Freitas Christelle, Wittner Monika, Nguyen Julie, Rondeau Vincent, Biajoux Vincent, Aknin Marie-Laure, Gaudin Françoise, Beaussant-Cohen Sarah, Bertrand Yves, Bellanné-Chantelot Christine, Donadieu Jean, Bachelerie Françoise, Espéli Marion, Dalloul Ali, Louache Fawzia, Balabanian Karl
Inflammation Chemokines and Immunopathology, Institut National de la Santé et de la Recherche Medicale (INSERM), Faculté de Médecine, Université Paris-Sud, Université Paris-Saclay, Clamart, France.
INSERM UMR_S1170, Institut Gustave Roussy, CNRS GDR 3697 MicroNiT, Université Paris-Sud, Université Paris-Saclay, Villejuif, France.
J Exp Med. 2017 Jul 3;214(7):2023-2040. doi: 10.1084/jem.20160806. Epub 2017 May 26.
The CXCL12/CXCR4 signaling exerts a dominant role in promoting hematopoietic stem and progenitor cell (HSPC) retention and quiescence in bone marrow. Gain-of-function mutations that affect homologous desensitization of the receptor have been reported in the WHIM Syndrome (WS), a rare immunodeficiency characterized by lymphopenia. The mechanisms underpinning this remain obscure. Using a mouse model with a naturally occurring WS-linked gain-of-function mutation, we explored the possibility that the lymphopenia in WS arises from defects at the HSPC level. We reported that Cxcr4 desensitization is required for quiescence/cycling balance of murine short-term hematopoietic stem cells and their differentiation into multipotent and downstream lymphoid-biased progenitors. Alteration in Cxcr4 desensitization resulted in decrease of circulating HSPCs in five patients with WS. This was also evidenced in WS mice and mirrored by accumulation of HSPCs in the spleen, where we observed enhanced extramedullary hematopoiesis. Therefore, efficient Cxcr4 desensitization is critical for lymphoid differentiation of HSPCs, and its impairment is a key mechanism underpinning the lymphopenia observed in mice and likely in WS patients.
CXCL12/CXCR4信号通路在促进造血干细胞和祖细胞(HSPC)在骨髓中的保留和静止方面发挥着主导作用。在WHIM综合征(WS)中报道了影响受体同源脱敏的功能获得性突变,WS是一种以淋巴细胞减少为特征的罕见免疫缺陷病。其潜在机制仍不清楚。利用一种具有自然发生的与WS相关的功能获得性突变的小鼠模型,我们探讨了WS中淋巴细胞减少源于HSPC水平缺陷的可能性。我们报道,Cxcr4脱敏是小鼠短期造血干细胞静止/循环平衡及其分化为多能和下游淋巴偏向祖细胞所必需的。Cxcr4脱敏的改变导致5例WS患者循环HSPC减少。这在WS小鼠中也得到了证实,并反映为脾脏中HSPC的积累,我们在脾脏中观察到髓外造血增强。因此,有效的Cxcr4脱敏对于HSPC的淋巴细胞分化至关重要,其受损是小鼠以及可能WS患者中观察到的淋巴细胞减少的关键机制。