Department of Hematology and Rheumatology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Department of Medical Biochemistry, Tohoku University Graduate School of Medicine, Sendai, Japan.
Mol Cell Biol. 2019 Mar 19;39(7). doi: 10.1128/MCB.00387-18. Print 2019 Apr 1.
Ring sideroblasts are a hallmark of sideroblastic anemia, although little is known about their characteristics. Here, we first generated mutant mice by disrupting the GATA-1 binding motif at the intron 1 enhancer of the gene, a gene responsible for X-linked sideroblastic anemia (XLSA). Although heterozygous female mice showed an anemic phenotype, ring sideroblasts were not observed in their bone marrow. We next established human induced pluripotent stem cell-derived proerythroblast clones harboring the same gene mutation. Through coculture with sodium ferrous citrate, mutant clones differentiated into mature erythroblasts and became ring sideroblasts with upregulation of metal transporters (, , and ), suggesting a key role for ferrous iron in erythroid differentiation. Interestingly, holo-transferrin (holo-Tf) did not induce erythroid differentiation as well as ring sideroblast formation, and mutant cells underwent apoptosis. Despite massive iron granule content, ring sideroblasts were less apoptotic than holo-Tf-treated undifferentiated cells. Microarray analysis revealed upregulation of antiapoptotic genes in ring sideroblasts, a profile partly shared with erythroblasts from a patient with XLSA. These results suggest that ring sideroblasts exert a reaction to avoid cell death by activating antiapoptotic programs. Our model may become an important tool to clarify the pathophysiology of sideroblastic anemia.
环形铁幼粒细胞是铁幼粒细胞性贫血的一个标志,尽管人们对其特征知之甚少。在这里,我们首先通过破坏基因内含子 1 增强子上的 GATA-1 结合基序来生成突变小鼠,该基因负责 X 连锁铁幼粒细胞性贫血 (XLSA)。尽管杂合子雌性小鼠表现出贫血表型,但在其骨髓中未观察到环形铁幼粒细胞。我们接下来建立了携带相同基因突变的人诱导多能干细胞衍生的原红细胞克隆。通过与硫酸亚铁共培养,突变克隆分化为成熟红细胞,并通过上调金属转运蛋白(、和)成为环形铁幼粒细胞,表明亚铁在红细胞分化中起关键作用。有趣的是,全转铁蛋白 (holo-Tf) 不能诱导红细胞分化和环形铁幼粒细胞形成,并且突变细胞发生凋亡。尽管铁颗粒含量巨大,但环形铁幼粒细胞的凋亡程度低于全转铁蛋白处理的未分化细胞。微阵列分析显示,环形铁幼粒细胞中抗凋亡基因上调,这一特征部分与 XLSA 患者的红细胞共享。这些结果表明,环形铁幼粒细胞通过激活抗凋亡程序来避免细胞死亡。我们的模型可能成为阐明铁幼粒细胞性贫血病理生理学的重要工具。
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