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HEMATOPOIESIS
From the Laboratory of Molecular Genetics of
Hemopoietic Stem Cells, Clinical Research Institute of Montréal;
Department of Medecine, Université de Montréal; and
Division of Hematology, Maisonneuve-Rosemont Hospital; both of
Montréal, Canada; V.A. Medical Center, University of San
Francisco, CA; and Terry Fox Laboratory, British Columbia Cancer
Agency, Vancouver, Canada.
Cytogenetic, genetic, and functional studies have demonstrated a
direct link between deregulated Hoxa9 expression and acute myeloid leukemia (AML). Hoxa9 overexpression in mouse bone
marrow cells invariably leads to AML within 3 to 10 months, suggesting the requirement for additional genetic events prior to AML. To gain
further insight into how Hoxa9 affects hematopoietic
development at the preleukemic stage, we have engineered its
overexpression (1) in hematopoietic stem cells using
retrovirus-mediated gene transfer and generated bone marrow
transplantation chimeras and (2) in lymphoid cells using transgenic
mice. Compared with controls, recipients of
Hoxa9-transduced cells had an about 15-fold increase in
transplantable lymphomyeloid long-term repopulating cells, indicating
the capacity for this oncogene to confer a growth advantage to
hematopoietic stem cells. In addition, overexpression of
Hoxa9 in more mature cells enhanced granulopoiesis and
partially blocked B lymphopoiesis at the pre-B-cell stage but had no
detectable effect on T lymphoid development. Interestingly, despite
specifically directing high expression of Hoxa9 in T and B
lymphoid lineages, none of the Hoxa9 transgenic mice
developed lymphoid malignancies for the observation period of more than
18 months.
(Blood. 2002;99:121-129) A growing body of evidence supports a role for
members of the mammalian Hox homeobox gene family of
transcription factors in the regulation of hematopoiesis.1
In a subgroup of human myeloid leukemias, the HOXA9 gene is
involved in a recurrent translocation between chromosomes 7 (NUP98) and 11 (HOXA9), resulting in a fusion transcript that encodes the NUP98-HOXA9 oncoprotein.2,3
Recently, the expression of HOXA9 was also shown to be the
single most highly correlating factor (of 6817 genes tested) for poor
prognosis in human acute myeloid leukemia (AML),4 possibly
indicating a broader role for this gene in human leukemia beyond that
caused by its chromosomal translocations.
The leukemogenic potential of Hoxa9 was directly
demonstrated by the development of AML in mouse bone marrow
transplantation chimeras that received a graft of primitive
hematopoietic cells engineered by retroviral gene transfer to
overexpress Hoxa9.5,6 Although the latency for
the development of AML in these chimeras is much shorter than reported
for other similar Hox gene chimeras (ie, Hoxa10,
Hoxb3, Hoxb8), overexpression of Hoxa9
alone is not sufficient to induce leukemia, and additional somatic
mutation(s) are needed.6-9 In leukemic transformation,
genetic interactions have been demonstrated between Hoxa9
and molecules such as Meis1 and
E2A-PBX1,5,6 both of which can bind DNA
cooperatively with Hoxa9.10,11 This suggests the presence
of a leukemogenic complex, which includes Hoxa9 and potentially some of
its DNA-binding cofactors.
In normal human CD34+ bone marrow cells, HOXA9
is preferentially expressed in subfractions that are highly enriched
for primitive long-term culture-initiating cells or myeloid progenitor
cells, and its expression is significantly reduced in the erythroid
lineage.12,13 This pattern of Hoxa9 expression
is conserved in murine hematopoietic cells, with high levels detected
in the Sca-1+ lineage-negative (Lin Analysis of the Hoxa9 null mutant mice showed that lack of
Hoxa9 caused a significant decrease in bone marrow myeloid and pre-B-cell progenitors, and Hoxa9 In this paper, we use 2 different mouse models (ie, transplantation
chimeras and transgenics) to study the effects of Hoxa9 overexpression on hematopoietic cells prior to the occurrence of
leukemic transformation. We demonstrate, contrary to the phenotype of
the Hoxa9 Mice
Generation of transgenic mice
Retroviral generation and infection of primary bone marrow cells The generation of the MSCV-Hoxa9-pgk-neo retroviral vector has been described before,5 and the MSCV-Hoxa9-pgk-EGFP vector was generated by subcloning the full-length Hoxa9 cDNA at the EcoRI site upstream of a pgk-EGFP cassette into the murine stem cell virus (MSCV) retroviral vector. High-titer helper-free recombinant MSCV-Hoxa9-pgk-neo, MSCV-Hoxa9-pgk-EGFP, MSCV-pgk-neo, and MSCV-pgk-EGFP retroviruses were generated and tested as previously described.5 Bone marrow cells obtained from (PepC3)F1 mice injected 4 days earlier with 150 mg/kg of body weight of 5-fluorouracil were prestimulated in Dulbecco modified Eagle medium containing 15% fetal calf serum (FCS), 6 ng murine interleukin (IL)-3 per milliliter, 100 ng murine Steel factor per milliliter, and 10 ng human IL-6 per milliliter for 48 hours and then cocultivated on irradiated viral producer cells in the same medium with the addition of 6 µg of polybrene per milliliter. Loosely adherent and nonadherent cells were recovered and injected intravenously (2 × 105 cells per mouse) into (B6C3)F1 mice or directly cultivated in vitro as described below. Donor-derived repopulation in recipients was assessed by the proportion of leukocytes in peripheral blood, bone marrow, thymus, and spleen that expressed the Ly5.1 allelic form of the Ly5 locus, using the fluorescein isothiocyanate-conjugated anti-Ly5.1 antibody and flow cytometry.Methylcellulose cultures and CRU assays For myeloid clonogenic progenitor assays, cells were plated on 35 mm Petri dishes (Corning Costar, Cambridge, MA) in a 1.1 mL culture mixture containing 0.8% methylcellulose in -medium supplemented with 10% FCS (Life Technologies, ON, Canada), 5.7% bovine serum albumin, 10 5 M -mercaptoethanol ( -ME),
1 U human urinary erythropoietin per milliliter, 10% WEHI-conditioned
medium (containing 50 ng IL-3 per milliliter) or 2% spleen
cell-conditioned medium, 2 mM glutamine, 200 mg transferrin per
milliliter, in the presence or the absence of 1.3 mg of G418 per
milliliter. Bone marrow and spleen cells from the transplantation
chimeras or the transgenic mice were plated at a concentration of
3 × 104 cells per milliliter (dish) and
2 × 106 cells per milliliter (dish), respectively.
