HOXB4's Road Map to Stem Cell Expansion
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HOXB4’s road map to stem cell expansion Bernhard Schiedlmeier*†, Ana Cristina Santos‡§, Ana Ribeiro‡, Natalia Moncaut‡, Dietrich Lesinski*, Herbert Auer¶, Karl Kornackerʈ, Wolfram Ostertag*, Christopher Baum*, Moises Mallo†‡, and Hannes Klump* *Department of Experimental Hematology, Hannover Medical School, Carl-Neuberg-Strasse1, 30625 Hannover, Germany; ‡Instituto Gulbenkian de Ciencia, 2780-156 Oeiras, Portugal; ¶Columbus Children’s Research Institute, Columbus, OH 43210; and ʈDivision of Sensory Biophysics, Ohio State University, Columbus, OH 43205 Edited by Tasuku Honjo, Kyoto University, Kyoto, Japan, and approved September 10, 2007 (received for review April 3, 2007) Homeodomain-containing transcription factors are important reg- BM cells. These HSCs fully replenish the stem cell pool of lethally ulators of stem cell behavior. HOXB4 mediates expansion of adult irradiated mice and maintain a normal supply of HSCs and mature and embryo-derived hematopoietic stem cells (HSCs) when ex- blood cells for the duration of life (2, 3). Ectopic HOXB4 expression pressed ectopically. To define the underlying molecular mecha- also enhances the in vitro development of definitive HSCs from nisms, we performed gene expression profiling in combination differentiating mouse ES cells that are capable of reconstituting with subsequent functional analysis with enriched adult HSCs and recipient mice (4, 5). However, ectopic expresssion of HOXB4 may embryonic derivatives expressing inducible HOXB4. Thereby, we eventually transform hematopoietic cells. Our group and others identified a set of overlapping genes that likely represent ‘‘uni- have described that the amount of ectopically expressed HOXB4 versal’’ targets of HOXB4. A substantial number of loci are involved has an impact on myeloid, lymphoid, and erythroid differentiation in signaling pathways important for controlling self-renewal, of adult HSCs of mice and humans in vitro and in vivo and on ES maintenance, and differentiation of stem cells. Functional assays cell-derived hematopoietic differentiation (6–8). performed on selected pathways confirmed the biological coher- The molecular mechanism behind how this transcription factor ence of the array results. HOXB4 activity protected adult HSCs from acts in immature blood cells is poorly understood. Homeodomain- the detrimental effects mediated by the proinflammatory cytokine mediated DNA binding is essential for the increased self-renewal of TNF-␣. This protection likely contributes to the competitive re- HOXB4-expressing HSCs (9). However, only a few HOXB4 target population advantage of HOXB4-expressing HSCs observed in genes have been identified so far. HOX proteins can form high- ␣ vivo. The concept of TNF- inhibition may also prove beneficial for affinity DNA-binding complexes with other homeodomain- patients undergoing bone marrow transplantation. Furthermore, containing proteins such as PBX1 (10). However, direct HOXB4– we demonstrate that HOXB4 activity and FGF signaling are inter- PBX1 protein interactions are not required for stem cell expansion twined. HOXB4-mediated expansion of adult and ES cell-derived (9). In contrast, PBX1 limits HOXB4-induced HSC expansion in HSCs was enhanced by specific and complete inhibition of FGF vivo (11). receptors. In contrast, the expanding activity of HOXB4 on hema- To further characterize the molecular mechanisms underlying topoietic progenitors in day 4–6 embryoid bodies was blunted in the HOXB4-induced expansion of HSCs, we analyzed the gene the presence of basic FGF (FGF2), indicating a dominant negative expression profiles of adult HSC/hematopoietic progenitor cells effect of FGF signaling on the earliest hematopoietic cells. In (HPCs) and differentiating ES cells expressing inducible forms of summary, our results strongly suggest that HOXB4 modulates the HOXB4. By identification of its target genes and through functional response of HSCs to multiple extrinsic signals in a concerted manner, tests, in vivo, we demonstrate that HOXB4 changes the cellular thereby shifting the balance toward stem cell self-renewal. response of stem cells to conserved signaling pathways known to affect cell fate decisions of HSCs in adult and differentiating ES hematopoiesis ͉ HOX genes ͉ microarray ͉ self-renewal ͉ embryoid bodies cells. These results may also reflect general pathways of homeobox transcription factor activities that are relevant for developmental he lifelong production of blood cells by the hematopoietic decisions. Tsystem strictly depends on the maintenance of its central organizer, the hematopoietic stem cell (HSC). Because of its unique Results and characteristic ability to undergo self-renewal divisions and/or Identification of