PMID- 27856460 OWN - NLM STAT- MEDLINE DCOM- 20170814 LR - 20210202 IS - 1528-0020 (Electronic) IS - 0006-4971 (Linking) VI - 129 IP - 4 DP - 2017 Jan 26 TI - Architectural and functional heterogeneity of hematopoietic stem/progenitor cells in non-del(5q) myelodysplastic syndromes. PG - 484-496 LID - 10.1182/blood-2016-03-707745 [doi] AB - Myelodysplastic syndromes (MDSs) are hematopoietic stem cell disorders in which recurrent mutations define clonal hematopoiesis. The origin of the phenotypic diversity of non-del(5q) MDS remains unclear. Here, we investigated the clonal architecture of the CD34(+)CD38(-) hematopoietic stem/progenitor cell (HSPC) compartment and interrogated dominant clones for MDS-initiating cells. We found that clones mainly accumulate mutations in a linear succession with retention of a dominant subclone. The clone detected in the long-term culture-initiating cell compartment that reconstitutes short-term human hematopoiesis in xenotransplantation models is usually the dominant clone, which gives rise to the myeloid and to a lesser extent to the lymphoid lineage. The pattern of mutations may differ between common myeloid progenitors (CMPs), granulomonocytic progenitors (GMPs), and megakaryocytic-erythroid progenitors (MEPs). Rare STAG2 mutations can amplify at the level of GMPs, from which it may drive the transformation to acute myeloid leukemia. We report that major truncating BCOR gene mutation affecting HSPC and CMP was beneath the threshold of detection in GMP or MEP. Consistently, BCOR knock-down (KD) in normal CD34(+) progenitors modifies their granulocytic and erythroid differentiation. Clonal architecture of the HSPC compartment and mutations selected during differentiation contribute to the phenotypic heterogeneity of MDS. Defining the hierarchy of driver mutations provides insights into the process of transformation and may guide the search for novel therapeutic strategies. CI - (c) 2017 by The American Society of Hematology. FAU - Chesnais, Virginie AU - Chesnais V AD - Institut Cochin, Paris, France. AD - Institut National de la Sante et de la Recherche Medicale INSERM U1016, Paris, France. AD - Centre National de la Recherche Scientifique, Unite Mixte de Recherche 8104, Paris, France. AD - Universite Paris Descartes, Paris, France. FAU - Arcangeli, Marie-Laure AU - Arcangeli ML AD - INSERM Unite Mixte de Recherche 967, Commissariat a l'Energie Atomique/Departement des Sciences de la Vie/Institut de Recherche en Radiobiologie Cellulaire et Moleculaire Laboratory of Hematopoietic Stem Cells and Leukemic Cells, Equipe Labellisee par la Ligue Nationale Contre le Cancer, Universite Paris Diderot, Universite Paris-Saclay, Commissariat a l'Energie Atomique et aux Energies Alternatives, Fontenay-aux-Roses, France. FAU - Delette, Caroline AU - Delette C AD - Institut Cochin, Paris, France. AD - Institut National de la Sante et de la Recherche Medicale INSERM U1016, Paris, France. AD - Centre National de la Recherche Scientifique, Unite Mixte de Recherche 8104, Paris, France. AD - Universite Paris Descartes, Paris, France. FAU - Rousseau, Alice AU - Rousseau A AD - Institut Cochin, Paris, France. AD - Institut National de la Sante et de la Recherche Medicale INSERM U1016, Paris, France. AD - Centre National de la Recherche Scientifique, Unite Mixte de Recherche 8104, Paris, France. AD - Universite Paris Descartes, Paris, France. AD - Assistance Publique-Hopitaux de Paris, Service d'Hematologie Biologique, Hopitaux Universitaires Paris Centre, Paris, France. FAU - Guermouche, Helene AU - Guermouche H AD - Institut Cochin, Paris, France. AD - Institut National de la Sante et de la Recherche Medicale INSERM U1016, Paris, France. AD - Centre National de la Recherche Scientifique, Unite Mixte de Recherche 8104, Paris, France. AD - Universite Paris Descartes, Paris, France. AD - Assistance Publique-Hopitaux de Paris, Service d'Hematologie Biologique, Hopitaux Universitaires Paris Centre, Paris, France. FAU - Lefevre, Carine AU - Lefevre C AD - Institut Cochin, Paris, France. AD - Institut National de la Sante et de la Recherche Medicale INSERM U1016, Paris, France. AD - Centre National de la Recherche Scientifique, Unite Mixte de Recherche 8104, Paris, France. AD - Universite Paris Descartes, Paris, France. FAU - Bondu, Sabrina AU - Bondu S AD - Institut Cochin, Paris, France. AD - Institut National de la Sante et de la Recherche Medicale INSERM U1016, Paris, France. AD - Centre National de la Recherche Scientifique, Unite Mixte de Recherche 8104, Paris, France. AD - Universite Paris Descartes, Paris, France. FAU - Diop, M'boyba AU - Diop M AD - INSERM U1170, Equipe Labellisee Ligue Nationale Contre le Cancer, Universite Paris-Saclay, Institut Gustave Roussy, Villejuif, France. FAU - Cheok, Meyling AU - Cheok M AD - INSERM, Centre Hospitalier Universitaire Lille, Unite de Mixte de Recherche-Scientifique 