Colonies were scored on day 12 to 14 of incubation as derived from
macrophage colony-forming units, granulocyte colony-forming
units, granulocyte macrophage colony-forming units (CFU-GMs), or
granulocyte, erythroid, macrophage, and megakaryocyte colony-forming
units (CFU-GEMMs) according to standard criteria.20 For
pre-B clonogenic progenitor assays, cells were plated at a
concentration of 2 × 105/mL in 0.8% methylcellulose in
-medium supplemented with 30% FCS, 10 4 M -ME, and
0.2 ng IL-7 per milliliter with or without 1.3 mg G418 per milliliter.
Pre-B colonies were scored on day 7 of incubation. Evaluation of
frequency of cells with long-term repopulating potential was done using
the competitive repopulation unit (CRU) assay.21 Technical
modifications of the procedure that were applied in this study have
been reported previously.22 Briefly, bone marrow cells
from primary Hoxa9-EGFP or EGFP
(Ly5.1+) mice, killed at 4 weeks posttransplantation, were
injected into lethally irradiated B6C3 (Ly5.1 ) mice at
varying dilutions (3 × 103 to 5 × 106
bone marrow cells) along with 1 × 105 helper bone marrow
cells from normal B6C3 (Ly5.1 ) mice. The level of
lymphoid and myeloid repopulation with Ly5.1+ donor-derived
cells in these secondary recipients was evaluated at 16 weeks after
transplantation by fluorescence-activated cell sorter (FACS) analysis
of their peripheral blood. Recipients with more than 2% donor-derived
peripheral blood lymphoid and myeloid leukocytes were considered to be
repopulated by at least one CRU.
In vitro long-term culture assays for B cells The frequency of primitive lymphoid B cells was determined with a limiting dilution analysis in the Whitlock-Witte in vitro culture system as described.23 Briefly, total bone marrow cells from control or Hoxa9 transgenic mice were cultured for 3 weeks on S17 stromal cells in RPMI medium containing 5% preselected FCS, 5 × 10 5 M -ME, and 50 µg gentamicin per
milliliter, and at concentrations ranging from 500 to 20 000 bone
marrow cells per well. After 3 weeks each well was scored for the
presence of nonadherent cells of B-cell origin. To confirm the B-cell
origin of each culture, cells from multiple wells were stained with
B220 and Mac1 and analyzed by FACS. The frequency of the
Whitlock-Witte-initiating cells (WW-ICs) was then calculated by
applying Poisson statistics to the proportion of negative wells at
different dilutions.
Southern and Northern blot analyses High molecular weight DNA isolated from bone marrow, spleen, and thymus of the transplantation chimeras was digested with KpnI, which cuts in the long terminal repeats (LTRs) to release the proviral genome or with EcoRI or NcoI to cut the provirus once to release DNA fragments specific to the proviral integration site(s). The genotyping of the Hoxa9 transgenic mice was done by digesting genomic tail DNA with BglII. Total cellular RNA was isolated with the TRIzol reagent (Life Technologies) and Northern blot analysis performed as described.5 The probes used were a XhoI/SalI fragment of pMC1neo, the enhanced green fluorescent protein (EGFP) cDNA, or the full-length 1.4 kb Hoxa9 cDNA, which had been labeled with 32P by random primer extension. To assess the relative amounts of total RNA loaded, membranes were probed for 18S RNA using end-labeled oligonucleotide 5'-ACGGTATCTGATCGTCCTCGAACC-3'.Protein analysis Preparation of cellular extracts of spleen and thymus derived from transgenics, Hoxa9, or control mice and Western analyses were performed as described.6 Briefly, 80 µg of proteins were separated by 10% sodium dodecyl sulfate-polyacrylamide gel electrophoresis, transferred to Immobilon P membranes (Millipore, Bedford, MA), and then probed with polyclonal rabbit N-terminal Hoxa9 antibody (128-162 a.a.), kindly provided by Dr Takuro Nakamura, or with the monoclonal antibody PTP1D (Transduction Laboratories, Mississauga, ON, Canada). Bound antibodies were detected with horseradish peroxidase-conjugated antirabbit or antimouse antibodies (Sigma, St Louis, MO) followed by enhanced chemiluminescence (ECL; Amersham, Buckinghamshire, United Kingdom).
