Investigation of the molecular causes underlying physical abnormalities in Diamond‐Blackfan anemia patients with RPL5 haploinsufficiency

Diamond‐Blackfan anemia (DBA) is a genetic disorder caused by mutations in genes encoding ribosomal proteins and characterized by erythroid aplasia and various physical abnormalities. Although accumulating evidence suggests that defective ribosome biogenesis leads to p53‐mediated apoptosis in erythr...

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Veröffentlicht in:Pathology international 2021-12, Vol.71 (12), p.803-813
Hauptverfasser: Fukui, Yuko, Hayano, Satoru, Kawanabe, Noriaki, Wang, Ziyi, Shimada, Akira, Saito, Megumu K., Asaka, Isao, Kamioka, Hiroshi
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container_end_page 813
container_issue 12
container_start_page 803
container_title Pathology international
container_volume 71
creator Fukui, Yuko
Hayano, Satoru
Kawanabe, Noriaki
Wang, Ziyi
Shimada, Akira
Saito, Megumu K.
Asaka, Isao
Kamioka, Hiroshi
description Diamond‐Blackfan anemia (DBA) is a genetic disorder caused by mutations in genes encoding ribosomal proteins and characterized by erythroid aplasia and various physical abnormalities. Although accumulating evidence suggests that defective ribosome biogenesis leads to p53‐mediated apoptosis in erythroid progenitor cells, little is known regarding the underlying causes of the physical abnormalities. In this study, we established induced pluripotent stem cells from a DBA patient with RPL5 haploinsufficiency. These cells retained the ability to differentiate into osteoblasts and chondrocytes. However, RPL5 haploinsufficiency impaired the production of mucins and increased apoptosis in differentiated chondrocytes. Increased expression of the pro‐apoptotic genes BAX and CASP9 further indicated that RPL5 haploinsufficiency triggered p53‐mediated apoptosis in chondrocytes. Murine double minute 2 (MDM2), the primary negative regulator of p53, plays a crucial role in erythroid aplasia in DBA patient. We found the phosphorylation level of MDM2 was significantly decreased in RPL5 haploinsufficient chondrocytes. In stark contrast, we found no evidence that RPL5 haploinsufficiency impaired osteogenesis. Collectively, our data support a model in which RPL5 haploinsufficiency specifically induces p53‐mediated apoptosis in chondrocytes through MDM2 inhibition, which leads to physical abnormalities in DBA patients.
doi_str_mv 10.1111/pin.13168
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Although accumulating evidence suggests that defective ribosome biogenesis leads to p53‐mediated apoptosis in erythroid progenitor cells, little is known regarding the underlying causes of the physical abnormalities. In this study, we established induced pluripotent stem cells from a DBA patient with RPL5 haploinsufficiency. These cells retained the ability to differentiate into osteoblasts and chondrocytes. However, RPL5 haploinsufficiency impaired the production of mucins and increased apoptosis in differentiated chondrocytes. Increased expression of the pro‐apoptotic genes BAX and CASP9 further indicated that RPL5 haploinsufficiency triggered p53‐mediated apoptosis in chondrocytes. Murine double minute 2 (MDM2), the primary negative regulator of p53, plays a crucial role in erythroid aplasia in DBA patient. We found the phosphorylation level of MDM2 was significantly decreased in RPL5 haploinsufficient chondrocytes. 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In stark contrast, we found no evidence that RPL5 haploinsufficiency impaired osteogenesis. Collectively, our data support a model in which RPL5 haploinsufficiency specifically induces p53‐mediated apoptosis in chondrocytes through MDM2 inhibition, which leads to physical abnormalities in DBA patients.</abstract><cop>Australia</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34587661</pmid><doi>10.1111/pin.13168</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-4166-9531</orcidid><oa>free_for_read</oa></addata></record>
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subjects Abnormalities
Anemia
Anemia, Diamond-Blackfan - genetics
Anemia, Diamond-Blackfan - pathology
Animals
Aplasia
Apoptosis
Apoptosis - genetics
Bax protein
Biomedical materials
Cell differentiation
Child
chondrocyte
Chondrocytes
Chondrocytes - pathology
cleft lip and palate
Diamonds
Diamond‐Blackfan anemia
Evolution
Genes
Genetic disorders
Genetic Markers
Haploinsufficiency
Humans
Induced Pluripotent Stem Cells
iPS cell
Male
MDM2 protein
Mice
Mucin
Mucins
Mutation
Osteogenesis
Osteogenesis - genetics
p53 Protein
Phosphorylation
Pluripotency
Progenitor cells
Ribosomal proteins
Ribosomal Proteins - genetics
RPL5
Stem cell transplantation
Stem cells
title Investigation of the molecular causes underlying physical abnormalities in Diamond‐Blackfan anemia patients with RPL5 haploinsufficiency
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