The multi-CDK inhibitor dinaciclib reverses bromo- and extra-terminal domain (BET) inhibitor resistance in acute myeloid leukemia via inhibition of Wnt/ß-catenin signaling.

Acute myeloid leukemia (AML) is a highly aggressive hematologic cancer with poor survival across a broad range of molecular subtypes. Development of efficacious and well-tolerable therapies encompassing the range of mutations that can arise in AML remains an unmet need. The bromo- and extra-terminal domain (BET) family of proteins represents an attractive therapeutic target in AML due to their crucial roles in many cellular functions, regardless of any specific mutation. Many BET inhibitors (BETi) are currently in pre-clinical and early clinical development, but acquisition of resistance continues to remain an obstacle for the drug class. Novel methods to circumvent this development of resistance could be instrumental for the future use of BET inhibitors in AML, both as monotherapy and in combination. To date, many investigations into possible drug combinations of BETi with CDK inhibitors have focused on CDK9, which has a known physical and functional interaction with the BET protein BRD4. Therefore, we wished to investigate possible synergy and additive effects between inhibitors of these targets in AML. Here, we describe combination therapy with the multi-CDK inhibitor dinaciclib and the BETi PLX51107 in pre-clinical models of AML. Dinaciclib and PLX51107 demonstrate additive effects in AML cell lines, primary AML samples, and in vivo. Further, we demonstrate novel activity of dinaciclib through inhibition of the canonical/ß-catenin dependent Wnt signaling pathway, a known resistance mechanism to BETi in AML. We show dinaciclib inhibits Wnt signaling at multiple levels, including downregulation of ß-catenin, the Wnt co-receptor LRP6, as well as many Wnt pathway components and targets. Moreover, dinaciclib sensitivity remains unaffected in a setting of BET resistance, demonstrating similar inhibitory effects on Wnt signaling when compared to BET-sensitive cells. Ultimately, our results demonstrate rationale for combination CDKi and BETi in AML. In addition, our novel finding of Wnt signaling inhibition could have potential implications in other cancers where Wnt signaling is dysregulated and demonstrates one possible approach to circumvent development of BET resistance in AML.

Multiple uses of visual motion. The case for stability in sensory cortex.

The problem of 'readout' from sensory maps has received considerable attention recently. Specifically, many experiments in different systems have suggested that the routing of sensory signals from cortical maps can be impressively flexible. In this review, we discuss many of the experiments addressing readout of motion signals from the middle temporal area (also known as V5) in the macaque monkey. We focus on two different types of output: perceptual reports (categorical decisions, usually) and motion-guided eye movements. We specifically consider situations in which multiple-motion vectors present in the stimulus are combined, as well as those in which one or more of the vectors in the stimulus is selected for output. The results of these studies suggest that in some situations multiple motions are vector averaged, while in others multiple vectors can be maintained. Interestingly, in most of the experiments producing a single (often average) vector, the output is a movement. However, many perceptual experiments involve the simultaneous processing of multiple-stimulus motions. One prosaic explanation for this pattern of apparently discrepant results is that different downstream structures impose different rules, in parallel, on the output from sensory maps such as the one in the middle temporal area. We also specifically discuss the case of motion opponency, a specific readout rule that has been posited to explain perceptual phenomena such as the waterfall illusion (motion aftereffect). We present evidence from a recent experiment showing that an opponent step must occur downstream from the middle temporal area itself. This observation is consistent with our proposal that significant processing need occur downstream from sensory structures. If a single output is to be used for multiple purposes, often at once, this necessitates a degree of task invariance on the sensory information present even at a relatively high level of cortical processing.

Extrastriate cortex: A signature of perception grows.

Neuronal activity in area MT of the extrastriate visual cortex is correlated with the choices monkeys make on perceptual tasks. New evidence suggests that this correlation is stronger on some tasks than others.

The long-acting beta2-agonist salmeterol xinafoate: effects on airway inflammation in asthma.

