Late-Breaking Oral Presentations
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LATE-BREAKING ORAL PRESENTATIONS 2006 – VIAGRA ENABLES EFFICIENT, SINGLE-DAY HEMATOPOIETIC STEM CELL MOBILIZATION Stephanie Smith-Berdan; Bryan Petkus; Alyssa Bercassio; Camilla Forsberg UCSC, Santa Cruz, United States Despite the use of hematopoietic stem cells (HSCs) in clinical therapy for over half a century, the mechanisms regulating HSC trafficking, engraftment, and life-long persistence after transplantation are unclear. Findings over the past several years have demonstrated that HSC function within bone marrow (BM) niches depends on vascular and peri-vascular cells. We recently showed that the vascular endothelium not only regulates HSC maintenance within BM niches, but also trafficking between the vasculature and the BM space. We found that the vascular endothelium, via the guidance molecule ROBO4, reinforces HSC localization to BM niches both by promoting HSC extravasation from blood-to-BM and by forming vascular barriers that prevent BM-to-blood escape. As ROBO4 promotes vascular stability, we hypothesized that vascular permeability regulates HSC location. We found that vascular permeability induced by intravenous injection of recombinant VEGF led to a 2-fold increase in HSCs in the peripheral blood. Here, we utilized a tet-inducible VEGF overexpression mouse model to show that sustained VEGF expression and robust vascular permeability leads to unprecedented HSC mobilization. VEGF-mediated mobilization was transient and reversible and did not irrevocably damage BM vascular niches. These findings revealed that vascular integrity is an important regulator of HSC location and that manipulation of vascular integrity can be employed to control HSC mobilization. We therefore tested whether FDA-approved vasodilators are capable of mobilizing HSCs. We found that a single, oral dose of Viagra (sildenafil citrate) in conjunction with a single dose of the CXCR4 antagonist AMD3100 leads to efficient HSC mobilization at levels rivaling a 4- day GCSF regimen. Our findings solidify vascular integrity as an essential regulator of HSC trafficking and provide an attractive new, single-day regimen for HSC mobilization using already FDA-approved drugs. 2016 – HUMAN HEMATOPOIETIC STEM CELL SELF-RENEWAL AND ENGRAFTMENT ARE ENHANCED BY THE TRANSCRIPTIONAL REGULATOR MLLT3 Vincenzo Calvanese1; Anastasia Vavilina2; Andrew Nguyen2; Timothy Bolan2; Fides Lay2; Siavash Kurdistani2; Mattias Magnusson2; Hanna Mikkola2 1University of California, Los Angeles, Los Angeles, United States; 2UCLA, Los Angeles, United States Hematopoietic stem cells (HSC) regenerate the blood and immune system upon transplantation, providing treatment for several blood diseases. However, HSC transplantation is available for only a fraction of patients due to limitations in availability and/or histocompatibility. To achieve robust HSC expansion for transplantation we need to understand the mechanisms governing self-renewal, and why this program fails in culture. Through transcriptional profiling of highly self-renewing human HSC and their differentiated or cultured progeny, we identified MLLT3 as a critical HSC regulator, enriched in human fetal and adult HSC, but downregulated during culture. Knockdown of MLLT3 disrupted the expansion and engraftment of hematopoietic stem/progenitor cells (HSPC). Conversely, sustaining MLLT3 expression in culture led to expansion of HSPC with multilineage differentiation ability and superior engraftment capacity. Engraftment of MLLT3-expressing cultured HSPC was 14-30 fold higher than controls; it was detected for 24 weeks and further maintained in secondary transplantation. MLLT3-expanded HSPC displayed repopulation of the HSPC compartment and all differentiated lineages in bone marrow and peripheral hematopoietic organs. Moreover, HSPC cultured for 2 weeks in presence of MLLT3 showed more effective human engraftment compared to those transplanted before culture expansion. Importantly, MLLT3 did not reprogram progenitors to HSC, or cause oncogenic transformation. Similar to endogenous MLLT3, overexpressed MLLT3 localized to promoters of genes expressed in HSPC, and stabilized HSC regulatory program in culture. MLLT3 maintained other key HSC regulators, such as HLF and MECOM, through direct binding, and indirectly suppressed abnormal activation of immune response and apoptosis genes in cultured HSPC. HSC genes in MLLT3 expanded HSPC featured higher levels of the transcriptional activation mark H3K79me2, deposited by the MLLT3 interaction partner Dot1L. MLLT3 thus represents a novel HSC maintenance factor that links histone reader and modifying activities to fine-tune HSC genes, and introduces a promising approach to culture HSC for therapeutic applications. LATE-BREAKING POSTER