Inhibition of Inflammatory Signaling in Tet2 Mutant Preleukemic Cells Mitigates Stress-Induced Abnormalities and Clonal Hematopoiesis
Open accessAbstract
Inflammation is a risk factor for cancer development. Individuals with preleukemic TET2 mutations manifest clonal hematopoiesis and are at a higher risk of developing leukemia. How inflammatory signals influence the survival of preleukemic hematopoietic stem and progenitor cells (HSPCs) is unclear. We show a rapid increase in the frequency and absolute number of Tet2-KO mature myeloid cells and HSPCs in response to inflammatory stress, which results in enhanced production of inflammatory cytokines, including interleukin-6 (IL-6), and resistance to apoptosis. IL-6 induces hyperactivation of the Shp2-Stat3 signaling axis, resulting in increased expression of a novel anti-apoptotic long non-coding RNA (lncRNAs), Morrbid, in Tet2-KO myeloid cells and HSPCs. Expression of activated Shp2 in HSPCs phenocopies Tet2 loss with regard to hyperactivation of Stat3 and Morrbid. In vivo, pharmacologic inhibition of Shp2 or Stat3 or genetic loss of Morrbid in Tet2 mutant mice rescues inflammatory-stress-induced abnormalities in HSPCs and mature myeloid cells, including clonal hematopoiesis.
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Chemical inhibitors of NF-κB and STAT3 (E3330), or SHP2 (SHP099), abrogate the competitive growth of aged Tet2−/− cells.
“The authors then blocked the pathways with chemical inhibitors of both NF-κB and STAT3 (E3330), or SHP2 (SHP099), and showed that either of these compounds abrogates the competitive growth of aged Tet2−/− cells and reduces serum IL-6 levels [82].”
From Clonal hematopoiesis and inflammation – the perpetual cycle (2023) · cites this paper as [82]
The Results section reports that E3330 and SHP099 significantly repressed Tet2-KO cell expansion relative to wild-type cells in chimeric mice. It separately reports improved blood counts and reduced serum IL-6 in aged Tet2-KO mice, but does not show that either drug abrogated competitive growth specifically in aged Tet2-KO cells. No page number is available in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measuredTet2-deficient HSPCs maintain a repopulation advantage after exposure to bacterial lipopolysaccharides due to increased resistance to IL-6-mediated apoptosis.
“Moreover, Tet2-deficient HSPCs maintain a repopulation advantage after exposure to bacterial lipopolysaccharides (LPSs), due to increased resistance to IL-6–mediated apoptosis,16”
From Aging drives <i>Tet2</i> <i>+/−</i> clonal hematopoiesis via IL-1 signaling (2023) · cites this paper as [16]
The Results section on repopulating activity (page unavailable) reports that Tet2-KO HSPCs maintain greater engraftment than wild-type cells after LPS challenge; the apoptosis Results section reports less apoptosis in Tet2-KO cells after LPS. But the IL-6 experiments report reduced apoptosis of Tet2-KO cells in the presence of IL-6, not resistance to apoptosis mediated by IL-6. The claim’s proposed mechanism therefore misstates what the paper shows. (LLM, conf=0.88)
Experimental — accuracy not yet measuredMost CHIP mouse models rely on BM transplantation following high-dose irradiation and inevitably increased inflammatory milieus.
“Currently, most CHIP mouse models rely on BM transplantation following high-dose irradiation and inevitably increased inflammatory milieus.16,24,39”
From Aging drives <i>Tet2</i> <i>+/−</i> clonal hematopoiesis via IL-1 signaling (2023) · cites this paper as [16]
The STAR*METHODS Method Details section (page not supplied) says this paper’s bone-marrow transplantation recipients were lethally irradiated before transplantation, supporting the claim for this model. The paper does not establish that most CHIP mouse models use this approach or that irradiation inevitably increases the inflammatory milieu. (LLM, conf=0.85)
Experimental — accuracy not yet measuredChemical inhibitors of NF-κB and STAT3 (E3330), or SHP2 (SHP099), reduce serum IL-6 levels.
“The authors then blocked the pathways with chemical inhibitors of both NF-κB and STAT3 (E3330), or SHP2 (SHP099), and showed that either of these compounds abrogates the competitive growth of aged Tet2−/− cells and reduces serum IL-6 levels [82].”
From Clonal hematopoiesis and inflammation – the perpetual cycle (2023) · cites this paper as [82]
An antiapoptotic long non-coding RNA called Morrbid mediates downregulation of Bim, downstream of a hyperactivated SHP2-STAT3 signaling axis in Tet2−/− HSPCs.