Salmeterol xinafoate is an inhaled long-acting beta2-adrenoceptor agonist recently introduced for the treatment of asthma. Both in vitro and animal studies suggest that it may have anti-inflammatory activities of benefit in this disease. To assess this directly, the effects of 6 weeks' treatment with salmeterol on indices of clinical activity, airway dysfunction and inflammation in subjects with stable atopic asthma were investigated. In a double blind study, asthmatic patients were randomized to 6 weeks' treatment with either salmeterol 50 microg twice daily (n=14) or placebo (n=12). They underwent bronchoscopy with bronchoalveolar lavage (BAL) and bronchial biopsy immediately before starting treatment and again after 6 weeks. Treatment with salmeterol improved clinical indices of asthma activity, but there were no changes in BAL differential cell counts or mediator levels, and no change in T-cell numbers or activation status. In the biopsy specimens there were no changes in numbers of inflammatory cells, sub-basement membrane collagen deposition or mast cell degranulation. Regular treatment with salmeterol improves clinical indices of asthma but has no effect on the underlying inflammatory process. These findings strengthen guideline recommendations that long-acting beta2-agonists should not be prescribed as sole antiasthma medication.

How are moving images segmented?

Visual images are segmented perceptually by a variety of cues, including color and motion. Recent experiments, using perceptual and neurophysiological approaches, have explored the complex interaction between these attributes. A full account will certainly include the effects of directed attention.

Spatial summation in the receptive fields of MT neurons.

Receptive fields (RFs) of cells in the middle temporal area (MT or V5) of monkeys will often encompass multiple objects under normal image viewing. We therefore have studied how multiple moving stimuli interact when presented within and near the RF of single MT cells. We used moving Gabor function stimuli, <1 degrees in spatial extent and approximately 100 msec in duration, presented on a grid of possible locations over the RF of the cell. Responses to these stimuli were typically robust, and their small spatial and temporal extent allowed detailed mapping of RFs and of interactions between stimuli. The responses to pairs of such stimuli were compared against the responses to the same stimuli presented singly. The responses were substantially less than the sum of the responses to the component stimuli and were well described by a power-law summation model with divisive inhibition. Such divisive inhibition is a key component of recently proposed "normalization" models of cortical physiology and is presumed to arise from lateral interconnections within a region. One open question is whether the normalization occurs only once in primary visual cortex or multiple times in different cortical areas. We addressed this question by exploring the spatial extent over which one stimulus would divide the response to another and found effective normalization from stimuli quite far removed from the RF center. This supports models under which normalization occurs both in MT and in earlier stages.

Tuning bandwidths for near-threshold stimuli in area MT.

It is not known whether psychophysical performance depends primarily on small numbers of neurons optimally tuned to specific visual stimuli, or on larger populations of neurons that vary widely in their properties. Tuning bandwidths of single cells can provide important insight into this issue, yet most bandwidth measurements have been made using suprathreshold visual stimuli, whereas psychophysical measurements are frequently obtained near threshold. We therefore examined the directional tuning of cells in the middle temporal area (MT, or V5) using perithreshold, stochastic motion stimuli that we have employed extensively in combined psychophysical and physiological studies. The strength of the motion signal (coherence) in these displays can be varied independently of its direction. For each MT neuron, we characterized the directional bandwidth by fitting Gaussian functions to directional tuning data obtained at each of several motion coherences. Directional bandwidth increased modestly as the coherence of the stimulus was reduced. We then assessed the ability of MT neurons to discriminate opposed directions of motion along six equally spaced axes of motion spanning 180 degrees. A signal detection analysis yielded neurometric functions for each axis of motion, from which neural thresholds could be extracted. Neural thresholds remained surprisingly low as the axis of motion diverged from the neuron's preferred-null axis, forming a plateau of high to medium sensitivity that extended approximately 45 degrees on either side of the preferred-null axis. We conclude that directional tuning remains broad in MT when motion signals are reduced to near-threshold values. Thus directional information is widely distributed in MT, even near the limits of psychophysical performance. These observations support models in which relatively large numbers of signals are pooled to inform psychophysical decisions.

Clustering of response selectivity in the medial superior temporal area of extrastriate cortex in the macaque monkey.

