Hypoxia regulates CD9 expression and dissemination of B lymphoblasts

Jérémie Rouger-Gaudichon, Elie Cousin, Hélène Jakobczyk, Lydie Debaize, Anne-Gaëlle Rio, Anne Forestier, Marie-Pierre Arnaud, Arnaud Villacreces, Vincent Praloran, Rodrigo Jacamo, Marie-Dominique Galibert, Marie-Bérengère Troadec, Virginie Gandemer, Jérémie Rouger-Gaudichon, Elie Cousin, Hélène Jakobczyk, Lydie Debaize, Anne-Gaëlle Rio, Anne Forestier, Marie-Pierre Arnaud, Arnaud Villacreces, Vincent Praloran, Rodrigo Jacamo, Marie-Dominique Galibert, Marie-Bérengère Troadec, Virginie Gandemer

Abstract

Acute lymphoblastic leukemias (ALL) are the most frequent cancer in children and derive most often from B-cell precursors. Current survival rates roughly reach 90% at 10 years from diagnosis. However, 15-20% of children still relapse with a significant risk of death. Our previous work showed that the transmembrane protein CD9 plays a major role in lymphoblasts migration into sanctuary sites, especially in testis, through the activation of RAC1 signaling upon blasts stimulation with C-X-C chemokine ligand 12 (CXCL12). Here, we identified common factors shared by the bone marrow and extramedullary niches which could upregulate CD9 expression and function. We found that low oxygen levels enhance CD9 expression both at mRNA and protein levels. We further determined that Hypoxia Inducible Factor 1α (HIF1α), the master transcription factor involved in hypoxia response, binds directly CD9 promoter and induce CD9 transcription. We also showed that CD9 protein is crucial for leukemic cell adhesion and migration at low oxygen levels, possibly through its action on RAC1 signaling. Mouse xenograft experiments indicate that HIF1α signaling pathway promotes ALL cells engraftment in a CD9-dependent manner. The present work increments our understanding of CD9 implication in ALL pathogenesis.

Keywords: Acute lymphoblastic leukemia; CD9; Children; Hypoxia; Tetraspanin.

Conflict of interest statement

Conflict of interest The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

Copyright © 2022 Elsevier Ltd. All rights reserved.

Source: PubMed

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