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间充质龛重塑通过施万氏钙素 1 损害急性髓系白血病中的造血功能。

Mesenchymal niche remodeling impairs hematopoiesis via stanniocalcin 1 in acute myeloid leukemia.

机构信息

Haematopoietic Stem Cell Laboratory, Francis Crick Institute, London, United Kingdom.

Haemato-Oncology Unit, Royal Marsden Hospital, Institute of Cancer Research, London, United Kingdom.

出版信息

J Clin Invest. 2020 Jun 1;130(6):3038-3050. doi: 10.1172/JCI133187.

DOI:10.1172/JCI133187
PMID:32364536
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7260026/
Abstract

Acute myeloid leukemia (AML) disrupts the generation of normal blood cells, predisposing patients to hemorrhage, anemia, and infections. Differentiation and proliferation of residual normal hematopoietic stem and progenitor cells (HSPCs) are impeded in AML-infiltrated bone marrow (BM). The underlying mechanisms and interactions of residual hematopoietic stem cells (HSCs) within the leukemic niche are poorly understood, especially in the human context. To mimic AML infiltration and dissect the cellular crosstalk in human BM, we established humanized ex vivo and in vivo niche models comprising AML cells, normal HSPCs, and mesenchymal stromal cells (MSCs). Both models replicated the suppression of phenotypically defined HSPC differentiation without affecting their viability. As occurs in AML patients, the majority of HSPCs were quiescent and showed enrichment of functional HSCs. HSPC suppression was largely dependent on secreted factors produced by transcriptionally remodeled MSCs. Secretome analysis and functional validation revealed MSC-derived stanniocalcin 1 (STC1) and its transcriptional regulator HIF-1α as limiting factors for HSPC proliferation. Abrogation of either STC1 or HIF-1α alleviated HSPC suppression by AML. This study provides a humanized model to study the crosstalk among HSPCs, leukemia, and their MSC niche, and a molecular mechanism whereby AML impairs normal hematopoiesis by remodeling the mesenchymal niche.

摘要

急性髓系白血病 (AML) 会破坏正常血细胞的生成,使患者容易出现出血、贫血和感染。浸润性骨髓中的剩余正常造血干/祖细胞 (HSPCs) 的分化和增殖受到阻碍。AML 浸润骨髓中剩余造血干细胞 (HSCs) 的潜在机制和相互作用在人类背景下还知之甚少。为了模拟 AML 浸润并剖析人类 BM 中的细胞串扰,我们建立了包含 AML 细胞、正常 HSPCs 和间充质基质细胞 (MSCs) 的人源化体外和体内生态位模型。这两种模型都复制了表型定义的 HSPC 分化受到抑制,而不影响其活力的现象。与 AML 患者一样,大多数 HSPCs 处于静止状态,并显示出功能 HSCs 的富集。HSPC 的抑制在很大程度上取决于转录重编程的 MSC 产生的分泌因子。分泌组分析和功能验证表明 MSC 衍生的 STC1(STC1)及其转录调节剂 HIF-1α 是 HSPC 增殖的限制因素。STC1 或 HIF-1α 的缺失减轻了 AML 对 HSPC 的抑制作用。本研究提供了一种人源化模型,用于研究 HSPCs、白血病及其 MSC 生态位之间的串扰,以及 AML 通过重塑间充质生态位来损害正常造血的分子机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0339/7260026/888d13fd634e/jci-130-133187-g091.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0339/7260026/0ab6ebcd20b9/jci-130-133187-g085.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0339/7260026/25a570abf14f/jci-130-133187-g086.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0339/7260026/90897c30b341/jci-130-133187-g087.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0339/7260026/48dfe1919a4f/jci-130-133187-g088.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0339/7260026/fecdebf4da9c/jci-130-133187-g089.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0339/7260026/373da4cb5202/jci-130-133187-g090.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0339/7260026/888d13fd634e/jci-130-133187-g091.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0339/7260026/0ab6ebcd20b9/jci-130-133187-g085.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0339/7260026/25a570abf14f/jci-130-133187-g086.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0339/7260026/90897c30b341/jci-130-133187-g087.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0339/7260026/48dfe1919a4f/jci-130-133187-g088.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0339/7260026/fecdebf4da9c/jci-130-133187-g089.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0339/7260026/373da4cb5202/jci-130-133187-g090.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0339/7260026/888d13fd634e/jci-130-133187-g091.jpg

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