KMID : 0620920220540030273
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Experimental & Molecular Medicine 2022 Volume.54 No. 3 p.273 ~ p.284
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Inhibition of proinflammatory signaling impairs fibrosis of bone marrow mesenchymal stromal cells in myeloproliferative neoplasms
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Vukotic Milica
Kapor Suncica Dragojevic Teodora Dikic Dragoslava Ajtic Olivera Mitrovic Diklic Milos Suboticki Tijana Zivkovic Emilija Cokic Bojana Beleslin Cokic Vladan P.
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Abstract
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Although bone marrow-derived mesenchymal stromal cells (BM-MSCs) have been identified as a major cellular source of fibrosis, the exact molecular mechanism and signaling pathways involved have not been identified thus far. Here, we show that BM-MSCs contribute to fibrosis in myeloproliferative neoplasms (MPNs) by differentiating into ¥áSMA-positive myofibroblasts. These cells display a dysregulated extracellular matrix with increased FN1 production and secretion of profibrotic MMP9 compared to healthy donor cells. Fibrogenic TGF¥â and inflammatory JAK2/STAT3 and NF¥êB signaling pathway activity is increased in BM-MSCs of MPN patients. Moreover, coculture with mononuclear cells from MPN patients was sufficient to induce fibrosis in healthy BM-MSCs. Inhibition of JAK1/2, SMAD3 or NF¥êB significantly reduced the fibrotic phenotype of MPN BM-MSCs and was able to prevent the development of fibrosis induced by coculture of healthy BM-MSCs and MPN mononuclear cells with overly active JAK/STAT signaling, underlining their involvement in fibrosis. Combined treatment with JAK1/2 and SMAD3 inhibitors showed synergistic and the most favorable effects on ¥áSMA and FN1 expression in BM-MSCs. These results support the combined inhibition of TGF¥â and inflammatory signaling to extenuate fibrosis in MPN.
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KEYWORD
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Chemotherapy, Mesenchymal stem cells
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