Ever since being described by Mountcastle (Mountcastle, 1957), columnar organization of sensory cortical areas has provided key leverage into understanding the functional organization of neocortex. Columnar or clustered organization of neurons sharing like properties is now known to be widespread, and probably universal in primary sensory areas. Visual cortex in primates consists of a primary area and a large number of secondary areas, which are organized in a manner both hierarchical and parallel (Felleman & Van Essen, 1991; Young, 1993; Young et al., 1995). One major component in the organization of extrastriate visual cortex appears to be the division into dorsal and ventral "streams" of processing (Ungerleider & Mishkin, 1982), each of which is organized hierarchically. Within each, columnar organization exists at early stages, but becomes less clear at higher levels. Columnar organization has been described at the highest level of the ventral stream, inferotemporal cortex (IT, Saleem et al., 1993; Fujita & Fujita, 1996; Tanaka, 1996), but has not been well characterized at the higher levels of the dorsal stream. Hints of such organization are found in the literature (Saito et al., 1986; Lagae et al., 1994), but systematic measurements are needed. In this paper, I report the existence of clustered organization in the medial superior temporal area (MST) of the dorsal stream, which is arguably the highest dominantly visual area on this pathway. I have measured the selectivity of both single- and multiple-unit activity along oblique electrode penetrations through this area to three different kinds of optic flow stimuli, and find that nearby neurons are more similar in their tuning than are more distant ones. This observation documents the existence of some form of clustered organization and supports the importance of this area in the processing of optic flow information.

Electrical microstimulation of cortical area MST biases heading perception in monkeys.

As we move through the environment, the pattern of visual motion on the retina provides rich information about our movement through the scene. Human subjects can use this information, often termed "optic flow", to accurately estimate their direction of self movement (heading) from relatively sparse displays. Physiological observations on the motion-sensitive areas of monkey visual cortex suggest that the medial superior temporal area (MST) is well suited for the analysis of optic flow information. To test whether MST is involved in extracting heading from optic flow, we perturbed its activity in monkeys trained on a heading discrimination task. Electrical microstimulation of MST frequently biased the monkeys' decisions about their heading, and these induced biases were often quite large. This result suggests that MST has a direct role in the perception of heading from optic flow.

A computational analysis of the relationship between neuronal and behavioral responses to visual motion.

We have documented previously a close relationship between neuronal activity in the middle temporal visual area (MT or V5) and behavioral judgments of motion (Newsome et al., 1989; Salzman et al., 1990; Britten et al., 1992; Britten et al., 1996). We have now used numerical simulations to try to understand how neural signals in area MT support psychophysical decisions. We developed a model that pools neuronal responses drawn from our physiological data set and compares average responses in different pools to produce psychophysical decisions. The structure of the model allows us to assess the relationship between "neuronal" input signals and simulated psychophysical performance using the same methods we have applied to real experimental data. We sought to reconcile three experimental observations: psychophysical performance (threshold sensitivity to motion stimuli embedded in noise), a trial-by-trial covariation between the neural response and the monkey's choices, and a modest correlation between pairs of MT neurons in their variable responses to identical visual stimuli. Our results can be most accurately simulated if psychophysical decisions are based on pools of at least 100 weakly correlated sensory neurons. The neurons composing the pools must include a broader range of sensitivities than we encountered in our MT recordings, presumably because of the inclusion of neurons whose optimal stimulus is different from the one being discriminated. Central sources of noise degrade the signal-to-noise ratio of the pooled signal, but this degradation is relatively small compared with the noise typically carried by single cortical neurons. This suggests that our monkeys base near-threshold psychophysical judgments on signals carried by populations of weakly interacting neurons; these populations include many neurons that are not tuned optimally for the particular stimuli being discriminated.

A relationship between behavioral choice and the visual responses of neurons in macaque MT.

We have previously documented the exquisite motion sensitivity of neurons in extrastriate area MT by studying the relationship between their responses and the direction and strength of visual motion signals delivered to their receptive fields. These results suggested that MT neurons might provide the signals supporting behavioral choice in visual discrimination tasks. To approach this question from another direction, we have now studied the relationship between the discharge of MT neurons and behavioral choice, independently of the effects of visual stimulation. We found that trial-to-trial variability in neuronal signals was correlated with the choices the monkey made. Therefore, when a directionally selective neuron in area MT fires more vigorously, the monkey is more likely to make a decision in favor of the preferred direction of the cell. The magnitude of the relationship was modest, on average, but was highly significant across a sample of 299 cells from four monkeys. The relationship was present for all stimuli (including those without a net motion signal), and for all but the weakest responses. The relationship was reduced or eliminated when the demands of the task were changed so that the directional signal carried by the cell was less informative. The relationship was evident within 50 ms of response onset, and persisted throughout the stimulus presentation. On average, neurons that were more sensitive to weak motion signals had a stronger relationship to behavior than those that were less sensitive. These observations are consistent with the idea that neuronal signals in MT are used by the monkey to determine the direction of stimulus motion. The modest relationship between behavioral choice and the discharge of any one neuron, and the prevalence of the relationship across the population, make it likely that signals from many neurons are pooled to form the data on which behavioral choices are based.

