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doi:10.1182/blood-2003-07-2479
Prepublished online November 20, 2003;
2004 103: 2802-2805
and D. Gary Gilliland
Jan Cools, Hilmar Quentmeier, Brian J. P. Huntly, Peter Marynen, James D. Griffin, Hans G. Drexler
positive chronic eosinophilic leukemia−
The EOL-1 cell line as an in vitro model for the study of FIP1L1-PDGFRA
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NEOPLASIA
Brief report
The EOL-1 cell line as an in vitro model for the study of
FIP1L1-PDGFRA–positive chronic eosinophilic leukemia
Jan Cools, Hilmar Quentmeier, Brian J. P. Huntly, Peter Marynen, James D. Griffin, Hans G. Drexler, and D. Gary Gilliland
Werecently identified the chimeric kinase
FIP1L1–platelet-derived growth factor re-
ceptor ␣ (PDGFR␣) as a cause of the
hypereosinophilic syndrome and of
chronic eosinophilic leukemia. To investi-
gate the role of FIP1L1-PDGFRA in the
pathogenesis of acute leukemia, we
screened 87 leukemia cell lines for the
presence of FIP1L1-PDGFRA. One cell
line, EOL-1, expressed the FIP1L1-
PDGFRA fusion. Three structurally diver-
gent kinase inhibitors—imatinib (STI-
571), PKC412, and SU5614—inhibited the
growth of EOL-1 cells. These results in-
dicate that the fusion of FIP1L1 to
PDGFRA occurs rarely in leukemia cell
lines, but they identify EOL-1 as an in
vitro model for the study of FIP1L1-
PDGFRA–positive chronic eosinophilic
leukemia and for the analysis of small
molecule inhibitors of FIP1L1-PDGFR␣.
(Blood. 2004;103:2802-2805)
© 2004 by The American Society of Hematology
Introduction
The hypereosinophilic syndrome (HES) is a hematologic disease
characterized by prolonged eosinophilia, exclusion of reactive
eosinophilia, and organ damage.
1,2
HES is reclassified as chronic
eosinophilic leukemia (CEL) when clonality is demonstrated.
3
We
recently identified the kinase FIP1L1–platelet-derived growth
factor receptor ␣ (PDGFR␣) as the cause and the therapeutic target
of imatinib in 56% of HES cases.
4
These results demonstrate that
most HES cases are clonal in origin and could be reclassified as
FIP1L1-PDGFRA–positive CEL. The FIP1L1-PDGFRA fusion
gene is created by an interstitial chromosomal deletion on chromo-
some 4q12 that is not apparent using standard karyotypic analysis.
4
Expression of the FIP1L1-PDGFRA fusion is under control of the
ubiquitous FIP1L1 promoter, suggesting the possibility that FIP1L1-
PDGFR␣ may be involved in the pathogenesis of other hemato-
logic malignancies. To get insight into this, we screened 87
leukemia cell lines for the presence of the FIP1L1-PDGFRA fusion
gene. Leukemia cell lines have been proven to be a valuable
resource for the study of hematologic malignancies,
5
and our
results now identify the EOL-1 cell line as an in vitro model for the
study of FIP1L1-PDGFRA–positive CEL.
Study design
PCR and RT-PCR
FIP1L1-PDGFRA fusion was amplifiedfrom DNAwith primers FIP1L1-F9
(5⬘-tggggcaattgatgttatcg) and PDGFRA-RI12 (5⬘-gtgcaagggaaaagggagtct).
RNA was isolated from cell lines from the DSMZ collection (http://
www.dsmz.de), as described.
6
Reverse transcription–polymerase chain
reaction (RT-PCR) was performed with primers FIP1L1-F7 (5⬘-acctggtgct-
gatctttctgat) and PDGFRA-R14 (5⬘-tgagagcttgtttttcactgga) for the detection
of FIP1L1-PDGFRA and primers PDGFRA-F11 (5⬘-ggtgctgttggtgattgtga)
and FIP1L1-R10 (5⬘-cagctcctggagggaaaaac) for the detection of PDGFRA-
FIP1L1. Primers PDGFRA-F11 and PDGFRA-R14 were used to detect
PDGFRA expression, and primers FIP1L1-F7 and FIP1L1-R10 were used
to detect FIP1L1 expression.
Cell culture and dose-response curves
The EOL-1 cell line (DSMZ ACC386) was grown in RPMI 1640
medium with 10% fetal bovine serum. Imatinib and PKC412 were
kindly provided by Novartis; SU5614 was purchased from Calbiochem
(San Diego, CA). Kinase inhibitors were stored in water (imatinib) or
dimethyl sulfoxide (DMSO) (PKC412, SU5614) and diluted in RPMI
1640 medium. For dose-response curves, EOL-1 cultures were initiated
at 3 ⫻ 10
5
cells/mL, and viable cell numbers were determined at the
beginning and after 48 hours using the Celltiter AQueousOne solution
(Promega, Madison, WI). Dose-response curves were fitted using Origin
(OriginLab, Northampton, MA).
