Hematopoietic stem cells (HSCs) are critical to the development of the hematopoietic system during ontogeny and maintaining hematopoiesis under steady-state. Several genes implicated in asymmetric cell division (ACD) have been found to influence HSC self-renewal in normal hematopoiesis and various leukemias. From a separate survey of genes associated with ACD, I now present the results from dedicated functional studies on two genes – Arhgef2 and Staufen1 – in HSCs and identify their potential contributions to benign hematopoietic disorders. Specifically, I present evidence that demonstrates a conserved role of Arhgef2 in orienting HSC division, the loss of which leads to HSC exhaustion that may underlie and contribute to the pathogenesis of Shwachman-Diamond syndrome. I also identify Staufen1 as a critical RNA-binding protein (RBP) in HSC function, downregulation of which elicits expression signatures consistent with clinical anemias reminiscent of aplastic anemia and/or paroxysmal nocturnal hemoglobinuria. I end by reviewing how RBPs function in HSCs and discuss future research directions that could further elucidate how bone marrow failure syndromes arise at the stem cell level. / Thesis / Doctor of Philosophy (PhD)

Wir berichten über einen 48-jährigen multimorbiden Patienten, der vor 26 Jahren eine allogene Knochenmarktransplantation aufgrund einer chronischen myeloischen Leukämie erhielt; 24 Jahre lang litt der Patient an einer sklerodermiformen chronischen Graft-versus-Host-Disease (GVHD) der Haut und der Lunge mit partieller Lungenresektion und immunsuppressiver Therapie. An den Unterschenkeln entwickelten sich rezidivierende Ulzerationen an den von der kutanen GVHD betroffenen Stellen. Der Patient stellte sich mit einem größenprogredienten Ulkus mit Therapieresistenz in unserer Klinik vor. Histologisch konnte ein Plattenepithelkarzinom diagnostiziert werden. Die Magnetresonanztomographie zeigte eine Knochenbeteiligung und eine kutane In-Transit-Metastase, und die Computertomographie ergab eine Metastase im Os sacrum. Bevor die Therapie eingeleitet wurde, verstarb der Patient plötzlich an den Folgen seiner Vorerkrankungen. Die Entwicklung einer kutanen GVHD ist häufig bei Patienten mit allogener Stammzelltransplantation. Hierbei ist das Risiko für die Entwicklung von Plattenepithelkarzinomen erhöht. Patienten sollten unter engmaschiger dermatologischer Kontrolle stehen. Bei Verdacht auf ein Plattenepithelkarzinom bei vorbestehender GVHD sollte zeitnah eine bioptische Sicherung erfolgen, um das Risiko einer Metastasierung zu senken.

In this study, the efficacy of MarrowMAX, a new IVD-certified culture medium for bone marrow samples, was evaluated and compared to the in-house modified culture medium RPMI-1640, which is routinely used at the Academic Hospital in Uppsala for chromosomal analysis. The hypothesis was that the new culture medium MarrowMAX would lead to an increased number of metaphases, resulting in a higher mitotic index, better spreading, and improved metaphase morphology. Twenty patient samples were cultured in parallel using both media and subjected to identical methods for sample preparation and staining for chromosomal analysis. The results demonstrated significant differences between MarrowMAX and RPMI-1640 for one-day, two-day, and three-day cultures. However, no significant differences were observed for directly harvested cultures and overnight colcemid cultures. These findings suggest that MarrowMAX is more effective than RPMI-1640, resulting in a higher frequency of metaphases, which is crucial for detailed chromosomal analysis. This was further confirmed by flow cytometry analysis, showing a higher number of proliferated cells in the MarrowMAX culture compared to the RPMI-1640 culture, in one representative sample. MarrowMAX's enhanced capacity to promote cell growth and structure in a laboratory setting indicates its potential as a promising alternative to RPMI-1640 for future diagnostic applications, potentially leading to faster diagnoses and improved treatment efficacy for patients with hematological conditions.