PRESENTATIONS 3207 – CD97 IS ASSOCIATED WITH POOR OVERALL SURVIVAL IN ACUTE MYELOID LEUKEMIA Houda Alachkar,1; Vijaya Vaikari; Sharon Wu USC, Los Angeles, United States In the era of precision medicine, the treatment of Acute Myeloid Leukemia (AML) remains a significant challenge with fewer than 50% of patients having long-term disease-free survival. Here we take advantage of the large genomics data to explore the expression of particular genes to establish the rationale for further investigation of these genes as viable therapeutic targets in AML. CD97, a member of the adhesion G protein-coupled receptor (GPCR) is expressed on leukocytes and smooth muscles. CD97 is also expressed in a variety of solid cancers and support a more aggressive metastatic phenotype. In this report, we analyzed 170 patients from the TCGA AML dataset and found that CD97 was higher in cytogenetically normal (CN-AML) patients compared with cytogenetically abnormal (CA-AML) patients (p=0.008). We dichotomized patients based on their CD97 mRNA expression Z-score (RNA Seq V2 RSEM) into CD97 high (Z≥1) and CD97 low (Z<1). Patients with high CD97 expression had significantly higher WBC count (median: 52.9 vs 12.6, p=0.005) and higher % bone marrow blasts (median: 83 vs 71%, p=0.025). We also analyzed CD97 expression according to mutational status and found that CD97 was significantly higher in patients with NPM1 mutation (n=47) compared with that in patients with NPM1 wild- type (n=123) (1.6 fold, p<0.000). Survival analysis showed that the overall survival (OS) of the CD97 high group (Z >1) was significantly shorter than those of the CD97 low patients (median: 7.2 vs. 21.1 months; p=0.0003; Figure 4A). Patients with high CD97 expression had significantly shorter event-free survival (EFS) than patients with low CD97 (median: 5.3 vs. 12 months; p=0.0003). In multivariate survival analysis, CD97 high expression (Z>1) was associated with shorter overall survival when adjusted for age, white blood count, cytogenetic risk, transplant status, DNMT3A mutation status, and TP53 mutation status (HR= 1.86; 95% Cl: 1.10-3.13; p=0.020). Altogether, our results suggest that high CD97 expression is associated with poor clinical outcome and indicate a need for future functional and mechanistic for the role of CD97 in AML. 3208 – REPROGRAMMED ADULT HUMAN ENDOTHELIUM INTO HEMATOPOIETIC STEM CELLS YIELDS FUNCTIONAL T CELLS IN VIVO Jose Gabriel Barcia Duran; Tyler Lu; Raphael Lis; Shahin Rafii Weill Cornell Medicine, New York, United States During development, the hematopoietic stem cells that go on to populate the bone marrow and give rise to all blood cell lineages emerge from a specialized endothelial subpopulation. We have previously exploited this vestigial identity to achieve the direct conversion of adult mouse or human endothelial cells (ECs) into long- term engraftable hematopoietic stem and progenitor cells (rEC-HSPCs); however, to date, we had only detected and characterized functional T cells that result from the transplantation, engraftment, and differentiation of mouse rEC-HSPCs. Here, we make use of doxycycline-inducible vectors encoding our four reprogramming transcription factors (FOSB, GFI1, SPI1, and RUNX1; FGRS). Additionally, transplantation is performed in transgenic substrains of NSG mice (one carrying human stem cell factor, granulocyte/macrophage colony-stimulating factor, and interleukin 3; the other, human major histocompatibility complex class I as well as beta-2 microglobulin). We show that human rEC-HSPCs obtained via our established in vitro system yield phenotypically and functionally mature T cells in vivo at 24 weeks post-transplantation (primary and secondary) when FGRS expression is suspended upon transplantation and the transplant recipients express transgenes for human cytokines or MHC class I proteins. Notably, the resulting T cells undergo TCR rearrangement and are able to clear viral particles one week post- LCMV infection. This achievement demonstrates that our direct conversion strategy generates bona fide human hematopoietic stem cells from adult endothelial cells. 3209 – SOMATIC MUTATIONS IN HEMATOPOIETIC STEM CELLS REVEAL LINEAGE RELATIONSHIPS AND AGE-RELATED MUTAGENESIS Arianne Brandsma1; Fernando Osorio2; Axel Rosendahl Huber1; Rurika Oka1; Mark Verheul1; Sachin Patel2; Lisanne de la Fonteijne3; Ignacio Varela4; Fernando Camargo2; Ruben van Boxtel1 1Princess Maxima Center for pediatric cancer, Utrecht, Netherlands; 2Stem Cell Program, Bosten Children's Hospital, Boston, United States; 3Center for Molecular Medicine, UMC Utrecht, Utrecht, Netherlands; 4IBBTEC, CSIC-University of Cantabria, Santander, Spain Mutation accumulation during human life can contribute to hematopoietic dysfunction; however, the underlying dynamics are unknown. In addition, as people