Generation of bone marrow transplantation chimeras engineered to overexpress Hoxa9 in HSCs In 2 separate experiments, bone marrow transplantation chimeras were generated with donor cells derived from congenic mice (Ly5.1+) and engineered by retroviral gene transfer to overexpress Hoxa9 (or a control "empty" vector) in primitive bone marrow cells. In both experiments, MSCV vectors were preferred over other Moloney-based retroviral vectors because the MSCV LTRs are modified to ensure high and persistent expression levels of the transgene in stem cells as well as in myeloid and lymphoid cells.24,25 The MSCV vectors used in these experiments contained 2 different selectable markers: the neor or the EGFP (Figure 1A). The 2 experiments also differed in the dose of cells transplanted, with mice in the second experiment receiving a 10-fold higher number of Hoxa9-tranduced cells than those in experiment no. 1 (Table 1).
As previously reported, overexpression of Hoxa9 eventually leads to AML in the transplantation chimeras,5,6 and recent studies have indicated that the time to leukemia onset is directly related to the dose of Hoxa9-transduced cells in the initial transplantation inoculum (U.T. and G.S., manuscript in preparation). To ensure that the effects of Hoxa9 overexpression on hematopoietic regeneration would be assessed prior to the occurrence of leukemic transformation, bone marrow transplantation chimeras from experiments no. 1 and 2 were analyzed at 8 and 4 weeks posttransplantation, respectively. High levels of donor-derived repopulation (> 85% Ly5.1+ cells) were detected in the peripheral blood, bone marrow, thymus, and spleen in both groups of chimeras, and Southern blot analysis of DNA isolated from these same tissues demonstrated significant contribution to this regeneration by transduced cells (Figure 1B, upper panel). Clonal analysis performed with the same DNA but digested with a restriction enzyme that cuts once in the integrated proviral DNA indicated that numerous transduced clones contributed to both lymphoid (thymus and/or spleen) and myeloid (bone marrow) reconstitution in the Hoxa9 and control mice (Figure 1B, left side of lower left panel). Furthermore, the level of polyclonality was clearly related to the dose of transduced cells transplanted in each group of chimeras, with the Hoxa9-EGFP mice receiving the higher dose and being repopulated by a higher number of clones (Figure 1B, left side of lower right panel). Northern blot analysis of RNA extracted from these same organs demonstrated the high expression levels of the LTR-derived messenger RNA (Figure 1C). Enhanced myelopoiesis and suppression of B lymphopoiesis by overexpression of Hoxa9 For all of the Hoxa9 mice analyzed at 4 or 8 weeks posttransplantation (Table 1), their bone marrow and thymic cellularity were within the normal range, whereas their spleens were mildly enlarged (0.15 ± 0.03 g for Hoxa9 vs 0.09 ± 0.01 g for controls). FACS analysis indicated that the relative and absolute numbers of mature myeloid cells (Mac1+) were slightly increased in the peripheral blood, bone marrow, and spleen of all Hoxa9 chimeras (Figure 2A and data not shown). Morphologic evaluation of cell preparations from these organs indicated an increase in cells of the granulocyte lineage (data not shown). This effect of Hoxa9 on the myeloid lineage is further evidenced by detection of much higher proportion of EGFP-expressing Mac1+ cells (mostly granulocytes by morphology) in the Hoxa9-EGFP chimeras than in the control EGFP mice (Figure 2A). Importantly, this "enhancing" effect of Hoxa9 appeared specific to the granulocytic lineage. This was evident by similar (or lower) proportions of EGFP-expressing cells in lymphoid lineages of Hoxa9 chimeras when compared with those detected in the control mice (Figure 2A for B cells [B220+] and data not shown for T cells [both CD4+ and CD8+]).
Consistent with the increase in mature myeloid cells, total myeloid progenitor numbers were increased both in the bone marrow and even more in the spleen of the Hoxa9 chimeras (Figure 2B). Most importantly, this elevation was largely caused by an increase in the absolute numbers of CFU-GMs and CFU-GEMMs, most of which were either resistant to G418 (Figure 2B,C) or expressed EGFP (data not shown). Together, these results suggest that the elevation in the number of mature granulocytes in the Hoxa9 chimeras is due to a significant increase in their progenitor cell numbers. IL-7-responsive pre-B-cell progenitors (lymphoid pre-B) were also evaluated in the bone marrow of Hoxa9 mice. In contrast to the increase in Hoxa9-transduced myeloid progenitors, the total number of pre-B lymphoid progenitors was slightly reduced in Hoxa9 mice, and virtually none were derived from Hoxa9-transduced cells (G418 resistant or EGFP+) (Figure 2B and data not shown). In addition, the few Hoxa9-transduced pre-B colonies detected were also smaller in size than either untransduced or neo-transduced pre-B colonies (data not shown). This suggests that while enhancing myelopoiesis Hoxa9 may selectively inhibit proliferation of pre-B progenitors. Because transplantation chimeras contain both Hoxa9-transduced and untransduced hematopoietic cells that can contribute to B lymphopoiesis, further analysis of this Hoxa9-induced B-cell defect was carried out in transgenic mice engineered to specifically express Hoxa9 in B and T lymphoid cells. Regulated expression of Hoxa9 is required for normal B lymphopoiesis Two different lines of Hoxa9 transgenic mice (Hoxa9-12 and Hoxa9-15) were produced using the pLIT3 vector, which was engineered to contain a number of lymphoid-specific regulatory elements19,26 (Figure 3A). Previous expression studies have demonstrated that this vector directs high expression of the transgene in early and late B- (pro-B to mature peripheral B cells) and T-cell populations (double-negative [CD8 CD4 ] to
single-positive [CD8+ or
CD4+]).19,26 In agreement with these studies,
RNA levels of the Hoxa9 transgene were detected in the
spleen (highest levels), thymus, and bone marrow of the 2 Hoxa9 transgenic lines (Figure 3B). Hoxa9 protein levels
were higher in the spleen of these transgenics than in controls
(Figure 3C).