L’irradiation (IR) est utilisée dans le traitement de plusieurs cancers et désordres hématologiques, en particulier dans les protocoles de conditionnement précédents les transplantations de moelle osseuse. L’emploi de doses réduites d’IR semble favoriser le succès de la prise de greffe. Cette observation soulève un point de plus en plus discuté dans la littérature, soit l’importance de l’intégrité du microenvironnement pour la transplantation et le bon fonctionnement de l’hématopoïèse. L’IR induit la sénescence des cellules stromales de la moelle osseuse in vitro. Ce mécanisme de défense cellulaire entraînant un arrêt de prolifération permanent est également observé in vivo dans différents systèmes, mais n’a pas encore été étudié dans le contexte de la niche hématopoïétique. Les travaux présentés dans cette thèse ont pour objectif de déterminer si l’IR induit la sénescence des cellules stromales de la moelle osseuse et si une telle induction altère les fonctions hématopoïétiques. Nos résultats ont permis de démontrer pour la première fois qu’une IR corporelle totale induit effectivement la sénescence des cellules stromales de la moelle osseuse. En outre, cette altération du microenvironnement affecte la lymphopoïèse B de façon Ink4a/Arf-dépendante (1er article). De plus, les modifications systémiques qui résultent de l’IR compromettent l’homéostasie osseuse en augmentant la résorption de l’os, sans toutefois diminuer la formation de celui-ci (2e article). Ces données nous permettent de mieux comprendre les effets de la sénescence des cellules stromales de la moelle osseuse sur les fonctions hématopoïétiques. Par ailleurs, elles suggèrent que l’emploi de drogues et/ou de procédés n’induisant pas la sénescence des cellules stromales de l’os offrirait un meilleur pronostic à long terme pour les patients. / Ionizing radiation (IR) is used in the treatment of several cancers and hematological disorders, especially in conditioning regimens for bone marrow transplantation. Reduced doses of IR seem to favor the success of engraftment. This observation supports the growing evidences suggesting the importance of the microenvironment integrity for the success of bone marrow transplantation and hematopoiesis maintenance. IR induces senescence of bone marrow stromal cells in vitro. This defense mechanism which leads to a permanent cell growth arrest is also observed in different organs in vivo but has not yet been studied in the hematopoietic niche. The objectives of this doctoral thesis are to determine whether IR induces senescence of bone marrow stromal cells and whether such induction alters hematopoietic functions. Our results have demonstrated for the first time that total body IR actually induces the senescence of bone marrow stromal cells. Furthermore, this alteration of the microenvironment affects B lymphopoiesis in an Ink4a/Arf-dependent manner (paper #1). In addition, the systemic changes associated with IR compromise bone homeostasis by increasing bone resorption without reducing bone formation (paper #2). All together, these data enhance our knowledge related to the effects of IR-induced senescent bone marrow stromal cells on hematopoietic function. Moreover, our results suggest that using drugs and/or procedures inducing no senescent bone marrow stromal cells would provide a better long-term prognosis for patients.

