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The EOL-1 cell line as an in vitro model for the study of FIP1L1-PDGFRA-positive chronic eosinophilic leukemia

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We recently identified the chimeric kinase FIP1L1-platelet-derived growth factor receptor alpha (PDGFRalpha) as a cause of the hypereosinophilic syndrome and of chronic eosinophilic leukemia. To investigate 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 divergent kinase inhibitors--imatinib (STI-571), PKC412, and SU5614--inhibited the growth of EOL-1 cells. These results indicate 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-PDGFRalpha.
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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-PDGFRApositive 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 conrmed 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-PDGFRApositive 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 insuf-
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 ndings 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 identied 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
amplication 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 nd 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 identied EOL-1
as the rst 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-PDGFRApositive CEL, FIP1L1-
PDGFRmediated 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 OnderzoekVlaanderen. 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.
References
1. Chusid MJ, Dale DC, West BC, Wolff SM. The
hypereosinophilic syndrome: analysis offourteen
cases with review of the literature. Medicine (Bal-
timore). 1975;54:1-27.
2. Weller PF, Bubley GJ. The idiopathic hypereosi-
nophilic syndrome. Blood. 1994;83:2759-2779.
3. Bain BJ. Eosinophilic leukaemias and the idio-
pathic hypereosinophilic syndrome. BrJ Haema-
tol. 1996;95:2-9.
4. Cools J, DeAngelo DJ, Gotlib J, et al.Atyrosine
kinase created by fusionof the PDGFRAand
FIP1L1 genes as atherapeutic target of imatinib
in idiopathic hypereosinophilic syndrome.N Engl
J Med. 2003;348:1201-1214.
5. Drexler HG, MatsuoAY, MacLeod RA. Continu-
ous hematopoietic cell linesas model systems for
leukemia- lymphoma research. LeukRes. 2000;
24:881-911.
6. Quentmeier H, Reinhardt J, Zaborski M, Drexler
HG. FLT3 mutations in acutemyeloid leukemia
cell lines. Leukemia. 2003;17:120-124.
7. KlionAD, Noel P, Akin C, et al.Elevated serum
tryptase levels identify asubset of patients with a
myeloproliferative variant of idiopathichypereosi-
nophilic syndrome associated withtissue brosis,
poor prognosis, and imatinibresponsiveness.
Blood. 2003;101:4660-4666.
8. Saito H, BourinbaiarA, Ginsburg M, et al. Estab-
lishment and characterization ofa new human
eosinophilic leukemia cell line.Blood. 1985;66:
1233-1240.
9. Quentmeier H, Reinhardt J, Zaborski M, Drexler
HG. MLLpartial tandem duplication in acute leu-
kemia cell lines. Leukemia.2003;17:980-981.
10. Ayton PM, Cleary ML. Molecularmechanisms of
leukemogenesis mediated by MLLfusion pro-
teins. Oncogene. 2001;20:5695-5707.
11. Caligiuri MA, Strout MP, Schichman SA, et al.
Partial tandem duplication ofALL1 as a recurrent
molecular defect in acutemyeloid leukemia with
trisomy 11. Cancer Res. 1996;56:1418-1425.
Figure2. Inhibition ofcellgrowth, induction ofapopto-
sis, and inhibition of FIP1L1-PDGFR kinase activity
in EOL-1 cells treated with various kinase inhibitors.
(A) Dose-response curves of EOL-1 cells treated with
imatinib, PKC412, or SU5614. The percentage of growth
relative to untreated cells is plotted for increasing drug
concentrations (48-hour incubation). (B) Detection of
apoptotic EOL-1 cells after 24-hour incubation with ima-
tinib (10 nM), PKC412 (100 nM), or SU5614 (100 nM).
