12th Congress of the European Hematology ... - Haematologica
12th Congress of the European Hematology ... - Haematologica
12th Congress of the European Hematology ... - Haematologica
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12 th <strong>Congress</strong> <strong>of</strong> <strong>the</strong> <strong>European</strong> <strong>Hematology</strong> Association<br />
Stem cell biology and microenvironment<br />
0431<br />
INVERSE REGULATION OF HEMATOPOIETIC PROGENITOR CELL EGRESS BY MT1-MMP<br />
AND RECK<br />
A. Avigdor, 1 Y. Vagima, 2 P. Goichberg, 2 S. Shivtiel, 2 M. Tesio, 2 A. Dar, 2<br />
A. Kalinkovich, 2 I. Petit ,2 O. Perl, 1 E. Rosenthal, 1 I. Resnick, 3 I. Hardan, 1<br />
A. Nagler, 1 T. Lapidot2 1 The Chaim Sheba Medical Center, TEL-HASHOMER; 2 The Weizmann Institute<br />
<strong>of</strong> Science, REHOVOT; 3 Hadassah Medical Center, JERUSALEM, Israel<br />
Background. hematopoietic stem and progenitor cells continuously exit<br />
from <strong>the</strong> bone marrow (BM) reservoir to <strong>the</strong> blood circulation as part <strong>of</strong><br />
homeostasis and host defense. Clinical recruitment <strong>of</strong> progenitors to<br />
<strong>the</strong> peripheral blood (PB) is achieved by chemo<strong>the</strong>rapy and repeated G-<br />
CSF stimulations, which mimic physiological egress <strong>of</strong> stem and progenitor<br />
cells during injury and inflammation. Yet, mechanisms governing<br />
progenitor cell trafficking during steady state homeostasis and clinical<br />
mobilization are not fully understood. Membrane type-1 metalloproteinase<br />
(MT1-MMP) and its endogenous inhibitor, reversion-inducingcysteine-rich<br />
protein with Kazal motifs (RECK), are established key regulators<br />
<strong>of</strong> tumor and endo<strong>the</strong>lial cell motility. Methods and Results. In our<br />
study we found that egress <strong>of</strong> human hematopoietic CD34 + progenitors<br />
requires cell autonomous changes in <strong>the</strong>ir motile properties inversely<br />
mediated by MT1-MMP and its endogenous inhibitor, RECK. By flow<br />
cytometry analysis we detected higher MT1-MMP and lower RECK<br />
expression on circulating human CD34 + cells and maturing leukocytes<br />
as compared to immature BM cells. MT1-MMP expression was even<br />
more prominent on CD34 + cells obtained from PB <strong>of</strong> G-CSF-treated<br />
healthy donors whereas RECK labeling was barely detected. In addition,<br />
five daily injections <strong>of</strong> G-CSF to NOD/SCID mice, previously engrafted<br />
with human cells, increased MT1-MMP and decreased RECK expression<br />
on human CD45 + leukocytes, human immature CD34 + and primitive<br />
CD34 + /CD38 – /low cells, in a PI3K/Akt1-dependent manner, resulting<br />
in elevated MT1-MMP activity. Inverse regulation <strong>of</strong> MT1-MMP<br />
and its inhibitor RECK by G-CSF induced mobilization was confirmed<br />
by in situ immuno-labeling <strong>of</strong> BM sections, as well as by human MT1-<br />
MMP and RECK mRNA expression analysis <strong>of</strong> leukocytes repopulating<br />
<strong>the</strong> BM <strong>of</strong> chimeric mice. Blocking MT1-MMP function halted mobilization,<br />
while RECK neutralization promoted egress <strong>of</strong> human CD34+ progenitors<br />
in <strong>the</strong> functional model <strong>of</strong> NOD/SCID chimeric mice. Treatment<br />
with MT1-MMP neutralizing Ab or with tissue inhibitor <strong>of</strong> metalloproteinase-2<br />
(TIMP-2) reduced <strong>the</strong> in vitro chemotactic response to<br />
SDF-1 <strong>of</strong> human G-CSF-mobilized CD34 + cells via matrigel coated filters.<br />
In contrast, blocking RECK function by neutralizing Ab, thus abrogating<br />
RECK-mediated inhibition <strong>of</strong> MT1-MMP, facilitated SDF-1induced<br />
