PMID- 30315825 OWN - NLM STAT- MEDLINE DCOM- 20190326 LR - 20190326 IS - 1873-2399 (Electronic) IS - 0301-472X (Linking) VI - 69 DP - 2019 Jan TI - TCF4 promotes erythroid development. PG - 17-21.e1 LID - S0301-472X(18)30858-0 [pii] LID - 10.1016/j.exphem.2018.10.002 [doi] AB - Transcription factor 4 (TCF4) is implicated in lymphoid cell differentiation and its expression predicts outcome in acute myeloid leukemia. Here, we investigated the role of TCF4 in myelopoiesis. Overexpression of TCF4 (TCF4(OE)) in umbilical cord blood (UCB) cells resulted in a twofold increase in erythroid colony forming units (CFU-Es), whereas knock-down (KD) of TCF4 (TCF4(KD)) caused a dramatic decrease in the number of erythroid colonies. In megakaryocyte CFUs (CFU-MKs), both TCF4(KD) and TCF4(OE) inhibited MK colony formation. TCF4 did not have an impact on granulocyte, macrophage, or granulocyte-macrophage colonies or on the proportion of MK-erythrocyte progenitors (MEPs) in culture. Because TCF4 affects erythroid/MK development and these lineages are affected in myelodysplastic syndrome (MDS), we studied the impact of TCF4 expression in this disease. MDS patients with high (>/=median) TCF4 mRNA expression had higher hemoglobin (Hb) levels than MDS patients with low TCF4 expression (mean 9.0 vs. 8.55 g/dL, p = 0.02). Overall, TCF4 mRNA expression was lower in hematopoietic stem cells, common myeloid progenitors, and MEPs from MDS patients, but not in granulocyte-macrophage progenitors, compared with healthy controls. Therefore, in cell fractions with erythroid lineage potential, TCF4 is expressed less in MDS patients than in healthy controls. This correlates with the low overall Hb levels seen in MDS patients compared with healthy individuals and is consistent with the positive impact of TCF4 on erythroid development while not having impact on white colonies. These results indicate a role for TCF4 as a novel factor in erythroid-megakaryocytic differentiation. CI - Copyright (c) 2018. Published by Elsevier Inc. FAU - In 't Hout, Florentien E M AU - In 't Hout FEM AD - Department of Laboratory Medicine, Laboratory of Hematology, Radboud University Medical Centre, Nijmegen, The Netherlands. FAU - van Duren, Jolanda AU - van Duren J AD - Department of Laboratory Medicine, Laboratory of Hematology, Radboud University Medical Centre, Nijmegen, The Netherlands. FAU - Monteferrario, Davide AU - Monteferrario D AD - Department of Laboratory Medicine, Laboratory of Hematology, Radboud University Medical Centre, Nijmegen, The Netherlands. FAU - Brinkhuis, Emma AU - Brinkhuis E AD - Department of Laboratory Medicine, Laboratory of Hematology, Radboud University Medical Centre, Nijmegen, The Netherlands. FAU - Mariani, Niccolo AU - Mariani N AD - Department of Laboratory Medicine, Laboratory of Hematology, Radboud University Medical Centre, Nijmegen, The Netherlands. FAU - Westers, Theresia M AU - Westers TM AD - Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Hematology, Cancer Center Amsterdam, Amsterdam, The Netherlands. FAU - Chitu, Dana AU - Chitu D AD - HOVON Data Center, Erasmus University Medical Center-Daniel den Hoed, Rotterdam, The Netherlands. FAU - Nikoloski, Gorica AU - Nikoloski G AD - Department of Laboratory Medicine, Laboratory of Hematology, Radboud University Medical Centre, Nijmegen, The Netherlands. FAU - van de Loosdrecht, Arjan A AU - van de Loosdrecht AA AD - Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Hematology, Cancer Center Amsterdam, Amsterdam, The Netherlands. FAU - van der Reijden, Bert A AU - van der Reijden BA AD - Department of Laboratory Medicine, Laboratory of Hematology, Radboud University Medical Centre, Nijmegen, The Netherlands. FAU - Jansen, Joop H AU - Jansen JH AD - Department of Laboratory Medicine, Laboratory of Hematology, Radboud University Medical Centre, Nijmegen, The Netherlands. Electronic address: Joop.Jansen@Radboudumc.nl. FAU - Huls, Gerwin AU - Huls G AD - Department of Hematology, University Medical Centre Groningen, Groningen, The Netherlands. LA - eng PT - Journal Article DEP - 20181010 PL - Netherlands TA - Exp Hematol JT - Experimental hematology JID - 0402313 RN - 0 (Hemoglobins) RN - 0 (TCF4 protein, human) RN - 0 (Transcription Factor 4) SB - IM MH - *Cell Differentiation MH - Cells, Cultured MH - Erythroid Precursor Cells/*metabolism/pathology MH - Fetal Blood/metabolism MH - Gene Expression Regulation MH - *Hemoglobins/biosynthesis/genetics MH - Humans MH - Megakaryocytes/pathology MH - Myelodysplastic Syndromes/*genetics/*metabolism/pathology MH - *Myelopoiesis MH - *Transcription Factor 4/genetics/metabolism EDAT- 2018/10/14 06:00 MHDA- 2019/03/27 06:00 CRDT- 2018/10/14 06:00 PHST- 2018/06/18 00:00 [received] PHST- 2018/09/27 00:00 [revised] PHST- 2018/10/05 00:00 [accepted] PHST- 2018/10/14 06:00 [pubmed] PHST- 2019/03/27 06:00 [medline] PHST- 2018/10/14 06:00 [entrez] AID - S0301-472X(18)30858-0 [pii] AID - 10.1016/j.exphem.2018.10.002 [doi] PST - ppublish SO - Exp Hematol. 2019 Jan;69:17-21.e1. doi: 10.1016/j.exphem.2018.10.002. Epub 2018 Oct 10.