Detection of apoptosis
Apoptotic cells were detected byflow cytometricanalysis usinga FACSCali-
bur Cytometer (Becton Dickinson, Mountain View, CA) after staining with
annexin V–fluorescein and propidium iodide (Roche, Indianapolis, IN).
Western blotting and immunoprecipitation
EOL-1 cellswere treatedwith kinase inhibitors for 3hours andthen lysed inlysis
buffer (Cell Signaling Technology, Beverly, MA) for immunoprecipitation or in
sodium dodecyl sulfate (SDS) sample buffer (Cell Signaling Technology) for
whole-cell lysates. Immunoprecipitation was performed using anti-PDGFR␣
(C-20) antibody (Santa Cruz Biotechnology, Santa Cruz, CA) and Protein A
agarose (Roche). Antibodies used were anti-phospho–signal transducer and
From the Division of Hematology and the Howard Hughes Medical Institute,
Brigham and Women’s Hospital, Harvard Medical School, Boston, MA; Dana-
Farber Cancer Institute, Harvard Medical School, Boston, MA; Center for
Human Genetics–Flanders Interuniversity Institute of Biotechnology (VIB),
University of Leuven, Belgium; and the DSMZ–German Collection of
Microorganisms and Cell Cultures, Department of Human and Animal Cell
Cultures, Braunschweig, Germany.
Submitted July 23, 2003; accepted November 16, 2003. Prepublished online as
Blood FirstEdition Paper, November 20,2003; DOI 10.1182/blood-2003-07-2479.
Supported by National Institutes of Health grant DK50654 and CA66996 and
the Leukemia and Lymphoma Society (D.G.G), and by research funding from
Novartis PharmaAG (J.D.G.).
Reprints: Jan Cools, Center for Human Genetics, Campus Gasthuisberg O&N 06,
Herestraat 49,B-3000 Leuven,Belgium; e-mail:jan.cools@med.kuleuven.ac.be.
The publication costs of this article were defrayed in part by page charge
payment. Therefore, and solely to indicate this fact, this article is hereby
marked ‘‘advertisement’’in accordance with 18 U.S.C. section 1734.
© 2004 by The American Society of Hematology
2802 BLOOD, 1APRIL 2004
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activator of transduction 5 (STAT5) (Cell Signaling), anti-PDGFR␣ (951),
anti-STAT5a (Santa Cruz Biotechnology), antiphosphotyrosine (4G10) (Upstate
Biotechnology, LakePlacid, NY), antimouse-peroxidase (PO),and antirabbit-PO
(APBiotech, Piscataway, NJ).
Results and discussion
We performed RT-PCR on RNA obtained from 67 acute myeloid
leukemia (AML) and 20 acute lymphoid leukemia (ALL) cell lines,
with a primer combination that would detect all known FIP1L1-
PDGFRA fusion variants.
4,7
In 1 AML cell line, EOL-1 (and
derivative EOL-3), a fusion between FIP1L1 and PDGFRA was
detected (Figure 1). No other cell lines harbored this fusion gene
(data not shown).
In consonance with our previous observations in patients with
FIP1L1-PDGFRA–positive CEL,
4,7
the EOL-1 cell line expressed
in-frame FIP1L1-PDGFRA fusion transcripts, with the fusion of
exon 9 of FIP1L1 to a truncated exon 12 of PDGFRA. Because of
splice variation within FIP1L1, different fusion transcripts were
observed in the EOL-1 cells (exon 8a can be present or absent
between exon 8 and exon 9, but in both variants an open-reading
frame is present) (Figure 1). Cloning of the fusion gene at the DNA
level confirmed that the breakpoint in FIP1L1 was located in intron
9 and that the breakpoint in PDGFRA was located in exon 12. No
reciprocal PDGFRA-FIP1L1 fusion gene could be detected (Figure
1). Taken together, these data indicate that FIP1L1-PDGFRA
fusion in the EOL-1 cell line is the consequence of the
del(4)(q12q12) interstitial chromosomal deletion, as observed in
FIP1L1-PDGFRA–positive CELpatients.
4
The EOL-1 cell line did
not express wild-type PDGFRA but did express wild-type FIP1L1
(Figure 1).
EOL-1 was originally derived from the blasts of a 33-year-old
man with CEL, when disease progressed to AML (54% blasts;
karyotype, 48,XY,⫹6,⫹8,9q⫺).
8
We recently discovered that this
cell line harborsa partial tandem duplication within the MLL gene.
