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Dysfunctional expansion of hematopoietic stem cells and block of myeloid differentiation in lethal sepsis
Abstract
Severe sepsis is one of the leading causes of death worldwide. High mortality rates in sepsis are frequently associated with neutropenia. Despite the central role of neutrophils in innate immunity, the mechanisms causing neutropenia during sepsis remain elusive. Here, we show that neutropenia is caused in part by apoptosis and is sustained by a block of hematopoietic stem cell (HSC) differentiation. Using a sepsis murine model, we found that the human opportunistic bacterial pathogen Pseudomonas aeruginosa caused neutrophil depletion and expansion of the HSC pool in the bone marrow. “Septic” HSCs were significantly impaired in competitive repopulation assays and defective in generating common myeloid progenitors and granulocyte-monocyte progenitors, resulting in lower rates of myeloid differentiation in vitro and in vivo. Delayed myeloid-neutrophil differentiation was further mapped using a lysozyme–green fluorescent protein (GFP) reporter mouse. Pseudomonas's lipopolysaccharide was necessary and sufficient to induce myelosuppresion and required intact TLR4 signaling. Our results establish a previously unrecognized link between HSC regulation and host response in severe sepsis and demonstrate a novel role for TLR4.
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“Recent studies have shown that LPS challenge or bacterial infection in mice not only expands the HSC/LSK population in the BM, but also potentially depletes HSCs and impairs their self-renewing capability (Esplin et al., 2011; Matatall et al., 2016; Rodriguez et al., 2009).”
From Inhibition of Inflammatory Signaling in Tet2 Mutant Preleukemic Cells Mitigates Stress-Induced Abnormalities and Clonal Hematopoiesis (2018) · cites this paper as Rodriguez et al., 2009
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Cited by
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Pietras, E. M. (2017) · Blood · doi:10.1182/blood-2017-06-780882 · Cited by 417
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IFNγ induces monopoiesis and inhibits neutrophil development during inflammation
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Metadata
- Authors
- Rodriguez, S., Chora, A., Goumnerov, B., Mumaw, C., Goebel, W. S., Fernandez, L., Baydoun, H., HogenEsch, H., Dombkowski, D. M., Karlewicz, C. A., Rice, S., Rahme, L. G., & Carlesso, N.
- Affiliations
- Herman B Wells Center, Indiana University Simon Cancer Center, School of Medicine, Indiana University, Indianapolis;
- Massachusetts General Hospital, Harvard Medical School, Boston;
- Department of Comparative Pathobiology, School of Veterinary Medicine, Purdue University, West Lafayette, IN
- Venue
- Blood
- Publisher
- American Society of Hematology
- Published
- 2009-11-05
- Volume
- 114
- Issue
- 19
- Pages
- 4064-4076
- ISSN
- 0006-4971
- 1528-0020
- Cited by
- 135
- References
- 6
- Language
- en
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