NFĸB Targeting in Bone Marrow Mesenchymal Stem Cell-Mediated Support of Age-Linked Hematological Malignancies

Mesenchymal stem cells (MSCs) can become dysfunctional in patients with hematological disorders. An unanswered question is whether age-linked disruption of the bone marrow (BM) microenvironment is secondary to hematological dysfunction or vice versa. We therefore studied MSC function in patients wit...

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Veröffentlicht in:Stem cell reviews and reports 2021-12, Vol.17 (6), p.2178-2192
Hauptverfasser: Sherman, Lauren S., Patel, Shyam A., Castillo, Marianne D., Unkovic, Rachel, Taborga, Marcelo, Gergues, Marina, Patterson, Shaun, Etchegaray, Jean-Pierre, Jaloudi, Mohammed, Hooda-Nehra, Anupama, Kra, Joshua, Rojas, Darling P., Chang, Victor T., Rameshwar, Pranela
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container_end_page 2192
container_issue 6
container_start_page 2178
container_title Stem cell reviews and reports
container_volume 17
creator Sherman, Lauren S.
Patel, Shyam A.
Castillo, Marianne D.
Unkovic, Rachel
Taborga, Marcelo
Gergues, Marina
Patterson, Shaun
Etchegaray, Jean-Pierre
Jaloudi, Mohammed
Hooda-Nehra, Anupama
Kra, Joshua
Rojas, Darling P.
Chang, Victor T.
Rameshwar, Pranela
description Mesenchymal stem cells (MSCs) can become dysfunctional in patients with hematological disorders. An unanswered question is whether age-linked disruption of the bone marrow (BM) microenvironment is secondary to hematological dysfunction or vice versa. We therefore studied MSC function in patients with different hematological disorders and found decreased MHC-II except from one sample with acute myeloid leukemia (AML). The patients’ MSCs were able to exert veto properties except for AML MSCs. While the expression of MHC-II appeared to be irrelevant to the immune licensing of MSCs, AML MSCs lost their ability to differentiate upon contact and rather, continued to proliferate, forming foci-like structures. We performed a retrospective study that indicated a significant increase in MSCs, based on phenotype, for patients with BM fibrosis. This suggests a role for MSCs in patients transitioning to leukemia. NFĸB was important to MSC function and was shown to be a potential target to sensitize leukemic CD34+/CD38− cells to azacitidine. This correlated with their lack of allogeneic stimulation. This study identified NFĸB as a potential target for combination therapy to treat leukemia stem cells and showed that understanding MSC biology and immune response could be key in determining how the aging BM might support leukemia. More importantly, we show how MSCs might be involved in transitioning the high risk patient with hematological disorder to AML. Graphic abstract
doi_str_mv 10.1007/s12015-021-10235-6
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subjects Acute myeloid leukemia
Aging
Biomedical and Life Sciences
Biomedical Engineering and Bioengineering
Bone marrow
CD34 antigen
CD38 antigen
Cell Biology
Fibrosis
Hematological diseases
Hematology
Immune response
Leukemia
Life Sciences
Major histocompatibility complex
Mesenchymal stem cells
Microenvironments
Myelodysplastic syndromes
Myeloid leukemia
Phenotypes
Regenerative Medicine/Tissue Engineering
Risk groups
Stem Cells
Targeted cancer therapy
title NFĸB Targeting in Bone Marrow Mesenchymal Stem Cell-Mediated Support of Age-Linked Hematological Malignancies
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