Power spectrum analysis of bursting cells in area MT in the behaving monkey.

It is widely held that visual cortical neurons encode information primarily in their mean firing rates. Some proposals, however, emphasize the information potentially available in the temporal structure of spike trains (Optican and Richmond, 1987; Bialek et al., 1991), in particular with respect to stimulus-related synchronized oscillations in the 30-70 Hz range (Eckhorn et al., 1988; Gray et al., 1989; Kreiter and Singer, 1992) as well as via bursting cells (Cattaneo et al., 1981a; Bonds, 1992). We investigate the temporal fine structure of spike trains recorded in extrastriate area MT of the trained macaque monkey, a region that plays a major role in processing motion information. The data were recorded while the monkey performed a near-threshold direction discrimination task so that both physiological and psychophysical data could be obtained on the same set of trials (Britten et al., 1992). We identify bursting cells and quantify their properties, in particular in relation to the behavior of the animal. We compute the power spectrum and the distribution of interspike intervals (ISIs) associated with individual spike trains from 212 cells, averaging these quantities across similar trials. (1) About 33% of the cells have a relatively flat power spectrum with a dip at low temporal frequencies. We analytically derive the power spectrum of a Poisson process with refractory period and show that it matches the observed spectrum of these cells. (2) About 62% of the cells have a peak in the 20-60 Hz frequency band. In about 10% of all cells, this peak is at least twice the height of its base. The presence of such a peak strongly correlates with a tendency of the cell to respond in bursts, that is, two to four spikes within 2-8 msec. For 93% of cells, the shape of the power spectrum did not change dramatically with stimulus conditions. (3) Both the ISI distribution and the power spectrum of the vast majority of bursting cells are compatible with the notion that these cells fire Poisson-distributed bursts, with a burst-related refractory period. Thus, for our stimulus conditions, no explicitly oscillating neuronal process is required to yield a peak in the power spectrum. (4) We found no statistically significant relationship between the peak in the power spectrum and psychophysical measures of the monkeys' performance on the direction discrimination task.(ABSTRACT TRUNCATED AT 400 WORDS)

Interleukin-4, -5, and -6 and tumor necrosis factor-alpha in normal and asthmatic airways: evidence for the human mast cell as a source of these cytokines.

Asthma is characterized by the presence of an inflammatory cell infiltrate in the bronchial mucosa consisting of activated mast cells, eosinophils, and T cells. Several cytokines are considered to play a pivotal role in this response, particularly interleukin (IL)-4, IL-5, IL-6, and tumor necrosis factor-alpha (TNF-alpha). In this study, we have used immunohistochemistry applied to thin glycol methacrylate sections of bronchial mucosal biopsies to define the cellular provenance of these cytokines in normal and asthmatic airways. Both the asthmatic and normal mucosa contained numerous cells staining positively for all four cytokines, with the majority identified as mast cells by their tryptase content. Eosinophils also accounted for some IL-5 immunostaining in the asthmatic biopsies. By using two monoclonal antibodies directed to different epitopes of IL-4, we provide tentative evidence for enhanced IL-4 secretion in asthma. Similarly, a sevenfold increase in the number of mast cells staining for TNF-alpha in the asthmatic biopsies suggests that this cytokine is also up-regulated in this disease. These findings clearly identify human mast cells as a source of IL-4, IL-5, IL-6, and TNF-alpha and add to the view that, along with T cells, mast cells may play an important role in initiating and maintaining the inflammatory response in asthma.

Neuronal plasticity that underlies improvement in perceptual performance.

