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Blood, 1 September 2008, Vol. 112, No. 5, pp. 1683-1686.
Prepublished online as a Blood First Edition Paper on June 18, 2008; DOI 10.1182/blood-2008-03-147090.
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Submitted March 21, 2008
Accepted June 2, 2008
Defective homing is associated with altered Cdc42 activity in cells from Fanconi anemia group A patients
Xiaoling Zhang, Xun Shang, Fukun Guo, Kim Murphy, Michelle Kirby, Patrick Kelly, Lilith Reeves, Franklin O Smith, David A Williams, Yi Zheng, and Qishen Pang*
Experimental Hematology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States
Hematology Clinical Research & Development, Wyeth Research, Cambridge, MA, United States
Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, United States
Division of Hematology/Oncology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States
Division of Hematology/Oncology, Children's Hospital Boston, Boston, MA, United States
* Corresponding author; email: qishen.pang{at}cchmc.org.
Previous studies showed that Fanconi anemia (FA) murine stem cells have defective reconstitution after bone marrow (BM) transplantation. The mechanism underlying this defect is not known. Here we report defective homing of FA patient BM progenitors transplanted in mouse models. Using cells from patients carrying mutations in FA complementation group A (FA-A), we show that when transplanted into NOD/SCID recipient mice, FA-A BM cells exhibited impaired homing activity. FA-A cells also showed defects in both cell-cell and cell-matrix adhesion. Complementation of FA-A deficiency by re-expression of FANCA readily restored adhesion of FA-A cells. A significant decrease in the activity of the Rho GTPase Cdc42 was found associated with these defective functions in patient-derived cells, and expression of a constitutively active Cdc42 mutant was able to rescue the adhesion defect of FA-A cells. These results provide the first evidence that FA proteins influence human BM progenitor homing and adhesion via the small GTPase Cdc42-regulated signaling pathway.

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