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Prepublished online as a Blood First Edition Paper on September 4, 2003; DOI 10.1182/blood-2003-04-1115.

Submitted April 10, 2003
Accepted August 28, 2003
Neutrophil-derived MMP-9 mediates synergistic mobilization of hematopoietic stem and progenitor cells by the combination of G-CSF and the chemokines GRO /CXCL2 and GRO T/CXCL2 4
Louis M Pelus*, Huimin Bian, Andrew G King, and Seiji Fukuda
Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, IN, USA
Microbial, Musculoskeletal and Proliferative Diseases CEDD, GlaxoSmithKline, Collegeville, PA, USA
* Corresponding author; email: lpelus{at}iupui.edu.
Mobilized peripheral blood stem cells (PBSC) are widely used for transplantation, but mechanisms mediating their release from marrow are poorly understood. We previously demonstrated that the chemokines GRO /CXCL2 and GRO T/CXCL2 4 rapidly mobilizes PBSC equivalent to G-CSF and are synergistic with G-CSF. We now show that mobilization by GRO /GRO T and G-CSF, alone or in combination, requires PMN-derived proteases. GRO /GRO T-induced mobilization is associated with elevated plasma and marrow matrix-metalloproteinase-9 (MMP-9) and mobilization and MMP-9 are absent in neutrophil-depleted mice. G-CSF mobilization correlates with elevated neutrophil elastase (NE), cathepsin G (CG) and MMP-9 within marrow and is partially blocked by either anti-MMP-9 or the NE-inhibitor MeOSuc-Ala-Ala-Pro-Val-CMK. Mobilization and protease accumulation are absent in neutrophil-depleted mice. Synergistic PBSC mobilization observed when G-CSF and GRO /GRO T are combined correlates with a synergistic rise in plasma MMP-9, reduction in marrow NE, CG and MMP-9 and a coincident increase in peripheral blood PMN but decrease in marrow PMN compared to G-CSF. Synergistic mobilization is completely blocked by anti-MMP-9 but not MeOSuc-Ala-Ala-Pro-Val-CMK and absent in MMP-9-deficient or PMN-depleted mice. Our results indicate that PMN are a common target for G-CSF and GRO /GRO T-mediated PBSC mobilization, and importantly that synergistic mobilization by G-CSF plus GRO /GRO T is mediated by PMN-derived plasma MMP-9.

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