2018
DOI: 10.1038/s41375-018-0267-x
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Activation of NF-κB driven inflammatory programs in mesenchymal elements attenuates hematopoiesis in low-risk myelodysplastic syndromes

Abstract: Highlights Activation of NF-κB signaling in mesenchymal cells is common in LR-MDS.Activation of NF-κB in mesenchymal cells leads to transcriptional overexpression of inflammatory factors including negative regulators of hematopoiesis.Activation of NF-κB attenuates HSPC numbers and function ex vivo.

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Cited by 31 publications
(22 citation statements)
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References 14 publications
(23 reference statements)
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“…BM-derived MSCs from MDS patients display an inflammatory signature as well as upregulation of molecules involved in cell adhesion and angiogenic factors ( 57 , 58 ). Activation of the nuclear factor kappa B (NF-κB) transcription factor program was also observed in MSCs of patients with MDS ( 59 ). Of interest, S100A8/A9, secreted in the BM by both MSCs and cells of hematopoietic origin, has been associated with activation of the inflammasome and consequent production of IL-1β and IL-18 by hematopoietic progenitors in MDS ( 56 , 58 ).…”
Section: Inflammation In the Hsc Niche During Malignant Hematopoiesismentioning
confidence: 99%
“…BM-derived MSCs from MDS patients display an inflammatory signature as well as upregulation of molecules involved in cell adhesion and angiogenic factors ( 57 , 58 ). Activation of the nuclear factor kappa B (NF-κB) transcription factor program was also observed in MSCs of patients with MDS ( 59 ). Of interest, S100A8/A9, secreted in the BM by both MSCs and cells of hematopoietic origin, has been associated with activation of the inflammasome and consequent production of IL-1β and IL-18 by hematopoietic progenitors in MDS ( 56 , 58 ).…”
Section: Inflammation In the Hsc Niche During Malignant Hematopoiesismentioning
confidence: 99%
“…Moreover, inflammasome activation was found to drive MDS demonstrating that cell death mechanisms, specifically pyroptotic cell death, contribute to MDS pathophysiology ( 172 ). Consistent with the complex regulation of hematopoiesis by both intrinsic mechanisms and niche-driven mechanisms, the bone marrow microenvironment plays a central role in the development of MDS ( 173 175 ). Monocytes from MDS patients were shown to generate macrophages that exhibit increased TNF production and altered phagocytic capacity ( 176 ), and dysfunctional macrophages are seen early in MDS and may be an initiating event that allows progression of MDS and leukemia.…”
Section: Macrophages In the Pathogenesis Of Bone Marrow Failure Syndrmentioning
confidence: 99%
“…MSCs promote MDS development through the creation of an inflammatory milieu. Hyperactivation of inflammatory pathways in MSCs, including NF-κB, EGF, TGF-β, and TNF-α, inhibits hematopoiesis in low-risk MDSs, accounting for the increased apoptotic rate at this stage of the disease [ 93 , 94 ]. Moreover, an inflamed BM niche may favor the expansion of mutated small clones (e.g., TET2 -mutated ones), such as those accounting for the so-called clonal hematopoiesis of indeterminate potential (CHIP) that would unlikely autonomously evolve to overt myeloid disease [ 95 ].…”
Section: The Role Of Mesenchymal Stem Cells In Myelodysplastic Synmentioning
confidence: 99%