The effect of Hoxa9 on B lymphopoiesis was analyzed in 3- to
4-month-old transgenic mice and their littermate controls. In accordance with the Hoxa9 transplantation chimeras, the
numbers of IL-7-responsive bone marrow pre-B progenitor cells were
severely affected in both Hoxa9 transgenic lines (Figure
3D). Furthermore, these transgenic pre-B progenitor cells also gave
rise to much smaller colonies in vitro, demonstrating their
reduced proliferative potential (data not shown). To determine whether
more primitive cells of the B lineage were also affected in these mice,
limiting dilution analysis was used to evaluate the number of bone
marrow cells capable of initiating long-term B-cell cultures
(WW-ICs23). The results failed to identify a decline in
the number of WW-ICs in the bone marrow of both Hoxa9 lines
(Figure 3D). Because the experimental conditions necessary to purify
WW-ICs are still undefined, it cannot be excluded that absent or low
transgene expression in WW-ICs is in part responsible for these
results. The mature B-cell output per single WW-IC was also evaluated
both quantitatively and qualitatively by FACS analysis. Each WW-IC from
the Hoxa9 transgenics generated similar numbers of cells,
most of which were B220+IgM In contrast to the Hoxa9 transplantation chimeras, there was no increase in bone marrow or spleen myeloid CFU-GMs or CFU-GEMMs (Figure 3D) or in the numbers of mature granulocytes in these Hoxa9 transgenic mice (Figure 3F). This is consistent with the selective expression of the transgene in the lymphoid compartment. Importantly, these results also excluded enhanced granulopoiesis as a contributing factor for the development of the above-described B-cell phenotype (either in Hoxa9 transgenic mice or transplantation chimeras). Both lines of Hoxa9 transgenic mice have now been monitored for more than 18 months (n = 9 mice), and none of these mice have spontaneously developed any hematologic malignancies. Together, these results and those presented above for the transplantation chimeras clearly indicate that inappropriately high levels of Hoxa9 expression perturb normal regulation of myeloid and pre-B lymphoid progenitor cells. Enhanced CRU pool size in recipients of Hoxa9-transduced cells Based on the preferential expression of Hoxa9 in primitive hematopoietic cells and the finding that HSC numbers in Hoxa9 homozygous mutant mice are severely reduced,17 we sought to test the hypothesis that overexpression of Hoxa9 in primitive bone marrow cells might lead to expansion of their pool size.The HSC numbers in recipients of control and
Hoxa9-transduced bone marrow cells were determined using the
CRU assay previously validated to detect HSCs based on their functional
definition, ie, being capable of both lymphoid and myeloid
differentiation as well as long-term repopulation in transplanted mice
(here secondary mice; see "Materials and methods"). At 4 weeks
posttransplantation, the CRU frequency in bone marrow of
Hoxa9 chimeras was increased about 15-fold over that
measured for control chimeras killed at the same time and
generated with equivalent numbers of EGFP-transduced CRUs (Figure
4A). Hoxa9-induced expansion of CRUs was
confirmed at numerous time points following bone marrow transplantation in several independent experiments (U.T. and L.J., unpublished observations, 2000).
