Lecture 4 - Haematopoietic stem cells Flashcards

1
Q

What are HSCs?

A

HSCs are the only cells capable of producing all blood cell lineages.

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2
Q

What role does the niche play in HSC function?

A

The niche regulates quiescence, proliferation, and differentiation of HSCs.

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3
Q

What are the sources of regulatory signals in the HSC niche?

A

Regulatory signals come from surrounding cells through bound or secreted molecules.

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4
Q

Why is HSC expansion difficult?

A

HSC expansion is difficult due to the inability to maintain them in culture.

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5
Q

Can somatic cells be reprogrammed into HSCs?

A

No, reprogramming somatic cells into HSCs is not possible as most transcription factors responsible for HSC identity are associated with leukemia.

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6
Q

What is the role of the stroma in the bone marrow?

A

The stroma of bone marrow initiates and maintains hematopoiesis.

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7
Q

What do perivascular stromal cells expressing CXC12 regulate?

A

They regulate HSC self-renewal, proliferation, and trafficking.

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8
Q

What is the function of endothelial cells in relation to HSCs?

A

Endothelial cells can promote HSC maintenance and regeneration after injury.

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9
Q

How is HSC trafficking into the bloodstream regulated?

A

HSC trafficking is regulated by sympathetic nerves in the bone marrow.

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10
Q

What do macrophages release to promote HSC retention?

A

Macrophages release an unidentified cytokine to promote HSC retention by inducing CXCL12 secretion.

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11
Q

What is SCF and where is it expressed?

A

Stem cell factor (SCF) is a cytokine functioning as a growth factor and is expressed by perivascular and endothelial cells.

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12
Q

What happens when the CXCL12 receptor is deleted in Mx1-Cre mice?

A

It results in substantial reductions in HSCs due to enhanced exit from quiescence.

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13
Q

What is the role of Notch receptors in HSC maintenance?

A

Notch receptors may be involved in cell differentiation decisions and used to identify specific progenitor cell types.

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14
Q

What does Notch1 promote?

A

Notch1 promotes T cell commitment.

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15
Q

Which markers are primarily associated with Notch2?

A

Notch2 markers are primarily associated with erythroid progenitor cells.

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16
Q

Where are HSCs primarily located in the bone marrow?

A

Most HSCs reside in the perivascular and endosteal niches of the trabecular region.

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17
Q

What did a study in mice find regarding transplanted HSCs?

A

Transplanted HSCs were found closer to the endosteum and generated all peripheral blood lineage cells.

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18
Q

What is the effect of irradiation on HSCs?

A

Irradiation resembles chemotherapy, causing chronic toxicity affecting bone marrow cell production, maturation, trafficking, and lifespan.

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19
Q

How do CDK4 and CDK6 affect HSCs?

A

CDK4 and CDK6 mitigate haematopoietic toxicity by promoting quiescence of early HSCs and progenitors in bone marrow.

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20
Q

What is oxidative stress in the context of HSCs?

A

Oxidative stress is an overabundance of ROS that alters HSC repopulating ability and damages bone marrow vasculature.

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21
Q

How does Notch signaling enhance HSC regeneration?

A

Notch signaling enhances megakaryocyte production and platelet formation by interacting with Dll1 ligand expressed by OP9 stromal cells.

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22
Q

What role does the cytokine pleiotrophin play?

A

Pleiotrophin regulates the balance between myeloid and lymphoid cell regeneration.

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23
Q

How does VEGF contribute to HSC survival?

A

VEGF induces HSC survival by inhibiting apoptotic death of HSCs caused by irradiation through an internal autocrine loop mechanism.

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24
Q

What is the effect of IFN-γ on HSCs?

A

IFN-γ stimulates quiescent HSCs to proliferate while preventing HSC exhaustion in homeostasis and during infectious stress.

