Hematopoietic Stem Cell Heterogeneity Is Linked to the Initiation and Therapeutic Response of Myeloproliferative Neoplasms

Autor: Emery H. Bresnick, Shihui Ma, Zhijian Xiao, Lihong Shi, Di Wang, Jiaxi Zhou, Jingyuan Tong, Juan Li, Yanhong Zhao, Mankai Ju, Lei Zhang, Anthony R. Green, Ding Wang, Yuchen Gao, Dong Wang, Anqi Zhang, Stephen J. Loughran, Rongfeng Fu, Ting Sun, Ping Zhu, Tao Cheng, Puwen Tan, Renchi Yang
Přispěvatelé: Loughran, Stephen [0000-0003-4756-4762], Green, Tony [0000-0002-9795-0218], Apollo - University of Cambridge Repository
Rok vydání: 2021
Předmět:
Popis: The implications of stem cell heterogeneity for disease pathogenesis and therapy are poorly defined. JAK2V617F+ myeloproliferative neoplasms (MPNs), harboring the same mutation in hematopoietic stem cells (HSCs), display diverse phenotypes, including polycythemia vera (PV), essential thrombocythemia (ET), and primary myelofibrosis (PMF). These chronic malignant disorders are ideal models to analyze the pathological consequences of stem cell heterogeneity. Single-cell gene expression profiling with parallel mutation detection demonstrated that the megakaryocyte (Mk)-primed HSC subpopulation expanded significantly with enhanced potential in untreated individuals with JAK2V617F+ ET, driven primarily by the JAK2 mutation and elevated interferon signaling. During treatment, mutant HSCs were targeted preferentially in the Mk-primed HSC subpopulation. Interestingly, homozygous mutant HSCs were forced to re-enter quiescence, whereas their heterozygous counterparts underwent apoptosis. This study provides important evidence for the association of stem cell heterogeneity with the pathogenesis and therapeutic response of a malignant disease.
Databáze: OpenAIRE