Skip to main content
. 2018 Dec 5;8:587. doi: 10.3389/fonc.2018.00587

Table 1.

Selection of relevant studies about bone marrow microenvironment in aplastic anemia.

Type of study/ species Main findings Mechanisms References
Mice Role of macrophages in AA
  • - Depleting macrophages or abrogating IFN-γ signaling in macrophages did not impair T-cell activation or IFN-γ production in the BM but rescued HSCs

  • - Macrophages are not required for induction of IFN-γ in SAA and rather act as sensors of IFN-γ

  • - Macrophage depletion rescued thrombocytopenia, increased BM megakaryocytes, preserved platelet-primed stem cells, and increased the platelet-repopulating capacity of transplanted HSCs

(33)
Mice, human TNF-α from host macrophages and TNF-αR expressed on donor T cells are critical in the pathogenesis of murine immune-mediated BM failure - AA patients have higher frequencies of TNF-α-producing CD16+CD68+ macrophages in the BM than do healthy donors
  • - Infusion of TNF-α−/− donor LN cells into CByB6F1 recipients mice or injection of FVB LN cells into TNF-αR−/− recipients both induced BM failure, with marked increases in plasma IFN-γ and TNF-α levels

  • - In TNF-α−/− recipients, BM damage was attenuated, suggesting that TNF-α of host origin was essential for immune destruction of hematopoiesis

  • - Depletion of host macrophages before LN injection reduced T-cell IFN-γ levels and reduced BM damage, while injection of recombinant TNF-α into FVB-LN cell-infused TNF-α−/− recipients increased T-cell IFN-γ expression and accelerated BM damage

  • - Infusion of TNF-αR−/− donor LN cells into CByB6F1 recipients reduced BM T-cell infiltration, suppressed T-cell IFN-γ production, and alleviated BM destruction

  • - In AA patients, TNF-α-producing macrophages in the BM were more frequent than in healthy donors

(32)
Mice ROS generation is associated with BM failure in AA
  • - Increased ROS and disruption of hematopoietic niche under aplastic stress

  • - Decline of stromal components and deregulation of Notch-1/ Jagged-1 signaling axis in aplastic marrow

  • - Altered DNA methylation and H-3 phosphorylation status associated with redox imbalance in aplastic marrow

(41)
Human VEGF-Notch signaling pathway
  • - Lower expression of VEGF, VEGFR, Notch-1, Jagged1, Delta-like1, and hes1 was revealed in AA BM tissues and AA MSCs

  • - The intervention of DAPT (a γ-secretase inhibitor) significantly inhibited proliferation, and promoted the apoptosis and adipogenic differentiation of AA MSCs, while VEGF intervention exhibited opposite results

  • - The proliferation, migration, and angiogenesis of HUVECs were significantly promoted by normal BM-MSCs, while inhibited by VEGF/Notch-1 shRNA transfected BM-MSCs

(42)
Human, mice Effect of CD106 and NF-κB in BM failure of AA
  • - BM-MSCs from AA patients exhibited downregulation of the CD106 gene (VCAM1) and low expression of CD106 in vitro

  • - CD106+ MSCs from both AA patients and healthy controls had increased potential for in vitro capillary tube-like formation and in vivo vasculogenesis compared with CD106 MSCs

  • - CD106+ MSCs from both AA patients and healthy controls more strongly supported in vitro growth and in vivo engraftment of CD34+ cells in NOD/SCID mice than CD106 MSCs

  • - Expression of NF-κB was decreased in AA MSCs, and NF-κB regulated the CD106 gene (VCAM1) which supported hematopoiesis

(43)
Human Vascular and perivascular niches are numerically restored, but the endosteal niche remains numerically impaired in patients with AA after allo-HCT
  • - Levels of VEGF, but not donor-derived BM-MSCs, may correlate with the restoration of BM niches

(44)
Human AA is associated with impaired hematopoietic stem cell niches
  • - Patients with AA showed markedly fewer endosteal cells, vascular cells, and perivascular cells compared with controls

(45)
Human The biological characteristics of AA MSC are different from those of control MSC and their in vitro haemopoiesis -supporting ability is significantly reduced
  • - AA MSC presented typical morphology and distinctive mesenchymal markers, stromal formation was reduced, with 50% of BM samples failing to produce adherent layers

  • - Their proliferative and clonogenic capacity was markedly decreased and the ability to sustain haemopoiesis was significantly reduced, as assessed by total cell proliferation and clonogenic potential of HSC

(46)
Human, mice BM-MSCs from patients with AA do not have impaired functional and immunological properties, suggesting that they do not contribute to the pathogenesis of the disease
  • - MSCs cultures can be established from the BM of AA patients and display the same phenotype and differentiation potential as their counterparts from normal BM

  • - MSCs from AA patients support the in vitro homeostasis and the in vivo repopulating function of CD34+ cells, and maintain their immunosuppressive and anti-inflammatory properties

(47)
Human Gene expression profile of BM-MSCs confirmed the abnormal biological properties and provided significant evidence for the possible mechanism of the destruction of the BM microenvironment in AA
  • - BM-MSCs from AA patients showed aberrant morphology, decreased proliferation and clonogenic potential and increased apoptosis compared to controls

  • - BM-MSCs from AA patients were susceptible to be induced to differentiate into adipocytes but more difficult to differentiate into osteoblasts

  • - A large number of genes implicated in cell cycle, cell division, proliferation, chemotaxis and hematopoietic cell lineage showed markedly decreased expression in BM-MSCs from AA patients

  • - Conversely, more related genes with apoptosis, adipogenesis and immune response showed increased expression in BM-MSCs from AA patients

(48)

AA, aplastic anemia; allo-HCT, allogeneic hematopoietic cell transplantation; BM, bone marrow; BM-MSCs, bone marrow mesenchymal stem cells; HSCs, hematopoietic stem cells; HUVECs, human umbilical vein endothelial cells; IFN-γ, interferon-gamma; LN, lymph node; MSC, mesenchymal stem cells; ROS, reactive oxygen species; SAA, severe aplastic anemia; shRNA, short hairpin RNA; TNF-α, tumor necrosis factor-alpha; VEGF, vascular endothelial growth factor; VEGFR, vascular endothelial growth factor receptor.