The role of cell contact and autostimulatory soluble factors in the proliferation of blast cells in acute myeloblastic leukemia

The role of cellular interactions in stimulating leukemic cell proliferation was studied in AML. When peripheral blood blasts were cultured in suspension in flat-bottomed vessels at low cell numbers (15.6-500 x 10(3)/ml), the rate of DNA synthesis [( 3H]thymidine incorporation) was proportional to cell density. When cells were cultured under otherwise identical conditions in round-bottomed vessels, to induce cell crowding, the rate of DNA synthesis was independent of cell numbers and was significantly augmented (p less than or equal to 0.01). Physical separation of cells in round-bottomed (crowded) cultures by latex beads reduced DNA synthesis to the same rate as that in flat-bottomed (non-crowded) cultures. In contrast, addition of mitomycin-treated autologous blasts had little effect in crowded cultures but increased DNA synthesis in non-crowded cultures. DNA synthesis was also enhanced: by reducing culture volume to concentrate any diffusible factors produced by the cells or by blast cell conditioned medium from autologous blasts grown under crowded conditions. Cells cultured in suspension for 72 hr under crowded/non-crowded conditions both formed blast cell colonies in methyl cellulose; however, the number of colonies derived from crowded cultures was greater. These results indicate that cell proximity promotes proliferation of blasts and blast cell progenitors; both close cell contact and autostimulatory soluble factors are important in regulating growth of AML blasts.