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25
How does aging affect HSC function?
Aging negatively influences maintenance of HSC function by increasing HSC proliferation and promoting biased differentiation toward myeloid lineage.
26
What are the consequences of biased differentiation in aged HSCs?
It leads to reduced blood cell reconstitution and can alter immune system function.
27
What are intrinsic changes in HSCs related to aging?
Intrinsic changes lead to stem cell exhaustion and decreased haematopoietic cell repopulation capacity.
28
What is the role of extrinsic regulation in aging?
Extrinsic regulation is mediated by the microenvironment, affecting HSC location and function.
29
What effect does the proinflammatory cytokine CCL5 have on HSCs?
CCL5 induces myeloid lineage skewing and is associated with a decrease in lymphoid progeny.
30
How do adipocytes affect hematopoiesis in aging?
Adipocytes increasingly present in the bone marrow microenvironment with age negatively regulate haematopoiesis and delay engraftment.
31
What is a potential future direction for HSC research regarding aging?
Therapeutics that selectively target and eliminate malfunctioning aged HSCs could lead to a rejuvenation wave of transient replication and repopulation.
32
What is an additional area of investigation related to HSCs?
Investigating sympathetic nerves that promote survival of key niche components leading to haematopoietic recovery.
33
What are haematopoietic stem cells (HSCs)?
The most studied and best characterized adult stem cells, involved in the production of blood cells.
34
How many nucleated cells are there in total human bone marrow?
~1 x 10^12 nucleated cells.
35
What is the estimated number of active HSCs in adult humans?
50,000 to 200,000 active HSCs. ## Footnote 1/10,000,000 nucleated cells in bone marrow are HSCs
36
How often do HSCs divide?
Once every ~40 weeks.
37
What is haematopoiesis?
The production of haematopoietic (blood) cells.
38
What is the daily production rate of blood cells in a healthy adult?
Approximately 4-5 x 10^11 cells per day.
39
Where does haematopoiesis predominantly occur?
In red bone marrow (medullary).
40
What is the capacity of a single HSC?
Capable of reconstituting the whole haematopoietic system.
41
What are the two types of haematopoietic stem cells?
* Long-Term Haematopoietic Stem Cells (LT-HSCs) * Short-Term Haematopoietic Stem Cells (ST-HSCs)
42
What characterizes Long-Term Haematopoietic Stem Cells (LT-HSCs)?
Self-renewal over a long period, able to differentiate into all blood cell types, divide infrequently. ## Footnote Maintain quiescent state more (long-term maintenance and stability of the haematopoietic system)
43
What characterizes Short-Term Haematopoietic Stem Cells (ST-HSCs)?
Limited self-renewal, actively involved in haematopoietic progenitor cells, contribute for a shorter duration. ## Footnote More immediate response to body's need for blood cells, e.g. infection
44
What are HSC markers used for?
To identify haematopoietic stem cells through combinations of surface markers.
45
What is the significance of the HSC niche?
Regulates HSC function and fate through signaling.
46
What is quiescence in HSCs?
A dormant phase that protects HSCs from exhaustion and maintains regenerative capacity.
47
What does proliferation in HSCs refer to?
HSCs dividing and multiplying to produce more stem cells or differentiate into different lineage of blood cells. ## Footnote Essential for replenishing blood cells, responding to changes, including injury or infection.
48
What is the role of maintenance in HSCs?
Processes that preserve the long-term HSC pool. Includes mechanisms which balance quiescence, proliferation, repair DNA damage, protein HSCs from stress and aging.
49
What is retention in the context of HSCs?
Mechanisms that enable HSCs to remain in their niche, promoting quiescence, proliferation, and differentiation.
50
Where do HSCs primarily reside in the bone?
Epiphysis and metaphysis, espcially in trabecular bone regions.
51
