A proinflammatory stem cell niche drives myelofibrosis through a targetable galectin-1 axis

Myeloproliferative neoplasms are stem cell-driven cancers associated with a large burden of morbidity and mortality. Most patients present with early-stage disease, but a substantial proportion progress to myelofibrosis or secondary leukemia, advanced cancers with a poor prognosis and high symptom b...

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Egile Nagusiak: Li, R, Colombo, M, Wang, G, Rodriguez-Romera, A, Benlabiod, C, Jooss, NJ, O'Sullivan, J, Brierley, CK, Clark, S-A, Pérez Sáez, JM, Fernández, PA, Schoof, EM, Porse, B, Meng, Y, Khan, AO, Wen, S, Dong, P, Zhou, W, Sousos, N, Murphy, L, Clarke, M, Olijnik, A-A, Wong, ZC, Karali, CS, Sirinukunwattana, K, Ryou, H, Norfo, R, Cheng, Q, Carrelha, J, Ren, Z, Thongjuea, S, Rathinam, VA, Krishnan, A, Royston, D, Rabinovich, GA, Mead, AJ, Psaila, B
Formatua: Journal article
Hizkuntza:English
Argitaratua: American Association for the Advancement of Science 2024
_version_ 1826315397931991040
author Li, R
Colombo, M
Wang, G
Rodriguez-Romera, A
Benlabiod, C
Jooss, NJ
O'Sullivan, J
Brierley, CK
Clark, S-A
Pérez Sáez, JM
Fernández, PA
Schoof, EM
Porse, B
Meng, Y
Khan, AO
Wen, S
Dong, P
Zhou, W
Sousos, N
Murphy, L
Clarke, M
Olijnik, A-A
Wong, ZC
Karali, CS
Sirinukunwattana, K
Ryou, H
Norfo, R
Cheng, Q
Carrelha, J
Ren, Z
Thongjuea, S
Rathinam, VA
Krishnan, A
Royston, D
Rabinovich, GA
Mead, AJ
Psaila, B
author_facet Li, R
Colombo, M
Wang, G
Rodriguez-Romera, A
Benlabiod, C
Jooss, NJ
O'Sullivan, J
Brierley, CK
Clark, S-A
Pérez Sáez, JM
Fernández, PA
Schoof, EM
Porse, B
Meng, Y
Khan, AO
Wen, S
Dong, P
Zhou, W
Sousos, N
Murphy, L
Clarke, M
Olijnik, A-A
Wong, ZC
Karali, CS
Sirinukunwattana, K
Ryou, H
Norfo, R
Cheng, Q
Carrelha, J
Ren, Z
Thongjuea, S
Rathinam, VA
Krishnan, A
Royston, D
Rabinovich, GA
Mead, AJ
Psaila, B
author_sort Li, R
collection OXFORD
description Myeloproliferative neoplasms are stem cell-driven cancers associated with a large burden of morbidity and mortality. Most patients present with early-stage disease, but a substantial proportion progress to myelofibrosis or secondary leukemia, advanced cancers with a poor prognosis and high symptom burden. Currently, it remains difficult to predict progression, and therapies that reliably prevent or reverse fibrosis are lacking. A major bottleneck to the discovery of disease-modifying therapies has been an incomplete understanding of the interplay between perturbed cellular and molecular states. Several cell types have individually been implicated, but a comprehensive analysis of myelofibrotic bone marrow is lacking. We therefore mapped the cross-talk between bone marrow cell types in myelofibrotic bone marrow. We found that inflammation and fibrosis are orchestrated by a "quartet" of immune and stromal cell lineages, with basophils and mast cells creating a TNF signaling hub, communicating with megakaryocytes, mesenchymal stromal cells, and proinflammatory fibroblasts. We identified the β-galactoside-binding protein galectin-1 as a biomarker of progression to myelofibrosis and poor survival in multiple patient cohorts and as a promising therapeutic target, with reduced myeloproliferation and fibrosis in vitro and in vivo and improved survival after galectin-1 inhibition. In human bone marrow organoids, TNF increased galectin-1 expression, suggesting a feedback loop wherein the proinflammatory myeloproliferative neoplasm clone creates a self-reinforcing niche, fueling progression to advanced disease. This study provides a resource for studying hematopoietic cell-niche interactions, with relevance for cancer-associated inflammation and disorders of tissue fibrosis.