Wong Cheuk Ying. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2006. / Includes bibliographical references (leaves 101-124). / Abstracts in English and Chinese. / Abstract --- p.i / 摘要 --- p.iv / Acknowledgement --- p.vi / List of Abbreviations --- p.vii / Chapter Chapter 1. --- General Introduction --- p.1 / Chapter Chapter 2. --- Methods --- p.4 / Chapter 2.1 --- Measurement of cAMP and cGMP in VSMCs --- p.4 / Chapter 2.1.1 --- Cell culture --- p.4 / Chapter 2.1.2 --- Enzyme-immunoassay colorimetric measurement for cAMP and cGMP --- p.5 / Chapter 2.1.3 --- Statistical analysis --- p.6 / Chapter 2.2 --- Measurement of apoptosis in VSMCs and bone marrow-derived stem cells --- p.6 / Chapter 2.2.1 --- Cell culture --- p.6 / Chapter 2.2.2 --- Hoechst33258 --- p.7 / Chapter 2.2.3 --- Cell Death ELISA plus --- p.7 / Chapter 2.2.4 --- Protein extraction and Western blot analysis of PKG expression --- p.8 / Chapter 2.2.5 --- Statistical analysis --- p.9 / Chapter 2.3 --- Measurement of cell proliferation in VSMCs and bone marrow-derived stem cells --- p.9 / Chapter 2.3.1 --- Cell culture --- p.9 / Chapter 2.3.2 --- Cell count --- p.10 / Chapter 2.3.3 --- MTT assay --- p.11 / Chapter 2.3.4 --- BrdU-(5`Bromo-2-deoxyuridine) ELISA colorimetric assay --- p.11 / Chapter 2.3.5 --- Statistical analysis --- p.12 / Chapter Chapter 3. --- Effects of hyperglycemia on CGRP-induced cAMP response in VSMCs / Chapter 3.1 --- Introduction --- p.13 / Chapter 3.2 --- Results --- p.18 / Chapter 3.3 --- Discussion --- p.22 / Chapter Chapter 4. --- Role of cGMP and protein kinase G in regulation of apoptosis in VSMCs / Chapter 4.1 --- Introduction --- p.26 / Chapter 4.2 --- Results --- p.30 / Chapter 4.3 --- Discussion --- p.44 / Chapter Chapter 5. --- Role of protein kinase G in regulation of proliferation in VSMCs / Chapter 5.1 --- Introduction --- p.55 / Chapter 5.2 --- Results --- p.58 / Chapter 5.3 --- Discussion --- p.67 / Chapter Chapter 6. --- Effects of aging and eNOS- and iNOS-gene deletion (using eNOS- and iNOS-knockout mice) on apoptosis of VSMCs / Chapter 6.1 --- Introduction --- p.73 / Chapter 6.2 --- Results --- p.76 / Chapter 6.3 --- Discussion --- p.79 / Chapter Chapter 7. --- Role of protein kinase G in regulation of apoptosis and proliferation of bone marrow stromal stem cells / Chapter 7.1 --- Introduction --- p.81 / Chapter 7.2 --- Results --- p.84 / Chapter 7.3 --- Discussion --- p.92 / Chapter Chapter 8. --- Overall discussion --- p.95 / Chapter Chapter 9. --- References --- p.101

Multipotent mesenchymal stem cells (MSCs), found in many adult tissues, may be useful for regenerative medicine applications. Their identification and purification have been difficult due to their low frequency and lack of unambiguous markers. Using a magnetic micro-beads negative selection technique to remove contaminating hematopoietic cells from mouse bone marrow stromal cells (BMSCs), our lab recently isolated a highly purified osteoprogenitor (HipOp) population that was also enriched for other mesenchymal precursors, including MSCs (Itoh and Aubin, 2009). To further enhance enrichment, we positively selected BMSCs and HipOps for CD73, a putative MSC marker, which resulted in no significant additional enrichment for osteoprogenitors when the population was tested in vitro. However, we also found that HipOps were enriched in vascular endothelial cells, and that removing these cells by further negative selection with CD31/PECAM resulted in a CD31(-) HipOp population with higher osteogenic capacity than HipOps in vitro and in vivo.

Multipotent mesenchymal stem cells (MSCs), found in many adult tissues, may be useful for regenerative medicine applications. Their identification and purification have been difficult due to their low frequency and lack of unambiguous markers. Using a magnetic micro-beads negative selection technique to remove contaminating hematopoietic cells from mouse bone marrow stromal cells (BMSCs), our lab recently isolated a highly purified osteoprogenitor (HipOp) population that was also enriched for other mesenchymal precursors, including MSCs (Itoh and Aubin, 2009). To further enhance enrichment, we positively selected BMSCs and HipOps for CD73, a putative MSC marker, which resulted in no significant additional enrichment for osteoprogenitors when the population was tested in vitro. However, we also found that HipOps were enriched in vascular endothelial cells, and that removing these cells by further negative selection with CD31/PECAM resulted in a CD31(-) HipOp population with higher osteogenic capacity than HipOps in vitro and in vivo.

