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Publication : Bone marrow hematopoiesis drives multiple sclerosis progression.

First Author  Shi K Year  2022
Journal  Cell Volume  185
Issue  13 Pages  2234-2247.e17
PubMed ID  35709748 Mgi Jnum  J:351499
Mgi Id  MGI:7295267 Doi  10.1016/j.cell.2022.05.020
Citation  Shi K, et al. (2022) Bone marrow hematopoiesis drives multiple sclerosis progression. Cell 185(13):2234-2247.e17
abstractText  Multiple sclerosis (MS) is a T cell-mediated autoimmune disease of the central nervous system (CNS). Bone marrow hematopoietic stem and progenitor cells (HSPCs) rapidly sense immune activation, yet their potential interplay with autoreactive T cells in MS is unknown. Here, we report that bone marrow HSPCs are skewed toward myeloid lineage concomitant with the clonal expansion of T cells in MS patients. Lineage tracing in experimental autoimmune encephalomyelitis, a mouse model of MS, reveals remarkable bone marrow myelopoiesis with an augmented output of neutrophils and Ly6C(high) monocytes that invade the CNS. We found that myelin-reactive T cells preferentially migrate into the bone marrow compartment in a CXCR4-dependent manner. This aberrant bone marrow myelopoiesis involves the CCL5-CCR5 axis and augments CNS inflammation and demyelination. Our study suggests that targeting the bone marrow niche presents an avenue to treat MS and other autoimmune disorders.
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