HOXB4 Target Genes in Primary Murine HSCs and differentiate into mature blood cells, strategies to expand HSCs ex HPCs. To understand the mechanisms of HOXB4 activity, we vivo to increase their clinical potential in cell and gene therapy have wanted to identify target genes of HOXB4 in adult HSCs and become of key interest. HPCs. We thus transduced murine HSC/HPCs with a retroviral Expansion of HSCs naturally occurs in the fetal liver during vector that coexpresses EGFP and a 4-hydroxytamoxifen (TMX)- embryonic development and in the bone marrow (BM) of the adult organism as a response to extrinsic cues. The signaling pathways controlling this process and the molecular mechanisms specifying Author contributions: B.S., H.A., M.M., and H.K. designed research; B.S., A.C.S., A.R., N.M., whether the self-renewal potential is lost or retained during HSC D.L., H.A., and H.K. performed research; H.A. and K.K. contributed new reagents/analytic cell divisions remain largely ill-defined. However, accumulative tools; B.S., H.A., K.K., M.M., and H.K. analyzed data; and B.S., H.A., W.O., C.B., M.M., and evidence shows that HSC fate decisions are controlled by a delicate H.K. wrote the paper. balance of the intrinsic genetic program of HSCs and extrinsic The authors declare no conflict of interest. signals provided by their microenvironment, the stem cell niche. This article is a PNAS Direct Submission. Some of the intrinsic regulatory genes (Bmi1, Cdkn1a, Pten, Etv6, Abbreviations: BM, bone marrow; HSC, hematopoietic stem cell; HPC, hematopoietic Ϫ ϩ ϩ Mcl1, Hoxb4) that control stem cell maintenance, expansion, and progenitor cell; LSK, Lin Sca1 c-kit ; EB, embryoid body; TMX, 4-hydroxytamoxifen; qRT-PCR, quantitative RT-PCR; CHX, cycloheximide; Dox, doxycycline; ES-HC, ES cell-derived differentiation and some extrinsic signals (Wnt, Ang-1, Notch hematopoietic cell; GEMM, granulocyte, erythroid, macrophage, megakaryocyte. ligands, Gp130 ligands) that are exchanged between HSCs and †To whom correspondence may be addressed. E-mail: schiedlmeier.bernhard@ niche cells have been identified recently (1). mh-hannover.de or [email protected]. Numerous members of the homeobox gene family are involved §Present address: Molecular Hematology Laboratory, John Radcliffe Hospital, Oxford, OX3 in the regulation of normal and leukemic hematopoiesis at various 9DS, United Kingdom. stages. In fact, the human homeodomain transcription factor This article contains supporting information online at www.pnas.org/cgi/content/full/ HOXB4 was the first gene shown to lead to profound HSC 0703082104/DC1. expansion in vitro and in vivo when ectopically expressed in murine © 2007 by The National Academy of Sciences of the USA 16952–16957 ͉ PNAS ͉ October 23, 2007 ͉ vol. 104 ͉ no. 43 www.pnas.org͞cgi͞doi͞10.1073͞pnas.0703082104 Downloaded by guest on September 27, 2021 inducible form of HOXB4 (HOXB4-ER). Upon addition of TMX, the HOXB4-ER fusion protein translocates from the cytoplasm to the nucleus, consequently being capable of modulating gene ex- pression. Transduced cell populations were expanded for 14 days in the presence of TMX. Thereafter, HOXB4-ERϩLSK (where LSK is LinϪ, Sca1ϩ, c-kitϩ) cells were flow cytometrically isolated and cultivated either with or without TMX for 1 or 4 h. Inactivation of HOXB4 activity by TMX withdrawal was intended to mimic the naturally occurring down-regulation of HOXB4 in differentiating stem cells (12). RNA was prepared after the aforementioned times, and the transcriptional profiles of HOXB4-ERϩLSK Ϯ TMX were analyzed with the Affimetrix platform. As a control, profiling was also performed with LSK cells expressing unmodified constitutively active HOXB4 (HOXB4const) Ϯ TMX, to exclude changes in gene expression caused by unknown effects of TMX itself [supporting information (SI) Fig. 5]. Genes whose level of expression consistently and significantly (i) changed Ͼ2.0fold4hafterwithdrawal of TMX in one of the two independent experiments and (ii) changed Ͻ 1.5-fold after with- drawal of TMX in both HOXB4const LSK control group samples were considered differentially and specifically regulated by HOXB4. This analysis identified 156 HOXB4-regulated genes in proliferating LSK cells, of which 23 were uncharacterized tran- scripts (SI Table 1). All 23 uncharacterized target genes, and 103 of the 133 characterized genes, were also differentially regulated Ͼ1.5-fold in the second independent experiment. The 133 charac- terized genes identified by the above criteria belonged to different BIOLOGY functional groups (SI Table 2). A comparison of our HOXB4 target DEVELOPMENTAL gene list with molecular signatures shown to be specific for naturally (in vivo) proliferating fetal liver HSCs and their quiescent adult BM-derived counterparts revealed significant overlaps (SI Table 3).