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Publication : TGFβ restores hematopoietic homeostasis after myelosuppressive chemotherapy.

First Author  Brenet F Year  2013
Journal  J Exp Med Volume  210
Issue  3 Pages  623-39
PubMed ID  23440043 Mgi Jnum  J:197456
Mgi Id  MGI:5493154 Doi  10.1084/jem.20121610
Citation  Brenet F, et al. (2013) TGFbeta restores hematopoietic homeostasis after myelosuppressive chemotherapy. J Exp Med 210(3):623-39
abstractText  Myelosuppression is a life-threatening complication of antineoplastic therapy, but treatment is restricted to a few cytokines with unilineage hematopoietic activity. Although hematopoietic stem cells (HSCs) are predominantly quiescent during homeostasis, they are rapidly recruited into cell cycle by stresses, including myelosuppressive chemotherapy. Factors that induce HSCs to proliferate during stress have been characterized, but it is not known how HSC quiescence is then reestablished. In this study, we show that TGFbeta signaling is transiently activated in hematopoietic stem and progenitor cells (HSPCs) during hematopoietic regeneration. Blockade of TGFbeta signaling after chemotherapy accelerates hematopoietic reconstitution and delays the return of cycling HSCs to quiescence. In contrast, TGFbeta blockade during homeostasis fails to induce cycling of HSPCs. We identified the cyclin-dependent kinase inhibitor Cdkn1c (p57) as a key downstream mediator of TGFbeta during regeneration because the recovery of chimeric mice, incapable of expressing p57 in HSPCs, phenocopies blockade of TGFbeta signaling after chemotherapy. This study demonstrates that context-dependent activation of TGFbeta signaling is central to an unrecognized counterregulatory mechanism that promotes homeostasis once hematopoiesis has sufficiently recovered from myelosuppressive chemotherapy. These results open the door to new, potentially superior, approaches to promote multilineage hematopoietic recovery by blocking the TGFbeta signaling that dampens regeneration.
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