What is the location of non-dividing HSCs compared to dividing HSCs?
Non-dividing HSCs are enriched in central marrow; dividing HSCs are enriched in the endosteal region. ## Footnote Endossteal region has greater in vivo homing, lodgement and reconstitution potential than HSCs in central marrow.
52
Which factors regulate HSC fate?
Both cell intrinsic and cell-extrinsic factors.
53
What are two important factors secreted by perivascular stromal cells that promote HSC maintenance?
* CXCL12 (SDF1) * SCF (KIT ligand)
54
True or False: HSCs are capable of self-renewal.
True.
55
Fill in the blank: HSCs divide infrequently to maintain _______.
long-term regenerative capacity.
56
What do Leptin receptor positive (Lepr+) perivascular stromal cells, endothelial cells and NG2+ pericytes secrete?
Factors that promote HSC maintenance ## Footnote Includes CXCL12 and SCF
57
Which factors are particularly important for HSC maintenance?
* CXCL12 (SDF1) * SCF (KIT ligand) ## Footnote These factors are secreted by specific cells in the HSC niche.
58
What is responsible for HSC mobilisation from the bone marrow to blood?
Circadian release of noradrenaline via downregulation of CXCL12
59
What are the key components of the HSC niche signaling? ## Footnote Extrinsic factors.
* Quiescence * Self-renewal * Differentiation ## Footnote Includes signals like Ang1, CXCL12, SCF, TGFβ1, CXCL4, IL7, EPO, Notch ligands, TPO. CXCL12, SCF - perivascular MSCs Notch ligands, SCF - endothelial cells
60
How are LT-HSCs and MPPs located in relation to blood vessels?
Both cell types are found <10 µm from a blood vessel
61
What happens to LT-HSC motility when stimulated with cyclophosphamide/GCSF?
LT-HSC became more motile, and their number increased 10-fold ## Footnote LT-HSCs typically have low motility under steady state conditions. Cyclophosphamide response depends on environment.
62
What niche condition is associated with maintaining HSC quiescence?
Hypoxic niche
63
What influences the expansion of LT-HSCs and MPPs?
Extent of bone remodelling
64
What are the effects of HSC ageing?
* Reduced DDR * Accumulation of ROS * Shift in polarity of cytoskeletal proteins & epigenetic markers * Epigenetic drift ## Footnote DDR = DNA damage repair
65
What regulatory effect does OPN have on HSC pool size? ## Footnote OPN = osteopontin
Negative regulatory effect
66
What is the relationship between CHIP and blood cancers?
Many mutations found in CHIP are drivers of AML and other blood cancers
67
What is the difference between autologous and allogeneic HSC transplantation?
Autologous uses the patient's own cells, while allogeneic uses donor cells
68
What is myeloablative conditioning in HSCT?
Total body irradiation and/or chemotherapeutics that prevent recovery of the haematopoietic system
69
What are possible complications of HSCT?
* Infections * Graft versus host disease (GvHD) ## Footnote GvHD mainly affects skin, liver, and GI tract.
70
What is the average number of mutations in HSC pool by age 70?
350,000 to 1.4 million protein coding mutations
71
Which genes are commonly mutated in CHIP?
* DNMT3A * ASXL1 * JAK2 * SF3B1 * TP53
72
What are the therapeutic uses of HSCs mentioned?
* Transplantation * Gene therapy * Gene editing * Differentiation into blood cells
73
How is it known if a HSC has differentiated?
Vy Lin-, e.g. Lin-CD34+Cd38-Cd45RA-CD49f+CD90+ for ST-HSCO/MPP
74
74
What are the main cell surface markers to identify HSCs?
CD34+ and CD38-
75
What is HSC differentiation lineage?
HSCs differentiate into either common lymphoid progenitor cells (IL-7) or common myeloid progenitor cells (IL-3, GM-CSF, M-CSF).
76
How is HSC differentiation regulated?
HSC differentiation regulated by the niche. Combinations of markers can be used to identify the differentiation lineage.
77
What are the physical signals of the stem cell niche?
* Fibronectin * Vitronectin * Laminin * Collagen
78
What are the soluble signals of the stem cell niche?
* Growth factors * Cytokines * Chemokines
79
What are the cell fate processes?
* Replication * Differentiation * Migration * Apoptosis
