Okabe Hiroshi, Suzuki Takahiro, Uehara Eisuke, Ueda Masuzu, Nagai Tadashi, Ozawa Keiya
Division of Hematology, Department of Medicine, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Eur J Haematol. 2014 Aug;93(2):118-28. doi: 10.1111/ejh.12309. Epub 2014 Mar 28.
Increasing numbers of reports have described hematopoietic improvement after iron chelation therapy in iron-overloaded patients. These observations indicate that excess iron could affect hematopoiesis unfavorably. To investigate how excess iron affects hematopoiesis in vivo, we generated iron-overloaded mice and examined hematopoietic parameters in these mice.
We generated iron-overloaded mice by injecting 200 mg of iron dextran into C57BL/6J mice, and immature hematopoietic cells in the bone marrow were evaluated by flow cytometric analyses, colony-forming assays, and bone marrow transplantation analyses. We also examined changes in molecular profiles of the hematopoietic microenvironment.
Iron-overloaded (IO) mice did not show significant defects in the hematopoietic data of the peripheral blood. Myeloid progenitor cells in the bone marrow were increased in IO mice, but the number and function of the erythroid progenitors and hematopoietic stem cells were not significantly affected. However, bone marrow transplantation from normal donors to IO recipients showed delayed hematopoietic reconstitution, which indicates that excess iron impacts the hematopoietic microenvironment negatively. Microarray and quantitative RT-PCR analyses on the bone marrow stromal cells demonstrated remarkably reduced expression of CXCL12, VCAM-1, Kit-ligand, and IGF-1 in the iron-overloaded mice. In addition, erythropoietin and thrombopoietin levels were significantly suppressed, and increased oxidative stress was observed in the IO bone marrow and liver. Consequently, our findings indicate that excess iron can damage bone marrow stromal cells and other vital organs, disrupting hematopoiesis presumably by increased oxidative stress.
越来越多的报告描述了铁过载患者接受铁螯合治疗后造血功能得到改善。这些观察结果表明,过量的铁可能对造血产生不利影响。为了研究过量的铁在体内如何影响造血,我们构建了铁过载小鼠模型,并检测了这些小鼠的造血参数。
我们通过向C57BL/6J小鼠注射200mg葡聚糖铁来构建铁过载小鼠模型,并通过流式细胞术分析、集落形成试验和骨髓移植分析来评估骨髓中未成熟造血细胞。我们还检测了造血微环境分子谱的变化。
铁过载(IO)小鼠外周血造血数据未显示明显缺陷。IO小鼠骨髓中的髓系祖细胞增加,但红系祖细胞和造血干细胞的数量和功能未受到显著影响。然而,从正常供体到IO受体的骨髓移植显示造血重建延迟,这表明过量的铁对造血微环境有负面影响。对骨髓基质细胞的微阵列和定量RT-PCR分析表明,铁过载小鼠中CXCL12、VCAM-1、Kit配体和IGF-1的表达显著降低。此外,促红细胞生成素和血小板生成素水平显著受到抑制,并且在IO小鼠的骨髓和肝脏中观察到氧化应激增加。因此,我们的研究结果表明,过量的铁会损害骨髓基质细胞和其他重要器官,可能通过增加氧化应激来破坏造血功能。