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Notch2 阻断增强造血干细胞动员和归巢。

Notch2 blockade enhances hematopoietic stem cell mobilization and homing.

机构信息

Department of Pathology, Case Western Reserve University, Cleveland, OH, USA.

Department of Pediatrics, Case Western Reserve University, Cleveland, OH, USA.

出版信息

Haematologica. 2017 Oct;102(10):1785-1795. doi: 10.3324/haematol.2017.168674. Epub 2017 Jul 20.

Abstract

Despite use of newer approaches, some patients being considered for autologous hematopoietic cell transplantation (HCT) may only mobilize limited numbers of hematopoietic progenitor cells (HPCs) into blood, precluding use of the procedure, or being placed at increased risk of complications due to slow hematopoietic reconstitution. Developing more efficacious HPC mobilization regimens and strategies may enhance the mobilization process and improve patient outcome. Although Notch signaling is not essential for homeostasis of adult hematopoietic stem cells (HSCs), Notch-ligand adhesive interaction maintains HSC quiescence and niche retention. Using Notch receptor blocking antibodies, we report that Notch2 blockade, but not Notch1 blockade, sensitizes hematopoietic stem cells and progenitors (HSPCs) to mobilization stimuli and leads to enhanced egress from marrow to the periphery. Notch2 blockade leads to transient myeloid progenitor expansion without affecting HSC homeostasis and self-renewal. We show that transient Notch2 blockade or Notch2-loss in mice lacking Notch2 receptor lead to decreased CXCR4 expression by HSC but increased cell cycling with CXCR4 transcription being directly regulated by the Notch transcriptional protein RBPJ. In addition, we found that Notch2-blocked or Notch2-deficient marrow HSPCs show an increased homing to the marrow, while mobilized Notch2-blocked, but not Notch2-deficient stem cells and progenitors, displayed a competitive repopulating advantage and enhanced hematopoietic reconstitution. These findings suggest that blocking Notch2 combined with the current clinical regimen may further enhance HPC mobilization and improve engraftment during HCT.

摘要

尽管采用了更新的方法,一些被认为适合自体造血细胞移植 (HCT) 的患者可能只能将有限数量的造血祖细胞 (HPC) 动员到血液中,从而排除了该程序的使用,或者由于造血重建缓慢而增加了并发症的风险。开发更有效的 HPC 动员方案和策略可能会增强动员过程并改善患者的预后。尽管 Notch 信号通路对于成人造血干细胞 (HSC) 的稳态不是必需的,但 Notch-配体黏附相互作用维持 HSC 的静止和龛位保留。使用 Notch 受体阻断抗体,我们报告 Notch2 阻断而不是 Notch1 阻断使造血干细胞和祖细胞 (HSPC) 对动员刺激敏感,并导致从骨髓向外周的增强流出。Notch2 阻断导致短暂的髓样祖细胞扩增,而不影响 HSC 的稳态和自我更新。我们表明,短暂的 Notch2 阻断或缺乏 Notch2 受体的小鼠中的 Notch2 缺失导致 HSC 中 CXCR4 表达减少,但细胞周期增加,CXCR4 转录直接受 Notch 转录蛋白 RBPJ 调节。此外,我们发现 Notch2 阻断或 Notch2 缺陷的骨髓 HSPC 显示出向骨髓的归巢增加,而动员的 Notch2 阻断但不是 Notch2 缺陷的干细胞和祖细胞显示出竞争再植入优势和增强的造血重建。这些发现表明,阻断 Notch2 与当前的临床方案相结合可能会进一步增强 HPC 动员并改善 HCT 期间的植入。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be90/5622863/b16f6c444a8e/1021785.fig1.jpg

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