9
Translocations involving MLL and partial tandem duplication
within the MLL gene were described as leukemogenic mutations
involved in the pathogenesis of AML.
10,11
Mouse models have
demonstrated that MLL fusion proteins are necessary but insuffi-
cient for leukemogenesis.
10
Based on these and other observations,
it has been proposed that AML cells harbor at least 2 mutations, 1
that confers a proliferative or survival advantage, or both, and 1
that results in impaired differentiation of hematopoietic progeni-
tors.
12
Taken together, these findings suggest that FIP1L1-
PDGFR␣ and mutated MLL may cooperate to cause the progres-
sion of CEL to AML.
We next tested for dose-dependent inhibition of the growth of
EOL-1 cells by the kinase inhibitors imatinib
13
and PKC412,
14
both
known to inhibit FIP1L1-PDGFR␣,
4,15
and SU5614,
16
known to
inhibit FMS-like tyrosine kinase 3 (FLT3).
17,18
The growth of
EOL-1 cells was inhibited by these drugs, with cellular IC
50
of
approximately 0.8 nM for imatinib, 20 nM for PKC412, and 50 nM
for SU5614 (Figure 2A). Twenty-four hours after drug treatment,
most EOL-1 cells were apoptotic (Figure 2B), indicating that
growth inhibition by these 3 drugs was caused by apoptosis.
FIP1L1-PDGFR␣ has recently been identified as the major phos-
phorylated protein in EOL-1 cells.
19
Our results suggest that all 3
inhibitors directly affect FIP1L1-PDGFR␣ activity, as indicted by
Figure 1. Fusion of FIP1L1 to PDGFRA in the EOL-1 cell line. Detection
of the FIP1L1-PDGFRAfusion transcriptin the EOL-1and EOL-3celllines
(A), detection of FIP1L1 expression in the EOL-1 cell line (B), and
amplification of theFIP1L1-PDGFRA fusion gene onDNAfrom the EOL-1
cell line (C). Different transcripts are observed for FIP1L1 and FIP1L1-
PDGFRA (A-B) because of alternative splicing. Expressions of PDGFRA-
FIP1L1 and native PDGFRA were not detected (B). The sequence of the
fusiongene surroundingthe deletionis shownat theDNAlevel,atthe RNA
level(after splicing),and atthe proteinlevel (D). Splicedonor andacceptor
sites are underlined. A cryptic splice site is used in exon 12 of PDGFRA.
Schematic representation of FIP1L1, PDGFR␣, and FIP1L1-PDGFR␣
proteins (E). Points at which the proteins are interrupted by the deletion
are indicated by arrowheads.
FUSION OF FIP1L1TO PDGFRA INTHE EOL-1 CELLLINE 2803BLOOD, 1APRIL 2004
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the dose-dependent decrease of phosphorylation of FIP1L1-
PDGFR␣ and STAT5, a downstream effector of FIP1L1-PDGFR␣–
mediated signal transduction. A 50% reduction of phosphorylation
of FIP1L1-PDGFR␣ was reached at approximately 5 nM imatinib,
100 nM PKC412, and 50 nM SU5614 (Figure 2C). Because these 3
inhibitors also inhibit KIT and because PKC412 and SU5614 also
inhibit FLT3, we investigated whether the inhibition of FLT3 or
KIT could be involved in the growth inhibition of EOL-1 cells.
However, we did not find evidencefor the phosphorylation of FLT3
or KIT. Although we cannot exclude that the inhibition of other
native tyrosine kinases may contribute to the inhibition of cell
growth, our results suggest that growth inhibition and induction of
apoptosis are primarily the result of direct FIP1L1-PDGFR␣
inhibition.
In conclusion, although CEL has been observed to progress to
AML,
4,8,20
our results suggest that FIP1L1-PDGFR␣ is not fre
-
quently involved in the pathogenesis ofAML. We identified EOL-1
as the first cell line expressing the FIP1L1-PDGFRA fusion gene
and as a valuable in vitro model for the screening for new
FIP1L1-PDGFR␣ inhibitors in the context of a human cell line
expressing the fusion protein from its endogenous promoter.
EOL-1 cells may provide a unique reagent for understanding
lineage involvement in FIP1L1-PDGFRA–positive CEL, FIP1L1-
PDGFR␣–mediated signaling, and the transcriptional targets of
FIP1L1-PDGFR␣ that contribute to the CEL phenotype.
Acknowledgments
J.C. is a “postdoctoraal onderzoeker” of the “Fonds voor Weten-
schappelijk Onderzoek–Vlaanderen.” B.J.P.H. is a senior clinical
fellow of the Leukaemia Research Fund (United Kingdom).
D.G.G. is an associate investigator of the Howard Hughes Medical
Institute.
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