L’irradiation (IR) est utilisée dans le traitement de plusieurs cancers et désordres hématologiques, en particulier dans les protocoles de conditionnement précédents les transplantations de moelle osseuse. L’emploi de doses réduites d’IR semble favoriser le succès de la prise de greffe. Cette observation soulève un point de plus en plus discuté dans la littérature, soit l’importance de l’intégrité du microenvironnement pour la transplantation et le bon fonctionnement de l’hématopoïèse. L’IR induit la sénescence des cellules stromales de la moelle osseuse in vitro. Ce mécanisme de défense cellulaire entraînant un arrêt de prolifération permanent est également observé in vivo dans différents systèmes, mais n’a pas encore été étudié dans le contexte de la niche hématopoïétique. Les travaux présentés dans cette thèse ont pour objectif de déterminer si l’IR induit la sénescence des cellules stromales de la moelle osseuse et si une telle induction altère les fonctions hématopoïétiques. Nos résultats ont permis de démontrer pour la première fois qu’une IR corporelle totale induit effectivement la sénescence des cellules stromales de la moelle osseuse. En outre, cette altération du microenvironnement affecte la lymphopoïèse B de façon Ink4a/Arf-dépendante (1er article). De plus, les modifications systémiques qui résultent de l’IR compromettent l’homéostasie osseuse en augmentant la résorption de l’os, sans toutefois diminuer la formation de celui-ci (2e article). Ces données nous permettent de mieux comprendre les effets de la sénescence des cellules stromales de la moelle osseuse sur les fonctions hématopoïétiques. Par ailleurs, elles suggèrent que l’emploi de drogues et/ou de procédés n’induisant pas la sénescence des cellules stromales de l’os offrirait un meilleur pronostic à long terme pour les patients. / Ionizing radiation (IR) is used in the treatment of several cancers and hematological disorders, especially in conditioning regimens for bone marrow transplantation. Reduced doses of IR seem to favor the success of engraftment. This observation supports the growing evidences suggesting the importance of the microenvironment integrity for the success of bone marrow transplantation and hematopoiesis maintenance. IR induces senescence of bone marrow stromal cells in vitro. This defense mechanism which leads to a permanent cell growth arrest is also observed in different organs in vivo but has not yet been studied in the hematopoietic niche. The objectives of this doctoral thesis are to determine whether IR induces senescence of bone marrow stromal cells and whether such induction alters hematopoietic functions. Our results have demonstrated for the first time that total body IR actually induces the senescence of bone marrow stromal cells. Furthermore, this alteration of the microenvironment affects B lymphopoiesis in an Ink4a/Arf-dependent manner (paper #1). In addition, the systemic changes associated with IR compromise bone homeostasis by increasing bone resorption without reducing bone formation (paper #2). All together, these data enhance our knowledge related to the effects of IR-induced senescent bone marrow stromal cells on hematopoietic function. Moreover, our results suggest that using drugs and/or procedures inducing no senescent bone marrow stromal cells would provide a better long-term prognosis for patients.

