Chronic Lymphocytic Leukemia (CLL) is defined by the accumulation of clonally expanded CD5+ and CD19+ B lymphocytes in blood and secondary lymphoid organs with impaired apoptotic mechanisms. CLL represents one third of all leukemia cases with an average age of 72 years at diagnosis making it the most common adult leukemia. The Eµ-Tcl1 mouse serves as an excellent model to study the development of CLL as they progress to a CLL like disease by 9-14 months of age, due to overexpression of an oncogene, T cell Leukemia 1(Tcl1), specifically in B cells through the Ig VH promoter and Eµ enhancer (Bichi et al. PNAS. 2002). In an adoptive transfer model, intravenous or intraperitoneal injection of primary CD5+CD19+ CLL cells from the Eµ-Tcl1 CLL mouse into recipient syngeneic mice leads to the development of a CLL like disease within 3-8 weeks of transfer. We have characterized the growth of CLL cells in these mice by periodic submandibular bleeding, spleen ultrasonography and flow cytometry. We find that Eµ-Tcl1 CLL cells express more Prostate apoptosis response-4 protein (Par-4), a known pro-apoptotic tumor suppressor protein, than normal B-1 or B-2 cells in mice. Par-4 is silenced by promoter methylation in more than 30% of all cancers and has been shown to be secreted and to induce apoptosis selectively in various types of cancer cells but not in normal cells. We found that CLL cells have constitutively active B-cell receptor signaling (BCR) and that inhibition of BCR signaling with FDA approved drugs causes a decrease in Par-4 protein, mRNA levels, and an increase in apoptosis. In particular, activities of Src family kinases, spleen tyrosine kinase and Bruton’s tyrosine kinase are required for Par-4 expression in CLL cells, suggesting a novel regulation of Par-4 through BCR signaling in both Eµ-Tcl1 CLL cells and primary human CLL samples. Consistent with this, lenti-viral shRNA mediated knockdown of Lyn kinase leads to a decrease in Par-4 expression in MEC-1 cells, a human CLL derived cell line. Igα (CD79a) silencing in primary human CLL cells also results in down regulation of Par-4 expression. Additionally, we knocked down expression of Par-4 in MEC-1 cells which resulted in a decrease in cell growth that could be attributed to an increase in p21 expression and a reduction in the G1/S cell cycle transition. We have also observed this phenomenon by crossing mice deficient in Par-4 with the Eµ-Tcl1 mouse where lack of Par-4 delays CLL growth in the mouse significantly (time to euthanization due to poor body condition - Eµ-Tcl1: 8.9mo vs Par4-/-EµTcl1: 11.97 mo, p = 0.0472) and splenic B-CLL cells from these mice also have increased expression of p21. Since mice in this cohort are whole body knockout for Par-4, the difference in survival times between the Par-4 +ve and Par-4 –ve EµTcl1 mice could be due to the influence of Par-4 on CLL cells as well as the effect of Par-4 secreted by the CLL cells on the microenvironment. There could be other potential roles for Par-4 in the context of CLL which are under further investigation. We have also investigated the site of CLL growth in mouse models to determine that the spleen is the primary organ to accumulate the CLL tumor burden. We have found that splenectomy significantly delays the development of CLL in the primary Eμ-Tcl1 mouse model and prevents growth and development in the adoptive transfer model. Interestingly, splenectomy did not delay CLL development as significantly in animals deficient for Par-4 compared to C57BL/6 wild type mice. Par-4 appears to regulate a specific microenvironment required for CLL growth. Current studies are investigating the role of Par-4 in the microenvironment and the cell types that are critical for CLL growth within the splenic niche.