The expression of EGFP that was detected in hematopoietic cells of secondary Hoxa9-EGFP chimeras, positive for long-term donor-derived repopulation (Ly5.1+) in the CRU assay (Figure 4B, percentages shown below blots and data not shown), demonstrates that the enhanced CRU regeneration in the Hoxa9-EGFP mice was indeed caused by transduced cells. A more definitive proof of this was obtained by Southern blot analysis of proviral integration sites in DNA isolated from hematopoietic tissues of secondary recipients from a representative primary Hoxa9-EGFP (Figure 4B). This analysis detected numerous Hoxa9-transduced clones, some of which had both lymphoid (thymus) and myeloid (bone marrow) repopulating potential (ie, totipotent, Figure 4B, mice 1.A3, 1.A4, 1.A7, 1.A8). In contrast to the Hoxa9-EGFP mice, similar analysis of the secondary recipients of the control EGFP mice (ie, EGFP expression and clonality by proviral integration) only detected EGFP-transduced clones in the secondary recipients receiving the highest number (5 × 106 bone marrow cells) of donor cells (Figure 4C and data not shown). Furthermore, as might be expected from previous studies,27 only few totipotent EGFP-transduced clones could be detected in the secondary recipients of one of the control mice (Figure 4C). Thus, Hoxa9 overexpression greatly enhances the regenerative potential of CRUs (HSCs) following bone marrow transplantation. Self-renewal divisions of Hoxa9-overexpressing HSCs (same totipotent clone detected in 2 or more secondary mice) could not be demonstrated in these mice, likely because the transplantation dose was too high. However, self-renewal could be shown using another cohort of primary mice in which each mouse was initially injected with only about 6 Hoxa9-transduced long-term repopulating cells (Figure 4D). Analysis of proviral integration sites by Southern blot analysis of DNA isolated from secondary recipients of one of these primary Hoxa9-EGFP mice detected 4 totipotent Hoxa9-transduced clones (Figure 4D, clones "a"-"d"). Each of these 4 clones could be detected in 2 or more secondary recipients, thus demonstrating their self-renewal in the primary Hoxa9-EGFP mouse (Figure 4D). For example, the totipotent clone "a" is detected in 6 secondary mice (ie, mice 2.A1, 2.A2, 2.A3, 2.A4, 2.A6, 2.A8), clone "b" in 3 (2.A1, 2.A2, 2.A3) and clone "c" and "d" in 2 (2.A4, 2.A5). At limiting dilution (eg, where only one transduced CRU is actively contributing to repopulation in a secondary recipient), it is possible to estimate the proliferative potential of individual CRUs, whether or not transduced by Hoxa9. This is done by measuring the level of donor-derived repopulation for lymphoid and myeloid cells in these selected mice. Donor-derived repopulation (ie, %Ly5.1+ cells) was similar between secondary recipients of one Hoxa9- or EGFP-tranduced CRUs (2%-5%). This indicates that overexpression of Hoxa9 enhances CRU regeneration in vivo but does not enhance the mature end cell output of individual CRUs.
In the studies presented here, we demonstrate that overexpression of Hoxa9 greatly enhances HSC regeneration in transplantation chimeras. Increased Hoxa9 levels also lead to the expansion of myeloid colony-forming cells (CFCs), resulting in a net increase of mature granulocytes present in these chimeras. In contrast to myeloid cells, overexpression of Hoxa9 was also shown to induce a partial block in B lymphopoiesis at the pre-B progenitor stage. These data, together with preferential expression of Hoxa9 in primitive hematopoietic cells12 and the reduction in stem cell numbers in Hoxa9 homozygous mutant mice,17 suggest that this gene might qualify as a regulator of primitive hematopoietic cells. A variety of transcription factors such as SCL and AML-1 initially identified by their involvement in human leukemia-associated chromosomal rearrangements28,29 were later demonstrated by gene targeting to be key regulators of HSC proliferation and differentiation.30 The involvement of such transcription factors in leukemic transformation highlights the link between HSCs (their properties and specific genes they express) and leukemic transformation. One could thus hypothesize that factors that regulate HSC function might have targets in common with those involved in leukemic transformation. The evidence that Hoxa9 is involved in chromosomal translocations in human leukemias and that its levels regulate stem cell numbers suggests that Hoxa9 may perform critical roles in primitive bone marrow cells. Intriguingly, overexpression of Hoxb4 in a similar transplantation model has also been observed to lead to marked enhancement in the regenerative potential of HSCs.18 However, in sharp contrast, overexpression of Hoxb4 did not perturb differentiation of myeloid or lymphoid progenitors in vivo and did not change the proportion of mature cells in the various hemopoietic organs.18,22,34 Like Hoxb4 and 2 Hedgehog proteins recently reported,31 Hoxa9 can now be considered as one of the rare molecules with an intrinsic ability to expand stem cells. The mechanisms involved in this expansion could include enhancement in self-renewal of the stem cell population or enhanced survival of the stem cell pool. Another significant outcome of Hoxa9 overexpression
described here is its negative effect on early B-cell development, as evidenced by a decrease in the numbers of pre-B clonogenic progenitor cells both in the Hoxa9 transplantation chimeras and
transgenic mice with targeted expression of Hoxa9 to the
lymphoid compartment. This reduction of pre-B CFCs seems to be
cell-autonomous because untransduced pre-B progenitors were normal in
numbers and in their proliferative potential in these transplantation
chimeras (Figure 2B and data not shown). With respect to the
significant reduction of pre-B-cell progenitors in both of our mouse
models, it is intriguing to observe that mature B cells are either
slightly reduced (chimeras) or normal (transgenics). Although the
nature of the discrepancy between progenitor and mature cell numbers is
currently unknown, it may in part be explained by compensatory
mechanisms known to regulate mature peripheral B-cell
numbers.32 In contrast to the reduction of pre-B CFCs, the
numbers of the earliest committed B lymphoid progenitors, detectable as
WW-ICs, were within the normal range in the transgenic mice. This
indicated that Hoxa9 overexpression does not alter B
lymphocyte commitment (from HSCs to WW-ICs). In the
Hoxa9 Collectively, our results show that Hoxa9 has the potential to expand HSCs when overexpressed in a bone marrow transplantation model. Its involvement in chromosomal translocation in human leukemia together with the evidence that mouse HSCs lacking Hoxa9 compete poorly in a bone marrow transplantation model may suggest that this gene is a bona fide regulator of stem cell function. Our studies demonstrating Hoxa9-induced expansion of myeloid precursors may provide some initial clues on the apparently restricted ability of this oncogene to transform cells with myeloid differentiation capacities. The lack of lymphoid leukemia induced by Hoxa9 even in the context where it provides a marked selective advantage to lymphomyeloid long-term repopulating cells is most intriguing. This contrasts with other genes involved in human leukemias.33
The authors acknowledge Dr Trang Hoang for critical reading of this manuscript. Nadine Mayotte and Simon Girard are acknowledged for expert technical assistance and Marie-Eve Leroux and Stephane Matte for their expertise and help regarding the maintenance and manipulation of the animals kept at the SPF facility. Dr Robert G. Hawley is acknowledged for his MSCV vectors; and Dr Takuro Nakamura for providing us with the Hoxa9 antibody. The support of Nathalie Tessier and Eric Massicotte for FACS analyses is also acknowledged. We also thank Christian Charbonneau for his help in preparing the figures and Dr Qinzhang Zhu for the generation of transgenic Hoxa9 transgenic mice.
