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. 2023 Jun 28;142(6):533–542. doi: 10.1182/blood.2022017933

Table 1.

Genes and processes recently revealed to have roles in both HSC aging and transformation

Gene Expression in old vs young HSCs HSC phenotype Hematologic malignancy phenotype Function
Selp HSC aging (RNA and protein38) Knockout increases hematopoietic regeneration39 Knockout accelerates leukemogenesis in CML39,40 Cell adhesion molecule produced by platelets and endothelial cells for leukocyte adhesion38
Nupr1 HSC aging (RNA38) Knockout increases HSC quiescence and engraftment potency41 Targeted inhibition reduces the growth of AML, T-cell ALL, lymphoma, and multiple myeloma cell lines42,43 High-mobility group protein family member involved in apoptosis, stress response, and cancer progression41
Sema4a HSC aging (RNA38) Knockout increases myeloid-biased HSC proliferation and impairs regenerative capacity44 Knockout impairs multiple myeloma cell growth45 Binds to surface receptor Plexin-D1, essential for HSC self-renewal and protection from stress44
Cited2 HSC aging (RNA38) Knockout depletes functional HSCs in young mice46 Knockdown decreases AML pathogenesis and induces apoptosis47 Binding partner of the acetyltransferase CBP/p300 in transcriptional regulation46
Hsf1 HSC aging (protein48) Dispensable in young HSCs; knockout impairs hematopoietic regeneration by middle age48 Knockout impairs initiation and maintenance of AML and T-cell ALL49,50 Maintains proteostasis and self-renewal in response to stress48
Igf2bp2 HSC aging (RNA51) Knockout impairs HSC function in young mice51 Knockdown inhibits the growth of AML cell lines52 RNA-binding protein that regulates messenger RNA stability and translation51
Egr1 HSC aging (RNA53) Knockout increases HSC cycling and mobilization54 Tumor suppressor in ALL, CML, and AML55 Transcription factor that regulates cell growth, differentiation, and depolarization55
Twist1 HSC aging (RNA56) Knockout reduces HSC self-renewal and causes myeloid-biased hematopoiesis56 Knockdown reduces AML cell line proliferation and sensitizes to decitabine57 Transcription factor essential for embryonic mesoderm development56
Gata2 No change (RNA38) Haploinsufficiency promotes HSC proliferation and functional decline58 Haploinsufficiency causes long latency but aggressive MDS and AML59 Essential transcription factor for fetal and adult hematopoiesis60