“Complementary work explored the mechanism behind this phenotype and identified an antiapoptotic long non-coding RNA called Morrbid that mediates downregulation of Bim, downstream of a hyperactivated SHP2–STAT3 signaling axis in Tet2−/− HSPCs [82].”
From Clonal hematopoiesis and inflammation – the perpetual cycle (2023) · cites this paper as [82]
In the Tet2−/− murine model, the Il-6/Morrbid axis through STAT3/SHP2 is a crucial pathway used by mutant cells in competitive transplantation assays.
“Using the Tet2−/− murine model, it was found that the Il-6/Morrbid axis through STAT3/SHP2 is a crucial pathway used by the mutant cells in competitive transplantation assays [82].”
From Clonal hematopoiesis and inflammation – the perpetual cycle (2023) · cites this paper as [82]
Inflammation has been shown to be a driver of Tet2-mutant clonal hematopoiesis.
“inflammation has been shown to be a driver of Tet2-mutant CH.”
From Chronic infection drives Dnmt3a-loss-of-function clonal hematopoiesis via IFNγ signaling (2021) · cites this paper as Cai et al., 2018
Isolated effects of individual inflammatory cytokines, including type 1 interferons (IFNa/b), type 2 IFN (IFNg), TNFa, and IL-1, have been well-documented in mouse hematopoietic development.
“The isolated effects of individual inflammatory cytokines, including type 1 interferons (IFNa/b) 1-3 , type 2 IFN (IFNg) 4-6 , TNFa 7,8 , and IL-1 9-11 , have been well-documented in mouse hematopoietic development.”
From Type 1 interferon perturbates clonal competition by reshaping human blood development (2026) · cites this paper as [7]
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“In vivo, pharmacologic inhibition of Shp2 or Stat3 or genetic loss of Morrbid in Tet2-mutant mice rescues inflammatory stress-induced abnormalities in HSPCs and mature myeloid cells including clonal hematopoiesis.”
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- Authors
- Cai, Z., Kotzin, J. J., Ramdas, B., Chen, S., Nelanuthala, S., Palam, L. R., Pandey, R., Mali, R. S., Liu, Y., Kelley, M. R., Sandusky, G., Mohseni, M., Williams, A., Henao-Mejia, J., & Kapur, R.
- Affiliations
- Indiana University Indianapolis (US)
- University of Pennsylvania (US)
- Indiana University School of Medicine (US)
- The Jackson Laboratory for Genomic Medicine (US)
- Corresponding author
- Cai, Zhigang
- Kapur, Reuben
- ORCID
- Venue
- Cell Stem Cell
- Publisher
- Elsevier BV
- Published
- 2018-12
- Volume
- 23
- Issue
- 6
- Pages
- 833-849.e5
- ISSN
- 1875-9777 (ISSN-L)
- 1934-5909
- PMC
- PMC6317370
- OpenAlex
- W2905501602
- Cited by
- 394
- References
- 11
- Citations by year
- 2026: 50 · 2025: 57 · 2024: 59 · 2023: 53 · 2022: 66 · 2021: 42 · 2020: 47 · 2019: 20
- FWCI
- 19.54
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell stem cell (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- The Mouseion at the JAXlibrary (Jackson Laboratory) (submittedVersion)
- IUScholarWorks (Indiana University) (submittedVersion)
- Purdue University Indianapolis (Indiana University) (submittedVersion)
- Funders
- NIH (R01HL077177, R01CA173852, R01CA134777, T32HL007910, R01 CA167291, R01HL136572)
- Leukemia and Lymphoma Society
- Riley Children’s Foundation
- PEW Charitable Foundation (R21AI128060)
- Burroughs Welcome Fund (R21DK111755)
- Topics
- Health Sciences › Medicine › Hematology › Acute Myeloid Leukemia Research
- Health Sciences › Medicine › Hematology › Hematopoietic Stem Cell Transplantation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Tyrosine Phosphatases
- Keywords
- TET2 mutation, preleukemic cells, clonal hematopoiesis, inflammation, inflammatory stress, hematopoietic stem and progenitor cells, myeloid cells, interleukin-6, long non-coding RNA, apoptosis resistance, leukemia risk
- MeSH terms
- Animals, DNA-Binding Proteins, Female, Hematopoiesis, Hematopoietic Stem Cells, Inflammation, Male, Mice, Inbred C57BL, Mutation, Piperidines, Propionates, Proto-Oncogene Proteins, Pyrimidines, Signal Transduction, Benzoquinones, Mice, Knockout, Oxidative Stress, Myeloid Cells, Dioxygenases, Mice, RNA, Long Noncoding
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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