Evidence map›Paper›PMID 34614505›Full record

ArticleBlood advances2021

ALL blasts drive primary mesenchymal stromal cells to increase asparagine availability during asparaginase treatment.

Martina Chiu, Giuseppe Taurino, Erica Dander, Donatella Bardelli, Alessandra Fallati, Roberta Andreoli, Massimiliano G Bianchi, Cecilia Carubbi, Giulia Pozzi, Laura Galuppo and 6 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 27 citations in OpenAlex.

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  9. Biology and Therapeutic Properties of Mesenchymal Stem Cells in Leukemia.International journal of molecular sciences · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 3 institutions in 2 countries.

Martina ChiuLaboratory of General Pathology, Department of Medicine and Surgery, University of Parma, Parma, Italy.ORCID 0000-0002-5655-9984
Giuseppe TaurinoLaboratory of General Pathology, Department of Medicine and Surgery, University of Parma, Parma, Italy.ORCID 0000-0001-9606-1171
Erica DanderCentro Ricerca Tettamanti, Pediatric Department, University of Milano-Bicocca, Fondazione MBBM, Monza, Italy.ORCID 0000-0002-2810-1263
Donatella BardelliCentro Ricerca Tettamanti, Pediatric Department, University of Milano-Bicocca, Fondazione MBBM, Monza, Italy.
Alessandra FallatiCentro Ricerca Tettamanti, Pediatric Department, University of Milano-Bicocca, Fondazione MBBM, Monza, Italy.ORCID 0000-0002-8673-6355
Roberta AndreoliLaboratory of Industrial Toxicology, Department of Medicine and Surgery, University of Parma, Parma, Italy.ORCID 0000-0003-1761-460X
Massimiliano G BianchiLaboratory of General Pathology, Department of Medicine and Surgery, University of Parma, Parma, Italy.ORCID 0000-0002-4179-6573
Cecilia CarubbiLaboratory of Anatomy and Histology, Department of Medicine and Surgery, University of Parma, Parma, Italy.
Giulia PozziLaboratory of Anatomy and Histology, Department of Medicine and Surgery, University of Parma, Parma, Italy.
Laura GaluppoLaboratory of Anatomy and Histology, Department of Medicine and Surgery, University of Parma, Parma, Italy.
Prisco MirandolaLaboratory of Anatomy and Histology, Department of Medicine and Surgery, University of Parma, Parma, Italy.
Carmelo RizzariPediatric Hematology-Oncology Unit, University of Milano-Bicocca, MBBM Foundation, ASST Monza, Monza, Italy.
Saverio TarditoCancer Research UK Beatson Institute, Glasgow, United Kingdom; and.ORCID 0000-0002-5294-8683
Andrea BiondiPediatric Hematology-Oncology Unit, University of Milano-Bicocca, MBBM Foundation, ASST Monza, Monza, Italy.
Giovanna D'AmicoCentro Ricerca Tettamanti, Pediatric Department, University of Milano-Bicocca, Fondazione MBBM, Monza, Italy.ORCID 0000-0001-7809-7269
Ovidio BussolatiLaboratory of General Pathology, Department of Medicine and Surgery, University of Parma, Parma, Italy.ORCID 0000-0002-4301-2939
University of Parma · ITUniversity of Milano-Bicocca · ITCancer Research UK Scotland Institute · GB

Funding

Cancer Research UK 23982Cancer Research UK C596/A17196
6 · The paper itself

Abstract

Mechanisms underlying the resistance of acute lymphoblastic leukemia (ALL) blasts to l-asparaginase are still incompletely known. Here we demonstrate that human primary bone marrow mesenchymal stromal cells (MSCs) successfully adapt to l-asparaginase and markedly protect leukemic blasts from the enzyme-dependent cytotoxicity through an amino acid trade-off. ALL blasts synthesize and secrete glutamine, thus increasing extracellular glutamine availability for stromal cells. In turn, MSCs use glutamine, either synthesized through glutamine synthetase (GS) or imported, to produce asparagine, which is then extruded to sustain asparagine-auxotroph leukemic cells. GS inhibition prevents mesenchymal cells adaptation to l-asparaginase, lowers glutamine secretion by ALL blasts, and markedly hinders the protection exerted by MSCs on leukemic cells. The pro-survival amino acid exchange is hindered by the inhibition or silencing of the asparagine efflux transporter SNAT5, which is induced in mesenchymal cells by ALL blasts. Consistently, primary MSCs from ALL patients express higher levels of SNAT5 (P < .05), secrete more asparagine (P < .05), and protect leukemic blasts (P < .05) better than MSCs isolated from healthy donors. In conclusion, ALL blasts arrange a pro-leukemic amino acid trade-off with bone marrow mesenchymal cells, which depends on GS and SNAT5 and promotes leukemic cell survival during l-asparaginase treatment.

Indexed as

Mesenchymal Stem CellsPrecursor Cell Lymphoblastic Leukemia-LymphomaAsparaginaseAsparagineBone Marrow CellsHumansAsparaginaseAsparagine

Identifiers

PMID34614505
PMCPMC9153005
OpenAlexW3203335421

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.