Myeloproliferative neoplasia remodels the endosteal bone marrow niche into a self-reinforcing leukemic niche
Open accessAbstract
Multipotent stromal cells (MSCs) and their osteoblastic lineage cell (OBC) derivatives are part of the bone marrow (BM) niche and contribute to hematopoietic stem cell (HSC) maintenance. Here, we show that myeloproliferative neoplasia (MPN) progressively remodels the endosteal BM niche into a self-reinforcing leukemic niche that impairs normal hematopoiesis, favors leukemic stem cell (LSC) function, and contributes to BM fibrosis. We show that leukemic myeloid cells stimulate MSCs to overproduce functionally altered OBCs, which accumulate in the BM cavity as inflammatory myelofibrotic cells. We identify roles for thrombopoietin, CCL3, and direct cell-cell interactions in driving OBC expansion, and for changes in TGF-β, Notch, and inflammatory signaling in OBC remodeling. MPN-expanded OBCs, in turn, exhibit decreased expression of many HSC retention factors and severely compromised ability to maintain normal HSCs, but effectively support LSCs. Targeting this pathological interplay could represent a novel avenue for treatment of MPN-affected patients and prevention of myelofibrosis.
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MPPGM appears to be a nexus of myeloid expansion under both inflammatory conditions and in animal models of myeloid malignancy.
“It is noteworthy that MPPGM (also commonly referred to as MPP3) (Challen et al., 2021) appears to be a nexus of myeloid expansion under both inflammatory conditions and in animal models of myeloid malignancy (Schepers et al., 2013; Pietras et al., 2015; Shih et al., 2015; Pietras et al., 2016; Herault et al., 2017; Hernandez et al., 2020; Kang et al., 2020; Rabe et al., 2020).”
From PU.1 is required to restrain myelopoiesis during chronic inflammatory stress (2023) · cites this paper as Schepers et al., 2013
The Results section on MPN development reports severe granulocytic expansion in a mouse model of CML, supporting the broad myeloid-expansion context. But the paper does not identify MPPGM/MPP3 as the nexus of that expansion; its Discussion says the MPN myeloid cells were not characterized beyond broad Mac-1 expression. Its discussion of inflammation concerns niche remodeling, not MPPGM expansion under inflammatory conditions. Page numbers are unavailable in our copy. (LLM, conf=0.84)
Experimental — accuracy not yet measuredAccumulation of inflammatory myelofibrotic cells and downregulation of factors regulating niche function and HSC retention, including CXCL12, n-cadherin, SCF, angiopoietin-1, and TGF-1 and -2, occur in this context.
“They demonstrated the accumulation of inflammatory myelofibrotic cells in this context and downregulation of factors regulating the niche function and HSC retention, including the chemokine CXCL12, n-cadherin, SCF, angiopoietin-1, and TGF-1 and -2.”
From Inflammatory bone marrow microenvironment (2019) · cites this paper as [8]
OBCs expand in the presence of malignant hematopoietic cells resulting in extensive remodeling of the BM microenvironment.
“Schepers et al demonstrated that OBCs expand in the presence of malignant hematopoietic cells resulting in extensive remodeling of the BM microenvironment.8”
From Inflammatory bone marrow microenvironment (2019) · cites this paper as [8]
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- Authors
- Schepers, K., Pietras, E. M., Reynaud, D., Flach, J., Binnewies, M., Garg, T., Wagers, A. J., Hsiao, E. C., & Passegué, E.
- Affiliations
- University of California, San Francisco (US)
- Howard Hughes Medical Institute (US)
- ORCID
- Venue
- Cell stem cell
- Publisher
- Elsevier BV
- Published
- 2013-09
- Volume
- 13
- Issue
- 3
- Pages
- 285-299
- ISSN
- 1875-9777 (ISSN-L)
- 1934-5909
- PMC
- PMC3769504
- OpenAlex
- W2056278417
- Cited by
- 614
- References
- 42
- Citations by year
- 2026: 17 · 2025: 24 · 2024: 30 · 2023: 37 · 2022: 40 · 2021: 70 · 2020: 59 · 2019: 53 · 2018: 59 · 2017: 71 · 2016: 56 · 2015: 48 · 2014: 47 · 2013: 3
- FWCI
- 25.24
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell stem cell (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Heart, Lung, and Blood Institute (U01HL100402, R01HL092471, F32HL106989)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (K08AR056299)
- Topics
- Health Sciences › Medicine › Genetics › Myeloproliferative Neoplasms: Diagnosis and Treatment
- Health Sciences › Medicine › Hematology › Hematopoietic Stem Cell Transplantation
- Health Sciences › Medicine › Hematology › Acute Myeloid Leukemia Research
- Keywords
- multipotent stromal cells, hematopoietic stem cell maintenance, leukemia stem cells, myelofibrosis, bone marrow fibrosis, thrombopoietin, CCL3, TGF-beta, Notch signaling, inflammatory signaling, cell-cell interactions
- MeSH terms
- Animals, Bone Marrow, Cells, Cultured, Humans, Leukemia, Mice, Transgenic, Myeloproliferative Disorders, Thrombopoietin, Neoplastic Stem Cells, Transforming Growth Factor beta, Hematopoietic Stem Cell Transplantation, Mice, Receptors, Notch, Cell Transdifferentiation, Chemokine CCL3, Stem Cell Niche, Primary Myelofibrosis, Mesenchymal Stem Cells
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