Center for Hematology and Regenerative Medicine, Department of Medicine, Karolinska University Hospital, and.
Division of Experimental Cancer Medicine, Department of Laboratory Medicine, Karolinska Institute, Stockholm, Sweden.
Blood Adv. 2018 Mar 13;2(5):534-548. doi: 10.1182/bloodadvances.2017013599.
Mutations of signal-induced proliferation-associated gene 1 (), a RAP1 GTPase-activating protein, were reported in patients with juvenile myelomonocytic leukemia, a childhood myelodysplastic/myeloproliferative neoplasm (MDS/MPN). deficiency in mice leads to the development of age-dependent MPN. However, expression in bone marrow (BM) microenvironment and its effect on the pathogenesis of MPN remain unclear. We here report that is expressed in human and mouse BM stromal cells and downregulated in these cells from patients with MPN or MDS/MPN at diagnosis. By using the MPN mouse model, we find that deletion causes phenotypic and functional alterations of BM mesenchymal stem and progenitor cells prior to the initiation of the MPN. Importantly, the altered BM niche is required for the development of MDS/MPN following transplantation of normal hematopoietic cells. RNA sequencing reveals an enhanced inflammatory cytokine signaling and dysregulated , , , , and in the BM cellular niches. Our data suggest that expression in the BM niche is critical for maintaining BM niche homeostasis. Moreover, loss-induced BM niche alterations likely enable evolution of clonal hematopoiesis to the hematological malignancies. Therefore, restoring expression or modulating the altered signaling pathways involved might offer therapeutic potential for MPN.
信号诱导增殖相关基因 1 () 的突变已在儿童骨髓增生异常/骨髓增殖性肿瘤 (MDS/MPN) 中的少年髓单核细胞白血病患者中报道。在小鼠中 缺乏会导致年龄依赖性 MPN 的发展。然而,骨髓 (BM) 微环境中的 表达及其对 MPN 发病机制的影响仍不清楚。我们在此报告,在人类和小鼠 BM 基质细胞中表达,并在初诊时患有 MPN 或 MDS/MPN 的患者的这些细胞中下调。通过使用 MPN 小鼠模型,我们发现 在 MPN 发生之前,BM 间充质干细胞和祖细胞的表型和功能发生改变。重要的是,在移植正常造血细胞后,改变的 BM 龛位对于 MDS/MPN 的发展是必需的。RNA 测序显示炎症细胞因子信号增强和 、 、 、 和 在 BM 细胞龛中的失调。我们的数据表明,BM 龛位中的 表达对于维持 BM 龛位的内稳态至关重要。此外, 缺失诱导的 BM 龛位改变可能使克隆性造血演变为血液恶性肿瘤。因此,恢复 表达或调节涉及的改变的信号通路可能为 MPN 提供治疗潜力。