Cited by 3Myeloproliferative Neoplasms: Diagnosis and TreatmentAcute Myeloid Leukemia ResearchHematopoietic Stem Cell Transplantation

The DOI matches its Crossref record; 208 of the 208 references it cites were found in a registry or an index; 73 of the 94 sources its claims cite were checked for support.

Type 1 interferon perturbates clonal competition by reshaping human blood development

Open access

Abstract

Abstract Inflammation perturbs evolutionary dynamics of hematopoietic stem cell (HSC) clones in clonal hematopoiesis and myeloid neoplasms. We studied HSCs, progenitors and immune cells from patients with myeloproliferative neoplasm (MPN) at baseline and following interferon-⍺ (IFN⍺) treatment, the only MPN therapy to deplete clonal stem cells. We focused on essential thrombocythemia, an informative model of early-phase neoplastic hematopoiesis. We integrated somatic genotyping, transcriptomes, immunophenotyping, and chromatin accessibility across single cells. IFN⍺ simultaneously activated HSCs into two polarized states, a lymphoid progenitor expansion associated with an anti-inflammatory state and an IFN⍺-specific inflammatory granulocytic progenitor (IGP) state derived directly from HSCs. The augmented lymphoid differentiation balanced the typical MPN-induced myeloid bias, associated with normalized blood counts. Clonal fitness upon IFN⍺ exposure was due to resistance of clonal stem cells to differentiate into IGPs. These results support a paradigm wherein inflammation perturbs clonal dynamics by HSC induction into the precipitous IGP differentiation program. One-Sentence Summary Inflammation accelerates clonal evolution by driving stem cell differentiation into an alternate interferon-⍺-induced progenitor state.

Overview

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TL;DR

In serial bone marrow from patients with CALR-mutated essential thrombocythemia treated with pegylated IFN-alpha, single-cell multi-omics linked somatic genotype, transcriptome, immunophenotype, and chromatin accessibility in the same CD34+ cells. IFN-alpha simultaneously induced a novel inflammatory granulocytic progenitor state and lymphoid expansion while downregulating TNF-alpha/TGF-beta programs, with mutated cells showing constrained lymphoid expansion and greater myeloid proliferation.

Key findings

  • GoT-IM captured CALR genotype for 81.5% of CD34+ HSPCs (n = 40,668) and integrated 49,891 cells from 16 samples; it identified a novel IFN-alpha-induced inflammatory granulocytic progenitor (IGP) state marked by AP-1, KLF, NR4A, RFX2/3, CEBPB/D, and IRF1, with TNF-alpha via NF-kB upregulation (Adj. P = 3.5 × 10−8) and MYC target downregulation (Adj. P = 6.8 × 10−6) versus IMPs.
  • IFN-alpha expanded lymphoid progenitors, especially large and small Pre-B cells, and reduced megakaryocytic-erythroid progenitors; Pro-B cells in G2/M/S increased almost 2-fold on average, and MEP/MkP frequencies modeled platelet counts (P = 0.0071, F-test).
  • IFN-alpha broadly downregulated TNF-alpha signaling via NF-kB and TGF-beta signaling across progenitor subsets, including downregulation of NFKB1, VEGFA, MAP3K8, IL1B, THBS1, and SERPINE1; HSCs also downregulated CXCR4, with high-CXCR4 HSCs less likely to be in cell cycle (P < 2.2 × 10−22, Fisher exact test).
  • In CALR-mutated versus wildtype cells, lymphoid expansion occurred in both but was constrained in mutated cells by relative myeloid expansion; IFNa boosted proliferation more in mutated HSCs and myeloid progenitors, and GoT-ATAC identified PU.1 as a master regulator, with enhanced CEBPA and GATA1 activities in mutated cells.

Methods

  • Cryopreserved bone marrow or peripheral blood mononuclear cells from patients with CALR-mutated essential thrombocythemia treated with weekly pegylated IFN-alfa2a in clinical trials MPN-RC-111 and MPN-RC-112 (n = 4 baseline and 7 treated samples from 5 individuals; additional baseline samples from prior work); CD34+ cells were FACS-isolated.
  • GoT-IM combined 10x scRNA-seq, CITE-seq immunophenotyping, cell hashing for treatment time point, and targeted CALR genotyping; GoT-ATAC adapted 10x Multiome to capture snRNA-seq, snATAC-seq, and somatic genotype (n = 24,862 total cells; 12% genotyped, n = 2,873 cells; n = 4 baseline, 3 treated samples).
  • Analyses included Seurat canonical correlation integration, Ironthrone-GoT mutation calling, linear mixed models, pre-ranked GSEA against MSigDB Hallmark sets, chromVAR motif enrichment, gene-peak cis-association, multiplexed immunofluorescence, and retrospective flow cytometry (n = 47 no IFNa, n = 9 IFNa).

Limitations

  • The paper states that serial bone marrow specimens are exceedingly rare, the cohort is small, and cryopreserved mononuclear cells precluded assessment of neutrophils; GoT-ATAC genotyping efficiency was significantly lower than GoT-IM due to the limited nuclear transcript pool.
  • The paper notes that IGPs constitute <1% of progenitors, making functional and genetic lineage studies challenging, and that in vitro IFN-alpha effects on HSCs differ from in vivo effects; it also raises the possibility that the IGP population may not be present in mice.
  • The text makes evident additional constraints: the multiplexed immunofluorescence validation used a non-paired cohort with only a trending increase in proliferation (P = 0.063, Wilcoxon rank sum), and the double-mutant CALR clone analysis rests on a single index patient (IFN04).