La sénescence est un important mécanisme cellulaire qui prévient la tumorigenèse et se caractérise par un arrêt permanent du cycle cellulaire orchestré principalement par les inhibiteurs des cycline-kinases dépendantes (i.e p16INK4a). La sénescence est une caractéristique importante du vieillissement, mais un déséquilibre dans son induction peut être délétère pour la régénération tissulaire et paradoxalement pour la progression tumorale. L'irradiation (IR) est couramment utilisée comme approche thérapeutique dans le cancer. Chez les enfants survivants du cancer, l’exposition à l’irradiation et à la chimiothérapie entrainent le développement d’importants effets secondaires, lesquels sont associés à une forme de vieillissement prématuré. La formation de cellules sénescentes, en inhibant la prolifération tissulaire et en sécrétant des cytokines proinflammatoires, pourrait être en être responsable. Notre groupe a précédemment démontré que le gène p16INK4a est augmenté de manière tardive (environ 8 semaines) suite à une exposition à l’irradiation. Il n'a pas encore été étudié si cette expression retardée survient en réponse aux dommages causés par l'irradiation sur l’homéostasie tissulaire ou à titre de mécanismes de suppression tumorale. Un objectif de cette thèse visait donc à déterminer s’il était possible de moduler/inhiber l’expression de p16INK4a dans le but d’accroitre la régénération tissulaire sans nécessairement accroitre les risques d’incidence du cancer. En effet, ceci pourrait être possible dans la mesure ou la sénescence induite par p16INK4a est également irréversible in vivo. Nos résultats ont démontré que l’inhibition de l’expression de p16INKa (suite à l’administration de tamoxifen chez les souris p16L/LCre), induit à la fois une augmentation de la régénération tissulaire mais malheureusement également une augmentation de l’incidence du cancer. Nous voulions également connaitre l’impact de l’accumulation de ces cellules sénescentes sur les tissus, plus spécifiquement sur la fonction des cellules immunitaires de la rate. Nous avons démontré que des altérations (dépendantes de p16INK4a) au sein du microenvironnement splénique pouvaient altérer les fonctions intrinsèques des macrophages, des cellules dendritiques et des lymphocytes T. En outre, l'élimination systémique des cellules p16INK4a positives (modèle de sourie p16-3MR) a conduit à une restauration partielle de la fonction de ces cellules immunitaires. La combinaison de ces données nous permet de mieux comprendre le rôle et la fonction du gène p16INK4a dans le processus de sénescence induite par l’irradiation. Nos résultats suggèrent qu’il est envisageable d’utiliser des agents pharmacologiques tels que des composés sénolytiques, capables d’induire l’apoptose chez les cellules sénescentes spécifiquement, afin de potentiellement diminuer les effets du vieillissement prématuré induit par la sénescence cellulaire chez les survivants du cancer. / Senescence is an important cellular mechanism that prevents tumorigenesis and is characterized by a permanent cell cycle arrest orchestrated by cyclin-dependent kinases inhibitors (i.e p16INK4a). Senescence is an important hallmark of aging and unbalanced levels of senescence is considered deleterious for tissue regeneration, and paradoxically for tumor progression. Irradiation (IR) is commonly used therapeutic approach in cancer treatment. Together with surgery and chemotherapy, it has helped to increase the life expectancy of patients and, in some cases, leads to complete remission. However, long-after therapy, children who survive cancer encounter alterations in the integrity of tissues/organs associated with premature aging. The accumulation of senescent cells may be responsible for this accelerated aging by limiting tissue proliferation and secreting pro-inflammatory cytokines. Our group has previously demonstrated that the p16INK4a gene is increased in a delayed manner (approximately 8 weeks) following exposure to IR. It has not yet been investigated whether this delayed expression occurs in response to IR-induce damage of tissue homeostasis or as tumor suppression mechanisms. One objective of this thesis was to determine whether it was possible to modulate / inhibit the expression of p16INK4a in order to increase tissue regeneration without necessarily increasing the risk of cancer incidence. Indeed, this may be possible since p16INK4a-induced senescence is also irreversible in vivo. Our results demonstrated that the inhibition of p16INK4a expression in conditional-p16INK4a null mice , induces both an increase in tissue regeneration but unfortunately also an increase in the incidence of cancer. We also wanted to know the impact of the accumulation of these senescent cells on the tissues, more specifically on the function of the immune cells in the spleen. We have demonstrated that alterations (p16INK4a-dependent) within the splenic microenvironment can alter the intrinsic functions of macrophages, dendritic cells and T cells. In addition, the systemic elimination of p16INK4a positive cells (mouse model p16-3MR) has led to a partial restoration of the function of these immune cells. The combination of these data allows us to better understand the role and function of the p16INK4a gene in the irradiation-induced senescence process. Our results suggest that it is conceivable to use pharmacological agents such as senolytic compounds, capable of inducing apoptosis in senescent cells specifically, in order to potentially reduce the effects of premature aging induced by cellular senescence in cancer survivors.