Apoptotic cells (lower right quadrant), necrotic cells
(upper right quadrant), and viable cells (lower left quad-
rant) were detected. (C) Phosphorylation of FIP1L1-
PDGFR was analyzed using antiphosphotyrosine
antibodyon immunoprecipitatedFIP1L1-PDGFR.Phos-
phorylation of STAT5 was analyzed using antiphospho-
STAT5 antibody, which recognizes phosphorylated
STAT5a (upper band) and STAT5b (lower band). Mem-
branes were blotted with anti-PDGFR or anti-STAT5a
antibodies as loading control.
2804 COOLSet al BLOOD, 1APRIL 2004
VOLUME 103, NUMBER7
For personal use only. by guest on June 6, 2013. bloodjournal.hematologylibrary.orgFrom
12. Kelly LM, Gilliland DG. Genetics of myeloid leuke-
mias.Annu Rev Genomics Hum Genet. 2002;3:
179-198.
13. Capdeville R, Buchdunger E, Zimmermann J,
MatterA. Glivec (STI571, imatinib), a rationally
developed, targeted anticancer drug.Nat Rev
Drug Discov. 2002;1:493-502.
14. Andrejauskas-Buchdunger E, Regenass U. Dif-
ferential inhibition of theepidermal growth factor-,
platelet- derived growth factor-,and protein ki-
nase C-mediated signal transductionpathways
by the staurosporine derivativeCGP 41251. Can-
cer Res. 1992;52:5353-5358.
15. Cools J, Stover EH, Boulton CL, et al. PKC412
overcomes resistance to imatinibin a murine
model of FIP1L1-PDGFRinduced myeloprolif-
erative disease. Cancer Cell.2003;3:459-469.
16. Sun L,Tran N, Tang F, et al. Synthesis and bio-
logical evaluations of 3-substitutedindolin-2-
ones: a novel classof tyrosine kinase inhibitors
that exhibit selectivity towardparticular receptor
tyrosine kinases. J MedChem. 1998;41:2588-
2603.
17. Yee KW, OFarrellAM, Smolich BD, et al. SU5416
and SU5614 inhibit kinaseactivity of wild-type
and mutant FLT3 receptor tyrosinekinase. Blood.
2002;100:2941-2949.
18. Spiekermann K, Dirschinger RJ, Schwab R, et al.
The protein tyrosine kinase inhibitor SU5614 in-
hibits FLT3 and induces growtharrest and apo-
ptosis inAML-derived cell lines expressing a con-
stitutively activated FLT3. Blood. 2003;101:1494-
1504.
19. Grifn JH, Leung J, Bruner RJ, Caligiuri MA,
Briesewitz R. Discovery ofa fusion kinase in
EOL-1 cells and idiopathichypereosinophilic syn-
drome. Proc NatlAcad Sci U SA. 2003;100:7830-
7835.
20. Higuchi W, Koike T, Ihizumi T, ShibataA. Hyper-
eosinophilic syndrome terminating inacute my-
elogenous leukemia.Acta Haematol. 1993;90:
165-166.
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... A number of the additional targets captured by these clusters include pathways that have been implicated in disease pathogenesis and drug resistance in AML. These include targeting of PDGFRα in the rare FIP1L1-PDGFRα positive chronic eosinophilic leukemia form of AML (21) and of CSF1R to interrupt a paracrine signal between monocytes and AML cells (8,9). In addition, mutation of TP53 is a strong driver of drug resistance in both AML, including resistance to FLT3 inhibitors (6) and venetoclax (10,22,23). ...
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... The EOL-1 cell line is characterized by the expression of the FIP1L1-PDGFRA fusion gene, which encodes the 110-kDa oncogenic variant of PDGFRα. This genetic background makes this cell line a commonly used in vitro model of FIP1L1-PDGFRA-positive chronic eosinophilic leukaemia [11]. The high sensitivity of the EOL-1 cell line to our compounds encouraged us to describe their mechanism of action in this cellular model in more detail. ...