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / A medula óssea adulta possui duas populações de células-tronco importantes no tratamento de diversas doenças hepáticas: células-tronco hematopoiéticas (CTHs) e células-tronco mesenquimais. A regeneração do fígado após a hepatectomia é um processo complexo que requer a proliferação de todas as células hepáticas. Fatores de crescimento, citocinas e componentes da matriz extracelular são elementos-chave nesse processo. As lamininas são uma família de proteínas de matriz extracelular, com funções adesivas e quimiotáticas pelo recrutamento de integrinas e outros receptores de superfície celular. No fígado normal, a laminina é expressa nas veias porta e centrolobular. O objetivo desse estudo foi investigar a expressão de laminina durante a regeneração hepática induzida por hepatectomia parcial e após o transplante de células mononucleares de medula óssea. As células mononucleares de medula óssea foram obtidas dos fêmures e tíbias de ratos, isoladas, marcadas com DAPI e injetadas pela veia porta em ratos recém-hepatectomizados. Os fígados foram coletados 15 minutos, 1 dia e 3 dias após a hepatectomia e o transplante de células de medula óssea e congelados. Os cortes foram imunomarcados com anticorpos primários anti-CD34 e anti-laminina de rato e observados em microscópio confocal de varredura a laser. Os resultados mostraram que 15 minutos após a hepatectomia parcial, as células-tronco hematopoiéticas CD34+ transplantadas foram encontradas em contato com a laminina localizada nas veias porta e centrolobular, indicando que a laminina poderia participar na adesão inicial das células-tronco a esses vasos logo após o seu transplante. Além disso, 1 e 3 dias após a hepatectomia, as células mononucleares de medula óssea transplantadas foram observadas nos sinusóides hepáticos expressando laminina. Esses resultados sugerem que a laminina pode ser um componente da matriz extracelular importante para a adesão e enxerto de células de medula óssea no fígado após uma lesão. Nós também analisamos a expressão de osteopontina (OPN) em células de medula óssea e CTHs. Os resultados por microscopia confocal demonstraram que a maioria das células mononucleares de medula óssea recém-isoladas expressa quantidades variáveis de OPN. Além disso, algumas CTHs CD34+ também expressam OPN. Após 1 e 4 dias de cultura, observamos uma diminuição de células expressando CD34, e um aumento na expressão de OPN pelas células mononucleares de medula óssea. / The adult bone marrow retains two populations of stem cells with emerging importance for the treatment of diverse liver diseases: hematopoietic stem cells (HSCs) and mesenchymal stem cells. Liver regeneration after partial hepatectomy is a complex process that requires the proliferation of all hepatic cells. Growth factors, cytokines and extracellular matrix molecules are key elements in this process. Laminins are a family of heterotrimeric extracellular matrix proteins with adhesive and chemotactic functions, through recruitment of integrins and other cell surface receptors. In the normal liver, laminin is expressed in portal and centrolobular veins. The aim of this study was to investigate laminin expression during liver regeneration induced by partial hepatectomy and after bone marrow mononuclear cells transplantation. Rat bone marrow mononuclear cells were obtained from tibias and femurs, isolated, stained with DAPI and injected in immediately hepatectomyzed rats via portal vein. Livers were collected 15 minutes, 1 day and 3 days after hepatectomy and bone marrow cells transplantation and frozen. Liver sections were immunolabeled with mouse anti-rat CD34 and rabbit anti-rat laminin primary antibodies and observed under a Laser Scanning Confocal Microscope. Results showed that 15 minutes after partial hepatectomy, transplanted CD34+ HSCs were found in contact with laminin, which was localized principally in portal and centrolobular veins of rat livers, indicating that laminin could participate in stem cell initial attachment to these vessels soon after their transplantation. Furthermore, 1 and 3 days after hepatectomy, transplanted bone marrow mononuclear cells were found in the hepatic sinusoids expressing laminin. These results suggest that laminin could be an important extracellular matrix component for bone marrow cell adhesion and grafting in the injured liver. We also analyzed osteopontin (OPN) expression in bone marrow mononuclear cells and HSCs. Results by confocal microscopy showed that the most freshly isolated bone marrow mononuclear cells express variable amounts of OPN. Furthermore, some CD34+ HSCs also expressed OPN. After 1 and 4 days in culture, we observed a decrease in CD34+ cells, and an increase in OPN expression in bone marrow mononuclear cells.

