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二甲双胍降低了Dnmt3a造血干细胞的竞争优势。

Metformin reduces the competitive advantage of Dnmt3a HSPCs.

作者信息

Hosseini Mohsen, Voisin Veronique, Chegini Ali, Varesi Angelica, Cathelin Severine, Ayyathan Dhanoop Manikoth, Liu Alex C H, Yang Yitong, Wang Vivian, Maher Abdula, Grignano Eric, Reisz Julie A, D'Alessandro Angelo, Young Kira, Wu Yiyan, Fiumara Martina, Ferrari Samuele, Naldini Luigi, Gaiti Federico, Pai Shraddha, Egan Grace, Schimmer Aaron D, Bader Gary D, Dick John E, Xie Stephanie Z, Trowbridge Jennifer J, Chan Steven M

机构信息

Princess Margaret Cancer Centre, Toronto, Ontario, Canada.

Donnelly Centre for Cellular and Biomolecular Research, Toronto, Ontario, Canada.

出版信息

Nature. 2025 Apr 16. doi: 10.1038/s41586-025-08871-w.

Abstract

Clonal haematopoiesis arises when a haematopoietic stem cell (HSC) acquires a mutation that confers a competitive advantage over wild-type HSCs, resulting in its clonal expansion. Individuals with clonal haematopoiesis are at increased risk of developing haematologic neoplasms and other age-related inflammatory illnesses. Suppressing the expansion of mutant HSCs may prevent these outcomes; however, such interventions have not yet been identified. The most common clonal haematopoiesis driver mutations are in the DNMT3A gene, with arginine 882 (R882) being a mutation hotspot. Here we show that mouse haematopoietic stem and progenitor cells (HSPCs) carrying the Dnmt3a mutation, equivalent to human DNMT3A, have increased mitochondrial respiration compared with wild-type cells and are dependent on this metabolic reprogramming for their competitive advantage. Treatment with metformin, an anti-diabetic drug that inhibits mitochondrial respiration, reduced the competitive advantage of Dnmt3a HSCs. Through a multi-omics approach, we found that metformin acts by enhancing methylation potential in Dnmt3a HSPCs and reversing the aberrant DNA CpG methylation and histone H3 K27 trimethylation profiles in these cells. Metformin also reduced the competitive advantage of human DNMT3A HSPCs generated by prime editing. Our findings provide preclinical rationale for investigating metformin as a preventive intervention against DNMT3A R882 mutation-driven clonal haematopoiesis in humans.

摘要

当造血干细胞(HSC)获得一种使其相对于野生型HSC具有竞争优势的突变时,就会出现克隆性造血,从而导致其克隆性扩增。患有克隆性造血的个体患血液肿瘤和其他与年龄相关的炎症性疾病的风险增加。抑制突变HSC的扩增可能会预防这些结果;然而,尚未确定此类干预措施。最常见的克隆性造血驱动突变存在于DNMT3A基因中,精氨酸882(R882)是一个突变热点。在这里,我们表明,携带与人类DNMT3A等效的Dnmt3a突变的小鼠造血干细胞和祖细胞(HSPC)与野生型细胞相比,线粒体呼吸增加,并且其竞争优势依赖于这种代谢重编程。用二甲双胍(一种抑制线粒体呼吸的抗糖尿病药物)治疗可降低Dnmt3a HSC的竞争优势。通过多组学方法,我们发现二甲双胍通过增强Dnmt3a HSPC中的甲基化潜力并逆转这些细胞中异常的DNA CpG甲基化和组蛋白H3 K27三甲基化谱来发挥作用。二甲双胍还降低了通过碱基编辑产生的人类DNMT3A HSPC的竞争优势。我们的研究结果为研究二甲双胍作为预防人类DNMT3A R882突变驱动的克隆性造血的干预措施提供了临床前依据。

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