migration <strong>of</strong> steady state human BM CD34 + cells. Following G-<br />
CSF-induced mobilization, we also observed a reduction in CD44<br />
expression on human leukocytes and, specifically, on immature CD34 +<br />
progenitor cells in <strong>the</strong> BM <strong>of</strong> chimeric mice. This was accompanied by<br />
accumulation <strong>of</strong> CD44 cleaved products <strong>of</strong> molecular weights, expected<br />
for MT1-MMP activity, in <strong>the</strong> BM supernatants. In chimeric mice coinjected<br />
with MT1-MMP-neutralizing Ab, less cleavage <strong>of</strong> CD44 was<br />
detected upon G-CSF mobilization, whereas in <strong>the</strong> absence <strong>of</strong> a mobilizing<br />
signal, increasing MT1-MMP activity by anti RECK Ab injection<br />
facilitated CD44 proteolysis on <strong>the</strong> BM cells. Finally, MT1-MMP expression<br />
correlated with <strong>the</strong> number <strong>of</strong> CD34 + cells, collected on <strong>the</strong> first<br />
apheresis day in 29 consecutive patients with lymphoid malignancies<br />
and in 21 healthy donors treated with G-CSF. Conclusions. our results<br />
indicate that MT1-MMP and RECK oppositely control G-CSF inducedhematopoietic<br />
progenitor cell mobilization, by regulating CD44 surface<br />
expression and ultimately, cell adhesion and motility. These molecules<br />
might serve as targets for new approaches to improve clinical stem cell<br />
mobilization and repopulation.<br />
160 | haematologica/<strong>the</strong> hematology journal | 2007; 92(s1)<br />
0432<br />
SNX5, A NOVEL GENE LINKED TO FANCONI ANAEMIA CAUSES HAEMATOPOIETIC<br />
FAILURE WHEN KNOCKED DOWN IN ZEBRAFISH<br />
C. Flynn, 1 E.M. Mendenhall, 2 C.M. Verfaillie1 1 Stem Cell Institute Leuven (SCIL), LEUVEN, Belgium; 2 Dept. <strong>of</strong> Medicine &<br />
Stem Cell Institute, MINNEAPOLIS, USA<br />
Background. Sorting nexin 5 (SNX 5) is a member <strong>of</strong> <strong>the</strong> sorting nexin<br />
family, a diverse group <strong>of</strong> cellular trafficking proteins unified by <strong>the</strong><br />
presence <strong>of</strong> a phospholipid binding domain (PHOX) which is involved<br />
in protein-protein interactions. While <strong>the</strong> function <strong>of</strong> SNX5 is unknown,<br />
<strong>the</strong>re is evidence from yeast two hybrid studies that SNX5 binds to<br />
FANCA, and SNX5 is one <strong>of</strong> <strong>the</strong> 20 genes located on a region on mouse<br />
chromosome 2 associated with accelerated stem cell aging. More recently<br />
SNX5 has been shown to be a partner <strong>of</strong> Mindbomb- an E3 ubiqitin<br />
ligase essential for notch signal activation. Aims. We have shown that<br />
SNX5 is significantly higher expressed in CD34 + CD33 – CD38 – Rho + (Rhohi)<br />
cells from umbilical cord blood (UCB) and bone marrow (BM),<br />
depleted <strong>of</strong> SCID repopulating cells (SRCs) than in CD34 + CD33 –<br />
CD38 – cKIT + Rho- cells (Rholo), containing all SRCs. We are investigating<br />
<strong>the</strong> role <strong>of</strong> SNX5 in Fanconi anaemia and developmental<br />
haematopoiesis. Results. A large scale high throughput functional analysis<br />
was carried out in zebrafish and genes differentially expressed<br />
between Rholo and Rhohi cells were knocked down using morpholino<br />
(MO) antisense oligonucleotides. Morpholinos are useful tools which<br />
can specifically inhibit <strong>the</strong> translation <strong>of</strong> target mRNA. 16 out <strong>of</strong> 70<br />
genes knocked down, including snx5, demonstrated decreased circulating<br />
blood in <strong>the</strong> zebrafish injected. Fur<strong>the</strong>r analysis has shown that MO<br />
