – Oncology Summer Scholarship 2010 Report | Page 4 OCI-Ly1 Treatments with different Supernatants: From our data in table 1 and table 2, the results suggest that the resistant media lowers the IC50 of the sensitive cell lines in comparison to the RPMI media. However, this brings up another question: We do not know whether the resistant media simply too old (72 hours) and lacks nutrients for the cells to grow, or there really is an extracellular factor that is causing the sensitive cell liens to be hypersensitive to dasatinib. Therefore for control, we treated OCI-Ly1B1 (resistant cell lines) with conditioned media from both DHL4 (sensitive) DHL4-B11 (resistant) cells, and the results are shown below. OCI-Ly1B1 treatments in different supernatants - Control (Jul-23): Treated in: Jul-23 IC50 (nM) RPMI 1680 With DHL4B1 Supernatant 1730 Fold Difference 1 Calcium Mobilization: Because of time constraints, calcium mobilization was only performed once. Due to this reason, and the fact that less than enough cells was used to perform the experiment, the results were not reliable, and will therefore not be included until further trials take place. Bo Pang – Oncology Summer Scholarship 2010 Report | Page 5 Discussion: Our experiment dealt with two different cell lines, sensitive and resistant respectively: Su-DHL4, Su-DHL4B1, OCI-ly1, and OCI-Ly1B1. Both cell lines share certain fundamental similarities and differences. OCI-Ly1 has IgM receptors while SuDHL4 has IgG receptors. Even though they have this phenotype difference, they still behave similarly and fall under the same classification. In all our experiments, the sensitive cells suspended in the conditioned resistant media (in comparison to RPMI regular media) all experienced a decrease in their IC50 after treatment with dasatinib. This means that all the resistant cell lines (and hence resistant supernatants) must share a similar characteristic in order to produce this effect. Therefore, a further improvement to this experiment in the future would be to discover the characterization of the resistant supernatants. Previous results from the laboratory indicated that the supernatant from Su-DHL4 cells with acquired resistance to dasatinib increased the survival of OCI-Ly1 and OCILy8 to the tyrosine kinase inhibitor. These results lead us to hypothesize that the resistant cells activate an alternative pathways for survival, independent of BCR receptor activation. And that this/these pathways involve the release of survival factors from cells with acquired resistance to dasatinib. During my summer student scholarship, I assessed this hypothesis using Su-DHL4 parental cell lines and the supernatant from Su-DHL4 cells with acquired resistance to dasatinib. Surprisingly, I find is that the supernatant from resistance cells increase the sensitivity of the parental Su-DHL4 cells to dasatinib. These results taken together with our previous results suggests that although the mechanisms of resistance (de novo and acquired) to dasatinib in Su-DHL4 and OCI-Ly cells are associated with altered BCR signaling, the alternative survival/antiapoptotic pathways activated in cells with acquired resistance are different. Bo Pang – Oncology Summer Scholarship 2010 Report | Page 6 References: Therapeutic implications of Src independent calcium mobilization in diffuse large B-cell lymphoma. Hollmann CA, Tzankov A, Martínez-Marignac VL, Baker K, Grygorczyk C, Grygorczyk R, Foulkes W, Nadeau J, Dirnhofer S, Aloyz R. Leuk Res, 2009 PMID: 19758698 Dasatinib sensitizes primary chronic lymphocytic leukaemia lymphocytes to chlorambucil and fludarabine in vitro. Amrein L, Hernandez TA, Ferrario C, Johnston J, Gibson SB, Panasci L, Aloyz R. Br J Haematoly, 2008 PMID: 19062342 Molecular Mechanisms of acquired resistance to tyrosine kinase targeted therapy. J Rafael Sierra, Virna Cepero, and Silvia Grodano. Molecular Cancer 2010 Suppression of Cytotoxic Responses by a Supernatant Factor derived from Mycoplasma hyorhinis-infected mammalian cell lines. Hung-sia Teh, Margaret Ho, and Laura D. Williams , 1987 Infection and Immunity. Vol. 56, No.1 Bo Pang – Oncology Summer Scholarship 2010 Report | Page 7