Submitted March 28, 2001; accepted September 4, 2001.
Supported by a grant from the National Cancer Institute of Canada to G.S. and National Institutes of Health grant RO1-DK48642 to H.J.L.
The publication costs of this article were defrayed in part by page charge payment. Therefore, and solely to indicate this fact, this article is hereby marked "advertisement" in accordance with 18 U.S.C. section 1734.
Reprints: Guy Sauvageau, Clinical Research Institute of Montréal, 110 Pine Ave West, Montréal, Québec, Canada, H2W 1R7; e-mail: sauvagg{at}ircm.qc.ca.
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S. R. Horman, C. S. Velu, A. Chaubey, T. Bourdeau, J. Zhu, W. E. Paul, B. Gebelein, and H. L. Grimes Gfi1 integrates progenitor versus granulocytic transcriptional programming Blood, May 28, 2009; 113(22): 5466 - 5475. [Abstract] [Full Text] [PDF] |
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J. Faber, A. V. Krivtsov, M. C. Stubbs, R. Wright, T. N. Davis, M. van den Heuvel-Eibrink, C. M. Zwaan, A. L. Kung, and S. A. Armstrong HOXA9 is required for survival in human MLL-rearranged acute leukemias Blood, March 12, 2009; 113(11): 2375 - 2385. [Abstract] [Full Text] [PDF] |
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H. Wang, S. Lindsey, I. Konieczna, L. Bei, E. Horvath, W. Huang, G. Saberwal, and E. A. Eklund Constitutively Active SHP2 Cooperates with HoxA10 Overexpression to Induce Acute Myeloid Leukemia J. Biol. Chem., January 23, 2009; 284(4): 2549 - 2567. [Abstract] [Full Text] [PDF] |
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A. Faubert, J. Chagraoui, N. Mayotte, M. Frechette, N.N. Iscove, R.K. Humphries, and G. Sauvageau Complementary and Independent Function for Hoxb4 and Bmi1 in HSC Activity Cold Spring Harb Symp Quant Biol, November 6, 2008; (2008) sqb.2008.73.030v1. [Abstract] [PDF] |
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M.P. Chao, J. Seita, and I.L. Weissman Establishment of a Normal Hematopoietic and Leukemia Stem Cell Hierarchy Cold Spring Harb Symp Quant Biol, November 6, 2008; (2008) sqb.2008.73.031v1. [Abstract] [PDF] |
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H. Abdel-Azim, Y. Zhu, R. Hollis, X. Wang, S. Ge, Q.-L. Hao, G. Smbatyan, D. B. Kohn, M. Rosol, and G. M. Crooks Expansion of multipotent and lymphoid-committed human progenitors through intracellular dimerization of Mpl Blood, April 15, 2008; 111(8): 4064 - 4074. [Abstract] [Full Text] [PDF] |
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S. Bandyopadhyay, M. Z. Ashraf, P. Daher, P. H. Howe, and P. E. DiCorleto HOXA9 Participates in the Transcriptional Activation of E-Selectin in Endothelial Cells Mol. Cell. Biol., June 15, 2007; 27(12): 4207 - 4216. [Abstract] [Full Text] [PDF] |
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Y.-L. Hu, E. Passegue, S. Fong, C. Largman, and H. J. Lawrence Evidence that the Pim1 kinase gene is a direct target of HOXA9 Blood, June 1, 2007; 109(11): 4732 - 4738. [Abstract] [Full Text] [PDF] |
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K. T. Ebata, X. Zhang, and M. C. Nagano Male Germ Line Stem Cells Have an Altered Potential to Proliferate and Differentiate During Postnatal Development in Mice Biol Reprod, May 1, 2007; 76(5): 841 - 847. [Abstract] [Full Text] [PDF] |
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J. I. Odegaard, D. Vats, L. Zhang, R. Ricardo-Gonzalez, K. L. Smith, D. B. Sykes, M. P. Kamps, and A. Chawla Quantitative expansion of ES cell-derived myeloid progenitors capable of differentiating into macrophages J. Leukoc. Biol., March 1, 2007; 81(3): 711 - 719. [Abstract] [Full Text] [PDF] |
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T. Tchkonia, M. Lenburg, T. Thomou, N. Giorgadze, G. Frampton, T. Pirtskhalava, A. Cartwright, M. Cartwright, J. Flanagan, I. Karagiannides, et al. Identification of depot-specific human fat cell progenitors through distinct expression profiles and developmental gene patterns Am J Physiol Endocrinol Metab, January 1, 2007; 292(1): E298 - E307. [Abstract] [Full Text] [PDF] |
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D. Bansal, C. Scholl, S. Frohling, E. McDowell, B. H. Lee, K. Dohner, P. Ernst, A. J. Davidson, G. Q. Daley, L. I. Zon, et al. Cdx4 dysregulates Hox gene expression and generates acute myeloid leukemia alone and in cooperation with Meis1a in a murine model PNAS, November 7, 2006; 103(45): 16924 - 16929. [Abstract] [Full Text] [PDF] |