knock down <strong>of</strong> snx5 in zebrafish (n=152) results in haematopoietic failure<br />
with normal vasculature, with normal expression <strong>of</strong> scl and gata-1<br />
by in situ hybridization, indicating a defect at or beyond <strong>the</strong> haematopoietic<br />
stem cell (HSC) stage. Quantitative RT-PCR was used to fur<strong>the</strong>r<br />
confirm <strong>the</strong> phenotype. Levels <strong>of</strong> haemoglobin, l-plastin and myeloperoxidase<br />
mRNA in snx5 morphants compared to uninjected controls,<br />
were significantly lower, consistent with a multi-lineage haematopoietic<br />
differentiation defect. The decrease in circulating blood could be partially<br />
rescued by overexpressing human SNX5 cDNA, confirming specificity<br />
<strong>of</strong> <strong>the</strong> morphant phenotype. To determine whe<strong>the</strong>r SNX5 might<br />
be linked to Fanconi anaemia (FA), we measured levels <strong>of</strong> SNX5 mRNA<br />
and protein in EBV transformed cell lines from patients with Fanconicomplementation<br />
group A (FANCA), -complementation group C<br />
(FANCC) or unknown complementation group (FANC-NX). We have<br />
found no significant difference between SNX5 mRNA and protein<br />
expression in 11 Fanconi cell lines tested compared to Raji controls. The<br />
association <strong>of</strong> SNX5 and Fanconi anaemia in mammalian cell lines has<br />
been inconclusive. Studies examining SNX5 over expression and knockdown<br />
in human UCB using lentivirus, <strong>the</strong> impact on haematopoietic<br />
engraftment and differentiation in a NOD SCID murine model are in<br />
progress and this data will be presented. Conclusions. Knockdown <strong>of</strong><br />
snx5 in zebrafish results in decreased blood, with an effect at or beyond<br />
<strong>the</strong> definitive HSC. There is no quantitative defect <strong>of</strong> SNX5 in Fanconi<br />
anaemia cell lines and mammalian studies are ongoing to determine its<br />
association with <strong>the</strong> HSC.<br />
0433<br />
IMPACT OF STOCHASTIC DYNAMICS ON THE ACTIVE HEMATOPOIETIC STEM CELL POOL<br />
D. Dingli, 1 A. Traulsen, 2 J.M. Pacheco3 1 Mayo Clinic, ROCHESTER, USA; 2 Harvard University, CAMBRIDGEUSA;<br />
3University <strong>of</strong> Lisbon, LISBON, Portugal<br />
Background. Hematopoiesis is maintained by a small group <strong>of</strong><br />
hematopoietic stem cells (HSC) that may contribute to blood formation<br />
for many years, if not for <strong>the</strong> lifetime <strong>of</strong> <strong>the</strong> individual. HSC replicate<br />
approximately 1/year and this slow replication rate is one mechanism<br />
to minimize <strong>the</strong> risk <strong>of</strong> acquiring mutations in this important pool <strong>of</strong><br />
cells. However, HSC do acquire mutations that can lead to ei<strong>the</strong>r neoplastic<br />
proliferation (e.g. chronic myeloid leukemia, CML) or marrow<br />
failure (e.g. paroxysmal nocturnal hemoglobinuria, PNH). Aims. Given<br />
that <strong>the</strong> size <strong>of</strong> <strong>the</strong> HSC is small, we aim to determine <strong>the</strong> potential role<br />
<strong>of</strong> stochastic effects on <strong>the</strong> evolution <strong>of</strong> mutant clones that originate in<br />
this pool <strong>of</strong> cells by ma<strong>the</strong>matical modeling. Methods. We develop a stochastic<br />
model <strong>of</strong> HSC dynamics based on <strong>the</strong> Moran process where <strong>the</strong><br />
cell population is maintained strictly constant. Cells are chosen for reproduction<br />
based on <strong>the</strong>ir fitness and each time a cell is chosen for reproduction,<br />
it has a probability to mutate into a cancer stem cell (CSC). In<br />
this model we consider that one mutation is enough to lead to cancer