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Heterogeneous bone-marrow stromal progenitors drive myelofibrosis via a druggable alarmin axis.

Authors:
Nils B Leimkühler Hélène F E Gleitz Li Ronghui Inge A M Snoeren Stijn N R Fuchs James S Nagai Bella Banjanin King H Lam Thomas Vogl Christoph Kuppe Ursula S A Stalmann Guntram Büsche Hans Kreipe Ines Gütgemann Philippe Krebs Yara Banz Peter Boor Evelyn Wing-Yin Tai Tim H Brümmendorf Steffen Koschmieder Martina Crysandt Eric Bindels Rafael Kramann Ivan G Costa Rebekka K Schneider

Cell Stem Cell 2021 Apr 9;28(4):637-652.e8. Epub 2020 Dec 9.

Department of Hematology, Erasmus Medical Center, Rotterdam 3015GD, the Netherlands; Department of Cell Biology, Institute for Biomedical Engineering, Faculty of Medicine, RWTH Aachen University, Pauwelsstrasse 30, 52074 Aachen, Germany; Oncode Institute, Erasmus Medical Center, Rotterdam 3015GD, the Netherlands. Electronic address:

Functional contributions of individual cellular components of the bone-marrow microenvironment to myelofibrosis (MF) in patients with myeloproliferative neoplasms (MPNs) are incompletely understood. We aimed to generate a comprehensive map of the stroma in MPNs/MFs on a single-cell level in murine models and patient samples. Our analysis revealed two distinct mesenchymal stromal cell (MSC) subsets as pro-fibrotic cells. MSCs were functionally reprogrammed in a stage-dependent manner with loss of their progenitor status and initiation of differentiation in the pre-fibrotic and acquisition of a pro-fibrotic and inflammatory phenotype in the fibrotic stage. The expression of the alarmin complex S100A8/S100A9 in MSC marked disease progression toward the fibrotic phase in murine models and in patient stroma and plasma. Tasquinimod, a small-molecule inhibiting S100A8/S100A9 signaling, significantly ameliorated the MPN phenotype and fibrosis in JAK2V617F-mutated murine models, highlighting that S100A8/S100A9 is an attractive therapeutic target in MPNs.

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http://dx.doi.org/10.1016/j.stem.2020.11.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8024900PMC
April 2021

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Am J Respir Cell Mol Biol 2021 Apr 13. Epub 2021 Apr 13.

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