1172, Jean-Pierre Aubert Research Center, Lille, France. FAU - Chapuis, Nicolas AU - Chapuis N AD - Institut Cochin, Paris, France. AD - Institut National de la Sante et de la Recherche Medicale INSERM U1016, Paris, France. AD - Centre National de la Recherche Scientifique, Unite Mixte de Recherche 8104, Paris, France. AD - Universite Paris Descartes, Paris, France. AD - Assistance Publique-Hopitaux de Paris, Service d'Hematologie Biologique, Hopitaux Universitaires Paris Centre, Paris, France. FAU - Legros, Laurence AU - Legros L AD - Service de Medecine Interne, Centre Hospitalier Universitaire, Nice, France. FAU - Raynaud, Sophie AU - Raynaud S AD - Laboratoire d'Hematologie Centre Hospitalier Universitaire, Nice, France; and. FAU - Willems, Lise AU - Willems L AD - Assistance Publique-Hopitaux de Paris, Service d'Hematologie, Hopitaux Universitaires Paris Centre, Paris, France. FAU - Bouscary, Didier AU - Bouscary D AD - Institut Cochin, Paris, France. AD - Institut National de la Sante et de la Recherche Medicale INSERM U1016, Paris, France. AD - Centre National de la Recherche Scientifique, Unite Mixte de Recherche 8104, Paris, France. AD - Universite Paris Descartes, Paris, France. AD - Assistance Publique-Hopitaux de Paris, Service d'Hematologie, Hopitaux Universitaires Paris Centre, Paris, France. FAU - Lauret, Evelyne AU - Lauret E AD - Institut Cochin, Paris, France. AD - Institut National de la Sante et de la Recherche Medicale INSERM U1016, Paris, France. AD - Centre National de la Recherche Scientifique, Unite Mixte de Recherche 8104, Paris, France. AD - Universite Paris Descartes, Paris, France. FAU - Bernard, Olivier A AU - Bernard OA AD - INSERM U1170, Equipe Labellisee Ligue Nationale Contre le Cancer, Universite Paris-Saclay, Institut Gustave Roussy, Villejuif, France. FAU - Kosmider, Olivier AU - Kosmider O AD - Institut Cochin, Paris, France. AD - Institut National de la Sante et de la Recherche Medicale INSERM U1016, Paris, France. AD - Centre National de la Recherche Scientifique, Unite Mixte de Recherche 8104, Paris, France. AD - Universite Paris Descartes, Paris, France. AD - Assistance Publique-Hopitaux de Paris, Service d'Hematologie Biologique, Hopitaux Universitaires Paris Centre, Paris, France. FAU - Pflumio, Francoise AU - Pflumio F AD - INSERM Unite Mixte de Recherche 967, Commissariat a l'Energie Atomique/Departement des Sciences de la Vie/Institut de Recherche en Radiobiologie Cellulaire et Moleculaire Laboratory of Hematopoietic Stem Cells and Leukemic Cells, Equipe Labellisee par la Ligue Nationale Contre le Cancer, Universite Paris Diderot, Universite Paris-Saclay, Commissariat a l'Energie Atomique et aux Energies Alternatives, Fontenay-aux-Roses, France. FAU - Fontenay, Michaela AU - Fontenay M AD - Institut Cochin, Paris, France. AD - Institut National de la Sante et de la Recherche Medicale INSERM U1016, Paris, France. AD - Centre National de la Recherche Scientifique, Unite Mixte de Recherche 8104, Paris, France. AD - Universite Paris Descartes, Paris, France. AD - Assistance Publique-Hopitaux de Paris, Service d'Hematologie Biologique, Hopitaux Universitaires Paris Centre, Paris, France. LA - eng PT - Journal Article DEP - 20161116 PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (Antigens, CD34) RN - 0 (Antigens, Nuclear) RN - 0 (BCOR protein, human) RN - 0 (Cell Cycle Proteins) RN - 0 (Membrane Glycoproteins) RN - 0 (Proto-Oncogene Proteins) RN - 0 (Repressor Proteins) RN - 0 (STAG2 protein, human) RN - EC 3.2.2.5 (CD38 protein, human) RN - EC 3.2.2.6 (ADP-ribosyl Cyclase 1) SB - IM MH - ADP-ribosyl Cyclase 1/deficiency/genetics MH - Animals MH - Antigens, CD34/genetics/metabolism MH - Antigens, Nuclear/genetics/metabolism MH - Cell Cycle Proteins MH - Cell Differentiation MH - Cell Lineage/genetics MH - *Chromosomes, Human, Pair 5 MH - Clone Cells MH - Disease Progression MH - Female MH - Gene Expression MH - Gene Knockdown Techniques MH - Hematopoietic Stem Cells/*metabolism/pathology MH - Humans MH - Immunophenotyping MH - Leukemia, Myeloid, Acute/complications/*genetics/metabolism/pathology MH - Lymphocytes/*metabolism/pathology MH - Membrane Glycoproteins/deficiency/genetics MH - Mice MH - Mice, Inbred NOD MH - *Mutation MH - Myelodysplastic Syndromes/complications/*genetics/metabolism/pathology MH - Myeloid Cells/*metabolism/pathology MH - Phenotype MH - Proto-Oncogene Proteins/genetics/metabolism MH - Repressor Proteins/genetics/metabolism MH - Transplantation, Heterologous EDAT- 2016/11/20 06:00 MHDA- 2017/08/15 06:00 CRDT- 2016/11/19 06:00 PHST- 2016/03/26 00:00 [received] PHST- 2016/11/06 00:00 [accepted] PHST- 2016/11/20 06:00 [pubmed] PHST- 2017/08/15 06:00 [medline] PHST- 2016/11/19 06:00 [entrez] AID - S0006-4971(20)33757-5 [pii] AID - 10.1182/blood-2016-03-707745 [doi] PST - ppublish SO - Blood. 2017 Jan 26;129(4):484-496. doi: 10.1182/blood-2016-03-707745. Epub 2016 Nov 16.