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J. Chagraoui, S. L. Niessen, J. Lessard, S. Girard, P. Coulombe, M. Sauvageau, S. Meloche, and G. Sauvageau E4F1: a novel candidate factor for mediating BMI1 function in primitive hematopoietic cells Genes & Dev., August 1, 2006; 20(15): 2110 - 2120. [Abstract] [Full Text] [PDF] |
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L. Palmqvist, B. Argiropoulos, N. Pineault, C. Abramovich, L. M. Sly, G. Krystal, A. Wan, and R. K. Humphries The Flt3 receptor tyrosine kinase collaborates with NUP98-HOX fusions in acute myeloid leukemia Blood, August 1, 2006; 108(3): 1030 - 1036. [Abstract] [Full Text] [PDF] |
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J. Bijl, A. Thompson, R. Ramirez-Solis, J. Krosl, D. G. Grier, H. J. Lawrence, and G. Sauvageau Analysis of HSC activity and compensatory Hox gene expression profile in Hoxb cluster mutant fetal liver cells Blood, July 1, 2006; 108(1): 116 - 122. [Abstract] [Full Text] [PDF] |
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G. G. Wang, M. P. Pasillas, and M. P. Kamps Persistent Transactivation by Meis1 Replaces Hox Function in Myeloid Leukemogenesis Models: Evidence for Co-Occupancy of Meis1-Pbx and Hox-Pbx Complexes on Promoters of Leukemia-Associated Genes Mol. Cell. Biol., May 15, 2006; 26(10): 3902 - 3916. [Abstract] [Full Text] [PDF] |
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T. Jaatinen, H. Hemmoranta, S. Hautaniemi, J. Niemi, D. Nicorici, J. Laine, O. Yli-Harja, and J. Partanen Global Gene Expression Profile of Human Cord Blood-Derived CD133+ Cells Stem Cells, March 1, 2006; 24(3): 631 - 641. [Abstract] [Full Text] [PDF] |
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T. A. Milne, M. E. Martin, H. W. Brock, R. K. Slany, and J. L. Hess Leukemogenic MLL Fusion Proteins Bind across a Broad Region of the Hox a9 Locus, Promoting Transcription and Multiple Histone Modifications Cancer Res., December 15, 2005; 65(24): 11367 - 11374. [Abstract] [Full Text] [PDF] |
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H. J. Lawrence, J. Christensen, S. Fong, Y.-L. Hu, I. Weissman, G. Sauvageau, R. K. Humphries, and C. Largman Loss of expression of the Hoxa-9 homeobox gene impairs the proliferation and repopulating ability of hematopoietic stem cells Blood, December 1, 2005; 106(12): 3988 - 3994. [Abstract] [Full Text] [PDF] |
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S. Pilat, S. Carotta, B. Schiedlmeier, K. Kamino, A. Mairhofer, E. Will, U. Modlich, P. Steinlein, W. Ostertag, C. Baum, et al. HOXB4 enforces equivalent fates of ES-cell-derived and adult hematopoietic cells PNAS, August 23, 2005; 102(34): 12101 - 12106. [Abstract] [Full Text] [PDF] |
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H. J. Lawrence and C. Largman The HOX-MEIS connection in AML Blood, July 1, 2005; 106(1): 6 - 7. [Full Text] [PDF] |
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G. G. Wang, M. P. Pasillas, and M. P. Kamps Meis1 programs transcription of FLT3 and cancer stem cell character, using a mechanism that requires interaction with Pbx and a novel function of the Meis1 C-terminus Blood, July 1, 2005; 106(1): 254 - 264. [Abstract] [Full Text] [PDF] |
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L. Rossig, C. Urbich, T. Bruhl, E. Dernbach, C. Heeschen, E. Chavakis, K.-i. Sasaki, D. Aicher, F. Diehl, F. Seeger, et al. Histone deacetylase activity is essential for the expression of HoxA9 and for endothelial commitment of progenitor cells J. Exp. Med., June 6, 2005; 201(11): 1825 - 1835. [Abstract] [Full Text] [PDF] |
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C. M. Ferrell, S. T. Dorsam, H. Ohta, R. K. Humphries, M. K. Derynck, C. Haqq, C. Largman, and H. J. Lawrence Activation of Stem-Cell Specific Genes by HOXA9 and HOXA10 Homeodomain Proteins in CD34+ Human Cord Blood Cells Stem Cells, May 1, 2005; 23(5): 644 - 655. [Abstract] [Full Text] [PDF] |
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L. Bei, Y. Lu, and E. A. Eklund HOXA9 Activates Transcription of the Gene Encoding gp91Phox during Myeloid Differentiation J. Biol. Chem., April 1, 2005; 280(13): 12359 - 12370. [Abstract] [Full Text] [PDF] |