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / A medula óssea adulta possui duas populações de células-tronco importantes no tratamento de diversas doenças hepáticas: células-tronco hematopoiéticas (CTHs) e células-tronco mesenquimais. A regeneração do fígado após a hepatectomia é um processo complexo que requer a proliferação de todas as células hepáticas. Fatores de crescimento, citocinas e componentes da matriz extracelular são elementos-chave nesse processo. As lamininas são uma família de proteínas de matriz extracelular, com funções adesivas e quimiotáticas pelo recrutamento de integrinas e outros receptores de superfície celular. No fígado normal, a laminina é expressa nas veias porta e centrolobular. O objetivo desse estudo foi investigar a expressão de laminina durante a regeneração hepática induzida por hepatectomia parcial e após o transplante de células mononucleares de medula óssea. As células mononucleares de medula óssea foram obtidas dos fêmures e tíbias de ratos, isoladas, marcadas com DAPI e injetadas pela veia porta em ratos recém-hepatectomizados. Os fígados foram coletados 15 minutos, 1 dia e 3 dias após a hepatectomia e o transplante de células de medula óssea e congelados. Os cortes foram imunomarcados com anticorpos primários anti-CD34 e anti-laminina de rato e observados em microscópio confocal de varredura a laser. Os resultados mostraram que 15 minutos após a hepatectomia parcial, as células-tronco hematopoiéticas CD34+ transplantadas foram encontradas em contato com a laminina localizada nas veias porta e centrolobular, indicando que a laminina poderia participar na adesão inicial das células-tronco a esses vasos logo após o seu transplante. Além disso, 1 e 3 dias após a hepatectomia, as células mononucleares de medula óssea transplantadas foram observadas nos sinusóides hepáticos expressando laminina. Esses resultados sugerem que a laminina pode ser um componente da matriz extracelular importante para a adesão e enxerto de células de medula óssea no fígado após uma lesão. Nós também analisamos a expressão de osteopontina (OPN) em células de medula óssea e CTHs. Os resultados por microscopia confocal demonstraram que a maioria das células mononucleares de medula óssea recém-isoladas expressa quantidades variáveis de OPN. Além disso, algumas CTHs CD34+ também expressam OPN. Após 1 e 4 dias de cultura, observamos uma diminuição de células expressando CD34, e um aumento na expressão de OPN pelas células mononucleares de medula óssea. / The adult bone marrow retains two populations of stem cells with emerging importance for the treatment of diverse liver diseases: hematopoietic stem cells (HSCs) and mesenchymal stem cells. Liver regeneration after partial hepatectomy is a complex process that requires the proliferation of all hepatic cells. Growth factors, cytokines and extracellular matrix molecules are key elements in this process. Laminins are a family of heterotrimeric extracellular matrix proteins with adhesive and chemotactic functions, through recruitment of integrins and other cell surface receptors. In the normal liver, laminin is expressed in portal and centrolobular veins. The aim of this study was to investigate laminin expression during liver regeneration induced by partial hepatectomy and after bone marrow mononuclear cells transplantation. Rat bone marrow mononuclear cells were obtained from tibias and femurs, isolated, stained with DAPI and injected in immediately hepatectomyzed rats via portal vein. Livers were collected 15 minutes, 1 day and 3 days after hepatectomy and bone marrow cells transplantation and frozen. Liver sections were immunolabeled with mouse anti-rat CD34 and rabbit anti-rat laminin primary antibodies and observed under a Laser Scanning Confocal Microscope. Results showed that 15 minutes after partial hepatectomy, transplanted CD34+ HSCs were found in contact with laminin, which was localized principally in portal and centrolobular veins of rat livers, indicating that laminin could participate in stem cell initial attachment to these vessels soon after their transplantation. Furthermore, 1 and 3 days after hepatectomy, transplanted bone marrow mononuclear cells were found in the hepatic sinusoids expressing laminin. These results suggest that laminin could be an important extracellular matrix component for bone marrow cell adhesion and grafting in the injured liver. We also analyzed osteopontin (OPN) expression in bone marrow mononuclear cells and HSCs. Results by confocal microscopy showed that the most freshly isolated bone marrow mononuclear cells express variable amounts of OPN. Furthermore, some CD34+ HSCs also expressed OPN. After 1 and 4 days in culture, we observed a decrease in CD34+ cells, and an increase in OPN expression in bone marrow mononuclear cells.