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Shotaro Iwamoto, Keichiro Mihara, James R. Downing, Ching-Hon Pui, Dario Campana
Published in Volume 117, Issue 4
J Clin Invest. 2007; 117(4):1049–1057 doi:10.1172/JCI30235
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Figure 7
Expression of ASNS in MSCs determines the susceptibility of primary ALL cells to asparaginase.

(A) Primary ALL cells, obtained from the diagnostic bone marrow of 35 children with ALL, were exposed for 48 hours to asparaginase (1.0 IU/ml) in the presence of MSCs with ASNS expression downregulated by siRNA or upregulated by ASNS transduction. Results were compared to those of parallel cultures using MSCs transduced with a scrambled siRNA construct or empty vector, respectively. Values are mean ± SD cell killing obtained in cultures with each MSC type relative to that of its corresponding control (indicated by the dashed line). Differences between the test and control cultures were significant (P < 0.05, Student’s t test) in all samples except 1–6 and 23 in cultures with MSCs underexpressing ASNS and 5 and 14–16 in cultures with MSCs overexpressing ASNS. (B) The mean cytotoxicity ratio obtained in cultures with MSCs overexpressing ASNS were subtracted from those with MSCs underexpressing ASNS to derive a protection index. Figure shows the relation between this protection index and genetic subtype in the 35 ALL samples. P = 0.068, hyperdiploid cases; *Cases lacking known genetic abnormalities, P = 0.023; Wilcoxon rank-sum test. (C) Relationship between protection index and ASNS transcript expression in ALL cells by real-time PCR. r2 by regression analysis is shown.