The electrophysiological properties of sensory neurons in the adult cortex are not immutable but can change in response to alterations of sensory input caused by manipulation of afferent pathways in the nervous system or by manipulation of the sensory environment. Such plasticity creates great potential for flexible processing of sensory information, but the actual effects of neuronal plasticity on perceptual performance are poorly understood. The link between neuronal plasticity and performance was explored here by recording the responses of directionally selective neurons in the visual cortex while rhesus monkeys practiced a familiar task involving discrimination of motion direction. Each animal experienced a short-term improvement in perceptual sensitivity during daily experiments; sensitivity increased by an average of 19 percent over a few hundred trials. The increase in perceptual sensitivity was accompanied by a short-term improvement in neuronal sensitivity that mirrored the perceptual effect both in magnitude and in time course, which suggests that improved psychophysical performance can result directly from increased neuronal sensitivity within a sensory pathway.

Responses of neurons in macaque MT to stochastic motion signals.

Dynamic random-dot stimuli have been widely used to explore central mechanisms of motion processing. We have measured the responses of neurons in area MT of the alert monkey while we varied the strength and direction of the motion signal in such displays. The strength of motion is controlled by the proportion of spatiotemporally correlated dots, which we term the correlation of the stimulus. For many MT cells, responses varied approximately linearly with stimulus correlation. When they occurred, nonlinearities were equally likely to be either positively or negatively accelerated. We also explored the relationship between response magnitude and response variance for these cells and found, in general agreement with other investigators, that this relationship conforms to a power law with an exponent slightly greater than 1. The variance of the cells' discharge is little influenced by the trial-to-trial fluctuations inherent in our stochastic display, and is therefore likely to be of neural origin. Linear responses to these stochastic motion stimuli are predicted by simple, low-level motion models incorporating sensors having relatively broad spatial and temporal frequency tuning.

Immunohistochemistry on resin sections: a comparison of resin embedding techniques for small mucosal biopsies.

We have modified resin embedding methods to provide optimal information from endoscopic biopsies. Mucosal biopsies were fixed either in buffered formalin and processed for embedding in Araldite or in acetone containing protease inhibitors and embedded in glycol methacrylate (GMA). GMA embedding generated an immunophenotypic profile similar to that obtained in frozen sections while yielding far superior morphology and greater numbers of sections from small biopsies. The phenotypic markers included those for T cells, macrophages, mast cells, eosinophils and neutrophils. We have also demonstrated collagens, cell adhesion molecules and integrin molecules. Sections of similar quality were obtained with Araldite but the repertoire of antibodies was restricted to those which can be applied to formalin fixed, paraffin embedded tissues. We suggest that for optimal results, small biopsies to be subjected to immunochemistry are fixed in acetone at -20 C with the inclusion of protease inhibitors and embedded in GUIA with careful temperature control.

The analysis of visual motion: a comparison of neuronal and psychophysical performance.

We compared the ability of psychophysical observers and single cortical neurons to discriminate weak motion signals in a stochastic visual display. All data were obtained from rhesus monkeys trained to perform a direction discrimination task near psychophysical threshold. The conditions for such a comparison were ideal in that both psychophysical and physiological data were obtained in the same animals, on the same sets of trials, and using the same visual display. In addition, the psychophysical task was tailored in each experiment to the physiological properties of the neuron under study; the visual display was matched to each neuron's preference for size, speed, and direction of motion. Under these conditions, the sensitivity of most MT neurons was very similar to the psychophysical sensitivity of the animal observers. In fact, the responses of single neurons typically provided a satisfactory account of both absolute psychophysical threshold and the shape of the psychometric function relating performance to the strength of the motion signal. Thus, psychophysical decisions in our task are likely to be based upon a relatively small number of neural signals. These signals could be carried by a small number of neurons if the responses of the pooled neurons are statistically independent. Alternatively, the signals may be carried by a much larger pool of neurons if their responses are partially intercorrelated.

Interleukin 4 is localized to and released by human mast cells.

Recent attention has focused on the T helper type 2 (Th2) lymphocyte as a source of interleukin 4 (IL-4) in allergic disease. However, Th2 cells themselves require a pulse of IL-4 to initiate this synthesis. Here we provide immunohistochemical evidence of IL-4 localization to human mast cells of the skin and respiratory tract, and demonstrate that immunoglobulin E-dependent stimulation of purified human lung mast cells leads to the rapid release of IL-4 into the extracellular environment. We propose that mast cell activation in an allergic response provides a rapid and local pulse of IL-4 into the local environment essential for the triggering of T lymphocytes into sustained IL-4 production and to initiate inflammatory cell accumulation and activation.