Bone marrow remodeling supports hematopoiesis in response to immune thrombocytopenia progression in mice.
Bone marrow remodeling supports hematopoiesis in response to immune thrombocytopenia progression in mice.
复制标题
骨髓重塑支持小鼠的免疫血小板减少进展。
DOI:
10.1182/bloodadvances.2020003887
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发表时间:
2021-12-14
期刊:
影响因子:
7.5
通讯作者:
Hitchcock, Ian S.
中科院分区:
文献类型:
--
作者:
Herd, Oliver J.;Rani, Gulab Fatima;Hewitson, James P.;Hogg, Karen;Stone, Andrew P.;Cooper, Nichola;Kent, David G.;Genever, Paul G.;Hitchcock, Ian S.
Sustained ITP activates and increases the number of functional LT-HSCs. The remodeled ITP bone marrow enhances hematopoiesis. Immune thrombocytopenia (ITP) is an acquired autoimmune condition characterized by both reduced platelet production and the destruction of functionally normal platelets by sustained attack from the immune system. However, the effect of prolonged ITP on the more immature hematopoietic progenitors remains an open area of investigation. By using a murine in vivo model of extended ITP, we revealed that ITP progression drives considerable progenitor expansion and bone marrow (BM) remodeling. Single-cell assays using Lin–Sca1+c-Kit+CD48–CD150+ long-term hematopoietic stem cells (LT-HSCs) revealed elevated LT-HSC activation and proliferation in vitro. However, the increased activation did not come at the expense of LT-HSC functionality as measured by in vivo serial transplantations. ITP progression was associated with considerable BM vasodilation and angiogenesis, as well as a twofold increase in the local production of CXCL12, a cytokine essential for LT-HSC function and BM homing expressed at high levels by LepR+ BM stromal cells. This was associated with a 1.5-fold increase in LepR+ BM stromal cells and a 5.5-fold improvement in progenitor homing to the BM. The increase in stromal cells was transient and reverted back to baseline after platelet count returned to normal, but the vasculature changes in the BM persisted. Together, our data demonstrate that LT-HSCs expand in response to ITP and that LT-HSC functionality during sustained hematopoietic stress is maintained through an adapting BM microenvironment.
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