Niche-mediated depletion of the normal hematopoietic stem cell reservoir by Flt3-ITD-induced myeloproliferation.

Niche-mediated depletion of the normal hematopoietic stem cell reservoir by Flt3-ITD-induced myeloproliferation.
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DOI:
10.1084/jem.20161418
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发表时间:
2017-07-03
期刊:
The Journal of experimental medicine
影响因子:
--
通讯作者:
Jacobsen SEW
Jacobsen SEW
中科院分区:
其他
文献类型:
--
作者:
Mead AJ;Neo WH;Barkas N;Matsuoka S;Giustacchini A;Facchini R;Thongjuea S;Jamieson L;Booth CAG;Fordham N;Di Genua C;Atkinson D;Chowdhury O;Repapi E;Gray N;Kharazi S;Clark SA;Bouriez T;Woll P;Suda T;Nerlov C;Jacobsen SEW

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绝大多数表型造血干细胞(HSCs)不表达Flt3。Mead等人。研究表明,Flt3-ITD驱动的骨髓增殖通过破坏支持HSC的骨髓基质细胞,包括肿瘤坏死因子的过度表达,导致正常HSC库的细胞外源性抑制。尽管先前的研究表明FMS样酪氨酸激酶3(Flt3)的表达始于小鼠造血干细胞(HSCs)的下游,但最近发现Flt3的内部串联复制(Flt3ITD)本质上抑制了HSCs。在此,单细胞询问发现,在绝大多数表型的HSC中,Flt3的mRNA表达缺失,并且Flt3与HSC相关基因的表达呈强烈的负相关。Flt3-ITD基因敲入小鼠的表型HSC数量减少,长期重新填充的HSC的丢失甚至更严重,这可能反映了表型HSC间存在非HSCs。竞争性移植实验证实,Flt3-ITD通过破坏支持HSC的骨髓基质细胞的外源性机制损害HSCs,内皮细胞和间充质基质细胞数量减少,炎症相关基因表达增加。肿瘤坏死因子(TNF)是HSC的细胞外源性强负调控因子,在Flt3-ITD小鼠的骨髓巢细胞中过表达,抗肿瘤坏死因子治疗部分挽救了HSC的表型。这些发现表明,Flt3-ITD驱动的骨髓增殖导致正常HSC库的细胞外源性抑制,这些发现与急性髓系白血病生物学的几个方面有关。
Flt3 expression is absent in the large majority of phenotypic hematopoietic stem cells (HSCs). Mead et al. show that FLT3-ITD–driven myeloproliferation causes cell-extrinsic suppression of the normal HSC reservoir through disruption of HSC-supporting BM stromal cells, including overexpression of TNF. Although previous studies suggested that the expression of FMS-like tyrosine kinase 3 (Flt3) initiates downstream of mouse hematopoietic stem cells (HSCs), FLT3 internal tandem duplications (FLT3 ITDs) have recently been suggested to intrinsically suppress HSCs. Herein, single-cell interrogation found Flt3 mRNA expression to be absent in the large majority of phenotypic HSCs, with a strong negative correlation between Flt3 and HSC-associated gene expression. Flt3-ITD knock-in mice showed reduced numbers of phenotypic HSCs, with an even more severe loss of long-term repopulating HSCs, likely reflecting the presence of non-HSCs within the phenotypic HSC compartment. Competitive transplantation experiments established that Flt3-ITD compromises HSCs through an extrinsically mediated mechanism of disrupting HSC-supporting bone marrow stromal cells, with reduced numbers of endothelial and mesenchymal stromal cells showing increased inflammation-associated gene expression. Tumor necrosis factor (TNF), a cell-extrinsic potent negative regulator of HSCs, was overexpressed in bone marrow niche cells from FLT3-ITD mice, and anti-TNF treatment partially rescued the HSC phenotype. These findings, which establish that Flt3-ITD–driven myeloproliferation results in cell-extrinsic suppression of the normal HSC reservoir, are of relevance for several aspects of acute myeloid leukemia biology.
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