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Blood, 3 September 2009, Vol. 114, No. 10, pp. 2107-2120.
Prepublished online as a Blood First Edition Paper on July 1, 2009; DOI 10.1182/blood-2009-03-211680.
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Submitted March 18, 2009
Accepted June 5, 2009
GATA1 expression driven by the alternative HS2 enhancer in the spleen rescues the hematopoietic failure induced by the hypomorphic GATA1low mutation
Anna Rita Migliaccio*, Fabrizio Martelli, Maria Verrucci, Massimo Sanchez, Mauro Valeri, Giovanni Migliaccio, Alessandro Maria Vannucchi, Maria Zingariello, Angela Di Baldassarre, Barbara Ghinassi, Rosa Alba Rana, Yvette van Hensbergen, and Willem E Fibbe
Department of Hematology/Oncology and Molecular Medicine, Istituto Superiore Sanita, Rome, Italy
Department of Cell Biology and Neurosciences, Istituto Superiore Sanita, Rome, Italy
Department of Quality and Security of Animal Experimentation, Istituto Superiore Sanita, Rome, Italy
Hematology, Azienda Ospedaliera Careggi, Florence, Italy
Biomorphology and Medical Genetics, University G. D'Annunzio, Chieti, Italy
Medicine, Mount Sinai School of Medicine and the Myeloproliferative Disease Consortium, New York, NY, United States
Sanquin Blod Foundation, Leiden University Medical Center, Leiden, Netherlands
Immunohematology and Blood Transfusion, Leiden University Medical Center, Leiden, Netherlands
* Corresponding author; email: annarita.migliaccio{at}mssm.edu.
Rigorously defined reconstitution assays developed in recent years have allowed recognition of the delicate relationship which exists between hematopoietic stem cells and their niches. This balance ensures that hematopoiesis occurs in the marrow under steady state conditions. However, during development, recovery from hemopoietic stress and in myeloproliferative disorders, hematopoiesis occurs in extramedullary sites whose microenvironments are still poorly defined. The hypomorphic Gata1low mutation deletes the regulatory sequences of the gene necessary for its expression in hematopoietic cells generated in the marrow. By analyzing the mechanism that rescues hematopoiesis in mice carrying this mutation, we provide evidence that extramedullary microenvironments sustain maturation of stem cells that would be otherwise incapable of maturing in the marrow.

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