first_indexed 2024-12-09T03:24:38Z
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spelling oxford-uuid:f677af36-04db-4060-b82b-c814c4f1a1c62024-11-26T10:06:53ZA proinflammatory stem cell niche drives myelofibrosis through a targetable galectin-1 axisJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f677af36-04db-4060-b82b-c814c4f1a1c6EnglishSymplectic ElementsAmerican Association for the Advancement of Science2024Li, RColombo, MWang, GRodriguez-Romera, ABenlabiod, CJooss, NJO'Sullivan, JBrierley, CKClark, S-APérez Sáez, JMFernández, PASchoof, EMPorse, BMeng, YKhan, AOWen, SDong, PZhou, WSousos, NMurphy, LClarke, MOlijnik, A-AWong, ZCKarali, CSSirinukunwattana, KRyou, HNorfo, RCheng, QCarrelha, JRen, ZThongjuea, SRathinam, VAKrishnan, ARoyston, DRabinovich, GAMead, AJPsaila, BMyeloproliferative neoplasms are stem cell-driven cancers associated with a large burden of morbidity and mortality. Most patients present with early-stage disease, but a substantial proportion progress to myelofibrosis or secondary leukemia, advanced cancers with a poor prognosis and high symptom burden. Currently, it remains difficult to predict progression, and therapies that reliably prevent or reverse fibrosis are lacking. A major bottleneck to the discovery of disease-modifying therapies has been an incomplete understanding of the interplay between perturbed cellular and molecular states. Several cell types have individually been implicated, but a comprehensive analysis of myelofibrotic bone marrow is lacking. We therefore mapped the cross-talk between bone marrow cell types in myelofibrotic bone marrow. We found that inflammation and fibrosis are orchestrated by a "quartet" of immune and stromal cell lineages, with basophils and mast cells creating a TNF signaling hub, communicating with megakaryocytes, mesenchymal stromal cells, and proinflammatory fibroblasts. We identified the β-galactoside-binding protein galectin-1 as a biomarker of progression to myelofibrosis and poor survival in multiple patient cohorts and as a promising therapeutic target, with reduced myeloproliferation and fibrosis in vitro and in vivo and improved survival after galectin-1 inhibition. In human bone marrow organoids, TNF increased galectin-1 expression, suggesting a feedback loop wherein the proinflammatory myeloproliferative neoplasm clone creates a self-reinforcing niche, fueling progression to advanced disease. This study provides a resource for studying hematopoietic cell-niche interactions, with relevance for cancer-associated inflammation and disorders of tissue fibrosis.
spellingShingle Li, R
Colombo, M
Wang, G
Rodriguez-Romera, A
Benlabiod, C
Jooss, NJ
O'Sullivan, J
Brierley, CK
Clark, S-A
Pérez Sáez, JM
Fernández, PA
Schoof, EM
Porse, B
Meng, Y
Khan, AO
Wen, S
Dong, P
Zhou, W
Sousos, N
Murphy, L
Clarke, M
Olijnik, A-A
Wong, ZC
Karali, CS
Sirinukunwattana, K
Ryou, H
Norfo, R
Cheng, Q
Carrelha, J
Ren, Z
Thongjuea, S
Rathinam, VA
Krishnan, A
Royston, D
Rabinovich, GA
Mead, AJ
Psaila, B
A proinflammatory stem cell niche drives myelofibrosis through a targetable galectin-1 axis
title A proinflammatory stem cell niche drives myelofibrosis through a targetable galectin-1 axis
title_full A proinflammatory stem cell niche drives myelofibrosis through a targetable galectin-1 axis
title_fullStr A proinflammatory stem cell niche drives myelofibrosis through a targetable galectin-1 axis
title_full_unstemmed A proinflammatory stem cell niche drives myelofibrosis through a targetable galectin-1 axis
title_short A proinflammatory stem cell niche drives myelofibrosis through a targetable galectin-1 axis
title_sort proinflammatory stem cell niche drives myelofibrosis through a targetable galectin 1 axis
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