80
How does the mouse haemapoietic system differ to humans?
Mice have different anatomies. The long bones of mice have a greater contribution to haemapoiesis than those of humans.
80
Why is identifying the exact niche of HSCs difficult?
Difficult due to rarity of HSCs and their location.
81
How has identifying the location of HSCs and progeny been improved?
Advances in marker identification and combinations of transgenics and advanced imaging techniques. E.g. Acar et al optically cleared murine tibiae to image HSCs in situ. ## Footnote Comapred Laminin, c-Kit, a-cat-GFP in arteriole, sinusoid and TZ vessel.
82
Where do most HSCs reside?
~80% of HSCs exist in perivascular niche (endosteal niche). ## Footnote ~20% surround the central vein.
83
84
What are the intrinsic and extrinsic factors regulating cell cycle entry?
Intrinsic factors: * Transcription factors * Cell cycle regulators Extrinsic factors: * ROS * Hypoxia * TPO * SCF
85
What are the intrinsic and extrinsic factors regulating quiescence entry?
Intrinsic factors: * Transcription factors - FoxO family regulates oxidative stress and cell cycle inhibitors * Cell cycle regulators - p21, p27 arrest cell cycle Extrinsic factors: * Niche cell types * TGFb * SCF * Hypoxia
86
How do adipocytes affect HSCs?
Adipocytes are inhibitory to haemapoiesis. Generally less supportive of HSC maintenance and function. Especially evident after aging, radiation or chemotherapy where adipocytes expand and correlate with reduced HSC activity.
87
What affect dpes mixed remodelling have on HSC expansion? ## Footnote Mixed remodelling describes bone turnover, i.e. the blance between bone formation and bone resorption. Mixed remodelling suggests disruption of bone homeostasis.
Mixed remodelling areas promote expansion upon stimulation. ## Footnote HSCs expand clonally in restricted physical domains.
88
What factors promote HSC retention and maintenace?
CXCL12 and SCF
89
What affect aging have on Jagged 1?
There is reduced Jagged 1 which results in less Notch signaling, therefore less proliferation
90
How does aging affect adrenergic nerve fibres?
Reduced numbers of adrenergic nerve fibres.
91
How does aging affect the niche factors?
Reduced CXCL12 Reduced SCF Reduced Jagged 1 Reduced OPN Increased CCL5
92
What does CHIP mean? ## Footnote In HSCs, CHIP may occur
Clonal haemapoiesis of indeterminate potential
93
What genes are most affected by mutations?
Genes involved in epigenetic regulation
94
What age is clonal haemapoiesis most prevelent?
In the elderly.
94
How many protein coding mutations in HSC pool by age 70? ## Footnote Average person without a haematological cancer
~350,000 to 1,400,000 ## Footnote Myeloid cells can have increased malignancy. Lymphoid also possible.
94
How does size of clone relate to maligancy? (CHIP)
Size of clone directly related to risk of malignancy. ## Footnote Common mutations found in CHIP also drivers of AML and other blood cancers. CHIP also related to non-malignant diseases such as CHD.
94
How do mutations affect protein coding genes?
* Cytosine deamination * Double strand break repair * Polymerase error * Structural rearrangment of chromosomes
94
What are possible side effecs of HSCT?
Infections and graft vs host disease ## Footnote GvHD mainly affects skin, liver and GI tract
94
What is the process for autologous HSCT for cancer treatment?
1. Pre-treatment with GCSF prior to HSC collection in blood (mobilisation) 2. Collection of stem cells (G-PBMNCs) from either the blood of bone marrow 3. Processing to remove the stem cells and blood is returned to patient 4. Conditioning and chemotherapy with or without radiotherapy to kill cancer cells and remove blood-producing cells left in the bone marrow 5. Reinfusion of stem cells into patient to begin produing new blood cells
94
What is the only current established stem cell therapy?
HSC transplantation (HSCT) ## Footnote Has been carried out since 1957.
95
How might GvHD be reduced?
Enrichment of CD34+ HSCs, e.g. CliniMACs by Mitenyi which attack exisiting cells