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Integrity signals

Registry

Crossref · 10.1038/s41588-026-02751-3

Cites

208 of 208 references verified0 citation errors · 0 not checkable

Statistics

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Verification

Claims the paper makes

85 Own result · 31 Own interpretation · 25 Couldn’t confirm · 17 Own method · 11 Partly supported · 8 No full text of the sources · 2 No basis given · 1 Sources not found · 1 Not checked yet · accuracy not yet measured

Show all 106 claims

  • Probably not a substantial claim. 38
  • It may state two separate claims as one. 43
  • The quote only partly states this claim. 2
75 of 75
  • The paper relies on this without support.

    The study of cytokines in human hematopoiesis is challenging due to the concerted activities of multiple cytokines across physiologic and pathologic processes.

    “However, the study of cytokines in human hematopoiesis is challenging due to the concerted activities of multiple cytokines across physiologic and pathologic processes.”
  • The paper relies on this without support.

    HSC-enriched bone marrow biopsies are rare, as they are restricted to patients with suspected or diagnosed hematopoietic neoplasms or defects.

    “Moreover, HSC-enriched bone marrow biopsies are rare, as they are restricted to patients with suspected or diagnosed hematopoietic neoplasms or defects.”
  • The paper relies on this without support.

    The molecular effects undergirding the clinical improvements of CALR-mutated MPN through IFNa therapy remain an open arena of investigations.

    “Thus, the molecular effects undergirding the clinical improvements of CALR -mutated MPN through IFNa therapy remain an open arena of investigations.”
  • The paper relies on this without support.

    The mutated cells are not distinguishable from the admixed wildtype cells by cell surface markers.

    “While MPNs provide a useful model to study the effects of somatic mutations on human hematopoiesis, the precise examination of IFNa effects on mutated versus wildtype blood formation is challenging because the mutated cells are not distinguishable from the admixed wildtype cells by cell surface markers.”
  • The paper relies on this without support.

    The half-life of pegylated-IFNa is approximately 2 weeks.

    “consistent with a half-life of the pegylated-IFNa of ~2 weeks”
  • The paper relies on this without support.

    Patients treated with IFNa do not develop neutrophilia.

    “consistent with the absence of neutrophilia in patients treated with IFNa.”
  • The paper relies on this without support.

    Chromatin accessibility of TF binding sites is a reliable surrogate of TF activity.

    “Chromatin accessibility enables approximation of TF activity based on accessibility of the TF binding sites.”
    “as a reliable surrogate of TF activities”
  • The paper relies on this without support.

    MPN presents primarily as a defect in homeostatic hematopoietic development, due to abnormal differentiation skewing and increased proliferation of one or more myeloid lineages.

    “MPN presents primarily as a defect in homeostatic hematopoietic development, due to an abnormal differentiation skewing and increased proliferation of one or more of the myeloid lineages”
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Metadata

Authors
Lama, C., Isakov, D., Rosenberg, S., Quijada-Álamo, M., Saurty-Seerunghen, M. S., Moein, S., Nozais, M., Abera, T.-A., Sakaguchi, O., Totwani, M., Freed, G., Zaydon, L., Poon, C.-L., Parghi, N., Kubas-Meyer, A., Xie, A. X., Omar, M., Choi, D., Castillo-Tokumori, F., Abu-Zeinah, G., Dillard, A., Ganesan, S., Omans, N. D., Dusaj, N., Chamely, P., Mimitou, E., Smibert, P., Kosiorek, H. E., Dueck, A. C., Weinberg, R., Chaligne, R., Marcellino, B., Marchionni, L., Patel, S., Simonson, P., Landau, D. A., Wagenblast, E., Hoffman, R., & Nam, A. S.
Affiliations
  • Weill Cornell Medicine (US)
  • Memorial Sloan Kettering Cancer Center (US)
  • Icahn School of Medicine at Mount Sinai (US)
  • Cedars-Sinai Medical Center (US)
  • New York Genome Center (US)
  • Immunai (United States) (US)
  • 10X Genomics (United States) (US)
  • Mayo Clinic in Arizona (US)
  • Mayo Clinic (US)
  • New York Blood Center (US)
  • Tisch Cancer Institute (US)
Corresponding author
Nam, Anna S.
Venue
Nature Genetics
Published
2026-09-15
ISSN
  • 1061-4036 (ISSN-L)
  • 1546-1718
OpenAlex
W7213233242
Cited by
3
References
178
Citations by year
2026: 2
FWCI
8.90
Type
journal article
Language
en
Open access
Locations
  • Nature Genetics (publishedVersion, cc-by-nc-nd)
  • bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Funders
  • Burroughs Wellcome Fund
  • National Institutes of Health (T32GM007739, 5t32gm152349-02, 5r01hl167139-03)
  • Weill Cornell Medical College (T32GM007739)
  • National Heart, Lung, and Blood Institute (F30HL156496)
  • National Institute of General Medical Sciences (T32GM007739)
Topics
  • Health Sciences › Medicine › Hematology › Myeloproliferative Neoplasms: Diagnosis and Treatment
  • Health Sciences › Medicine › Hematology › Acute Myeloid Leukemia Research
  • Health Sciences › Medicine › Hematology › Hematopoietic Stem Cell Transplantation
Keywords
type I interferon, interferon-alpha, clonal competition, clonal hematopoiesis, myeloproliferative neoplasms, hematopoietic stem cells, HSC differentiation, lymphoid differentiation, myeloid differentiation, somatic mutations, CALR mutation, JAK2 mutation, clonal fitness, inflammation, chromatin accessibility, cell cycle entry, blood count

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