Heterogeneous bone-marrow stromal progenitors drive myelofibrosis via a druggable alarmin axis.

Heterogeneous bone-marrow stromal progenitors drive myelofibrosis via a druggable alarmin axis.
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DOI:
10.1016/j.stem.2020.11.004
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发表时间:
2021-04-01
期刊:
影响因子:
23.9
通讯作者:
Schneider RK
Schneider RK
中科院分区:
医学1区
文献类型:
--
作者:
Leimkühler NB;Gleitz HFE;Ronghui L;Snoeren IAM;Fuchs SNR;Nagai JS;Banjanin B;Lam KH;Vogl T;Kuppe C;Stalmann USA;Büsche G;Kreipe H;Gütgemann I;Krebs P;Banz Y;Boor P;Tai EW;Brümmendorf TH;Koschmieder S;Crysandt M;Bindels E;Kramann R;Costa IG;Schneider RK

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Functional contributions of individual cellular components of the bone-marrow microenvironment to myelofibrosis (MF) in patients with myeloproliferative neoplasms (MPNs) are incompletely understood. We aimed to generate a comprehensive map of the stroma in MPNs/MFs on a single-cell level in murine models and patient samples. Our analysis revealed two distinct mesenchymal stromal cell (MSC) subsets as pro-fibrotic cells. MSCs were functionally reprogrammed in a stage-dependent manner with loss of their progenitor status and initiation of differentiation in the pre-fibrotic and acquisition of a pro-fibrotic and inflammatory phenotype in the fibrotic stage. The expression of the alarmin complex S100A8/S100A9 in MSC marked disease progression toward the fibrotic phase in murine models and in patient stroma and plasma. Tasquinimod, a small-molecule inhibiting S100A8/S100A9 signaling, significantly ameliorated the MPN phenotype and fibrosis in JAK2V617F-mutated murine models, highlighting that S100A8/S100A9 is an attractive therapeutic target in MPNs. Mesenchymal progenitor cells are fibrosis-driving cells in the bone marrow Inflammation in the stroma characterizes pre-fibrosis and TGF-β signaling fibrosis Stromal S100A8/S100A9 marks disease progression in MPN patients Tasquinimod, inhibiting S100A8/S100A9 signaling, ameliorates the MPN phenotype Leimkühler and colleagues demonstrate that mesenchymal stromal progenitor cells are fibrosis-driving cells in mice and patients, that inflammation in the bone-marrow stroma precedes TGF-β signaling-driven fibrosis, and that the alarmin heterocomplex S100A8/S100A9 holds promise as MPN progression marker and therapeutic target.
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