The bone marrow extracellular matrix: scaffold of hematopoiesis

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ABSTRACT This proposal addresses the urgent need to understand disease mechanisms in Primary Myelofibrosis (PMF). PMF is a disease of dismal prognosis. The only potentially curative therapy, allogeneic stem cell transplantation, is a high-risk procedure, with a mortality rate of at least 50%. Myelofibrosis is characterized by excessive production of extracellular matrix (ECM), the fibers in bone marrow, which leads to a progressive failure in blood cell production. A number of gene mutations, including JAK2V617F, have been reported in PMF. While it is thought that hematopoietic cells carrying gene mutations abnormally proliferate and secrete factors that stimulate stromal cells to produce ECM excessively, inhibition of JAK2 was not able to improve disease outcomes, and complementary therapies that specifically target ECM production are not currently available. Dependence on the prevalent hypothesis, with its focus on gene mutations, is a critical barrier to progress in the field. This project proposes, instead, to address the problem from the ECM angle. Building on our published and preliminary studies with mouse and human samples, the central hypothesis of this proposal, based is that abnormal activation of integrins (adhesive molecules that mediate cell attachment to ECM) facilitates proliferation of PMF cells (Aim 1A-C). Further, I will explore two potential mechanisms behind this abnormal integrin activation, asking, first, whether abnormally high ECM production occurs in the vascular niche, where PMF cells develop (Aim 1D), and, secondly, whether lysyl oxidase (LOX), a protein upregulated in PMF, activates integrins in PMF through post-translational modification (Aim 2). As PMF proliferation arises from interaction between ECM and integrins, the question is whether proliferation is triggered by an abnormality in ECM formation or by direct integrin activation by LOX. These studies will be performed on the most representative mouse model of human PMF, mice transgenic for the JAK2V617F mutation. In Aim 1A-C the effect of integrins on cell proliferation in PMF will be determined by blocking integrin function with antibodies and by deleting integrin genes using genetically modified mouse strains. In Aim 1D, 3D confocal imaging will be used to determine the spatial distribution of cells, ECM and vasculature in myelofibrotic bone marrow. In Aim 2, proteomic analysis of post-translational modifications will be performed in integrins to determine specific lysine residues oxidized by LOX. This is a Career Development Award, and the PI of this application will have the mentorship of investigators with expertise in the field for the execution of the project. The project builds on previous experience of the PI in malignant hematology. The training and the expertise acquired during this award will provide a foundation for a successful independent career for the PI of this project.