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... The origin was established at diagnosis from the peripheral blood of a 33-year-old man with acute myeloid (eosinophilic) leukemia following hypereosinophilic syndrome and is described to carry the fusion FIP1L1-PDGFRα gene [8]. The EoL-1 cell line is used as an in vitro model for the study of FIP1L1-PDGFRA-positive chronic eosinophilic leukemia [9] and is particularly useful for analyzing leukemic cell differentiation and the properties of malignant eosinophils [10]. EoL-1 cells differentiate not only phenotypically but also functionally into eosinophils by a number of stimuli (including alkaline pH, dimethylsulfoxide, TNF-α, G-CSF + TNF-α, HIL-3-derived factor, dibutyryl cAMP, IFN-γ). ...
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... The etiology of the primary disease often specifies the best therapeutic strategy. For example, a subset of patients with HES have an 800kb interstitial deletion on chromosome 4 (4q12) that results in the fusion of an unknown gene FIP1-L1 with PDGFRA (Cools et al. 2003(Cools et al. , 2004a. This fusion gene produces a constitutively active tyrosine kinase (PDGFRA) that is exquisitively sensitive to the inhibitor imatinib mesylate, which is now approved for the treatment of HES (Gleevec). ...
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Along with other improvements, the advent of continuous human leukemia-lymphoma (LL) cell lines as a rich resource of abundant, accessible and manipulable living cells has contributed significantly to a better understanding of the pathophysiology of hematopoietic tumors. The first LL cell lines, Burkitt's lymphoma-derived lines, were established in 1963. Since then, more than 1000 cell lines have been described, although not all of them in full detail. The major advantages of continuous cell lines is the unlimited supply and worldwide availability of identical cell material, and the infinite viable storability in liquid nitrogen. LL cell lines are characterized generally by monoclonal origin and differentiation arrest, sustained proliferation in vitro under preservation of most cellular features, and specific genetic alterations. The most practical classification of LL cell lines assigns them to one of the physiologically occurring cell lineages, based on their immunophenotype, genotype and functional features. Truly malignant cell lines must be discerned from Epstein-Barr virus (EBV)-immortalized normal cells, using various distinguishing parameters. However, the picture is not quite so straightforward, as some types of LL cell lines are indeed EBV+, and some EBV+ normal cell lines carry also genetic aberrations and may mimic malignancy-associated features. Apart from EBV and human T-cell leukemia virus in some lines, the majority of wild-type LL cell lines are virus-negative. The efficiency of cell line establishment is rather low and the deliberate establishment of new LL cell lines remains by and large an unpredictable random process. Difficulties in establishing continuous cell lines may be caused by the inappropriate selection of nutrients and growth factors for these cells. Clearly, a generally suitable microenvironment for hematopoietic cells, either malignant or normal, cannot yet be created in vitro. The characterization and publication of new LL cell lines should provide important and informative core data, attesting to their scientific significance. Large percentages of LL cell lines are contaminated with mycoplasma (about 30%) or are cross-contaminated with other cell lines (about 15-20%). Solutions to these problems are sensitive detection, effective elimination and rigorous prevention of mycoplasma infection, and proper, regular authentication of cell lines. The underlying cause, however, appears to be negligent cell culture practice. The willingness of investigators to make their LL cell lines available to others is all too often limited. There is a need in the scientific community for clean and authenticated high-quality LL cell lines to which every scientist has access. These are offered by various institutionalized public cell line banks. It has been argued that LL cell lines are genetically unstable (both cytogenetically and molecular genetically). For instance, cell lines are supposed to acquire numerical and structural chromosomal alterations and various types of mutations (e.g. point mutations) in vitro. We present evidence that while nearly 100% of all LL cell lines indeed carry genetic alterations, these alterations appear to be stable rather than unstable. As an example of the practical utility of LL cell lines, the recent advances in studies of classical and molecular cytogenetics, which in large part were made possible by cell lines, are highlighted. A list of the most useful, robust and publicly available reference cell lines that may be used for a variety of experimental purposes is proposed. Clearly, by opening new avenues for investigation, studies of LL cell lines have provided seminal insights into the biology of hematopoietic neoplasia. Over a period of nearly four decades, these initially rather exotic cell cultures, known only to a few specialists, have become ubiquitous powerful research tools that are available to every investigator.