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N. A. Fischbach, S. Rozenfeld, W. Shen, S. Fong, D. Chrobak, D. Ginzinger, S. C. Kogan, A. Radhakrishnan, M. M. Le Beau, C. Largman, et al. HOXB6 overexpression in murine bone marrow immortalizes a myelomonocytic precursor in vitro and causes hematopoietic stem cell expansion and acute myeloid leukemia in vivo Blood, February 15, 2005; 105(4): 1456 - 1466. [Abstract] [Full Text] [PDF] |
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N. Beslu, J. Krosl, M. Laurin, N. Mayotte, K. R. Humphries, and G. Sauvageau Molecular interactions involved in HOXB4-induced activation of HSC self-renewal Blood, October 15, 2004; 104(8): 2307 - 2314. [Abstract] [Full Text] [PDF] |
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W. Wagner, A. Ansorge, U. Wirkner, V. Eckstein, C. Schwager, J. Blake, K. Miesala, J. Selig, R. Saffrich, W. Ansorge, et al. Molecular evidence for stem cell function of the slow-dividing fraction among human hematopoietic progenitor cells by genome-wide analysis Blood, August 1, 2004; 104(3): 675 - 686. [Abstract] [Full Text] [PDF] |
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A. C. M. Brun, J. M. Bjornsson, M. Magnusson, N. Larsson, P. Leveen, M. Ehinger, E. Nilsson, and S. Karlsson Hoxb4-deficient mice undergo normal hematopoietic development but exhibit a mild proliferation defect in hematopoietic stem cells Blood, June 1, 2004; 103(11): 4126 - 4133. [Abstract] [Full Text] [PDF] |
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U. Vijapurkar, N. Fischbach, W. Shen, C. Brandts, D. Stokoe, H. J. Lawrence, and C. Largman Protein Kinase C-Mediated Phosphorylation of the Leukemia-Associated HOXA9 Protein Impairs Its DNA Binding Ability and Induces Myeloid Differentiation Mol. Cell. Biol., May 1, 2004; 24(9): 3827 - 3837. [Abstract] [Full Text] [PDF] |
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T. Bruhl, C. Urbich, D. Aicher, A. Acker-Palmer, A. M. Zeiher, and S. Dimmeler Homeobox A9 Transcriptionally Regulates the EphB4 Receptor to Modulate Endothelial Cell Migration and Tube Formation Circ. Res., April 2, 2004; 94(6): 743 - 751. [Abstract] [Full Text] [PDF] |
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S. T. Dorsam, C. M. Ferrell, G. P. Dorsam, M. K. Derynck, U. Vijapurkar, D. Khodabakhsh, B. Pau, H. Bernstein, C. M. Haqq, C. Largman, et al. The transcriptome of the leukemogenic homeoprotein HOXA9 in human hematopoietic cells Blood, March 1, 2004; 103(5): 1676 - 1684. [Abstract] [Full Text] [PDF] |
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B. B. Zeisig, T. Milne, M.-P. Garcia-Cuellar, S. Schreiner, M.-E. Martin, U. Fuchs, A. Borkhardt, S. K. Chanda, J. Walker, R. Soden, et al. Hoxa9 and Meis1 Are Key Targets for MLL-ENL-Mediated Cellular Immortalization Mol. Cell. Biol., January 15, 2004; 24(2): 617 - 628. [Abstract] [Full Text] [PDF] |
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K. Kirito, N. Fox, and K. Kaushansky Thrombopoietin stimulates Hoxb4 expression: an explanation for the favorable effects of TPO on hematopoietic stem cells Blood, November 1, 2003; 102(9): 3172 - 3178. [Abstract] [Full Text] [PDF] |
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J. M. Bjornsson, N. Larsson, A. C. M. Brun, M. Magnusson, E. Andersson, P. Lundstrom, J. Larsson, E. Repetowska, M. Ehinger, R. K. Humphries, et al. Reduced Proliferative Capacity of Hematopoietic Stem Cells Deficient in Hoxb3 and Hoxb4 Mol. Cell. Biol., June 1, 2003; 23(11): 3872 - 3883. [Abstract] [Full Text] [PDF] |
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A. Barbouti, M. Hoglund, B. Johansson, C. Lassen, P.-G. Nilsson, A. Hagemeijer, F. Mitelman, and T. Fioretos A Novel Gene, MSI2, Encoding a Putative RNA-binding Protein Is Recurrently Rearranged at Disease Progression of Chronic Myeloid Leukemia and Forms a Fusion Gene with HOXA9 as a Result of the Cryptic t(7;17)(p15;q23) Cancer Res., March 15, 2003; 63(6): 1202 - 1206. [Abstract] [Full Text] [PDF] |
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N. B. Ivanova, J. T. Dimos, C. Schaniel, J. A. Hackney, K. A. Moore, and I. R. Lemischka A Stem Cell Molecular Signature Science, October 18, 2002; 298(5593): 601 - 604. [Abstract] [Full Text] [PDF] |
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