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Blood, 8 October 2009, Vol. 114, No. 15, pp. 3181-3190. Prepublished online as a Blood First Edition Paper on July 8, 2009; DOI 10.1182/blood-2009-02-205708.
Submitted February 17, 2009
The Montreal Center for Experimental Therapeutics in Cancer, Lady Davis Institute for Medical Research, Montreal, QC, Canada * Corresponding author; email: jacques.galipeau{at}mcgill.ca.
Gaucher disease causes pathological skeletal changes which are not fully explained. Considering the important role of mesenchymal stromal cells (MSCs) in bone structural development and maintenance, we analyzed the cellular biochemistry of MSCs from an adult patient with Gaucher disease type 1 (N370S/L444P mutations). Gaucher MSCs possessed a low glucocerebrosidase activity and consequently had a 3-fold increase in cellular glucosylceramide. Gaucher MSCs have a typical MSC marker phenotype, normal osteocytic and adipocytic differentiation, growth, exogenous lactosylceramide trafficking, cholesterol content, lysosomal morphology and total lysosomal content, and a marked increase in COX-2, prostaglandin E2, IL-8 and CCL2 production when compared to normal controls. Transcriptome analysis on normal MSCs treated with the glucocerebrosidase inhibitor conduritol B epoxide revealed an upregulation of an array of inflammatory mediators, including CCL2, and other differentially regulated pathways. These cells also demonstrated a decrease in sphingosine-1-phosphate. In conclusion, Gaucher disease MSCs display an altered secretome which could contribute to skeletal disease and immune disease manifestations in a manner distinct and additive to Gaucher macrophages themselves.
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