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Genetic barcoding systematically compares genes in del(5q) MDS and reveals a central role for CSNK1A1 in clonal expansion

*Corresponding author for this work
  • RWTH Aachen University
  • Broad Institute of MIT and Harvard
  • Dana-Farber Cancer Institute
  • German Cancer Research Center
  • Martin Luther University Halle-Wittenberg
  • Howard Hughes Medical Institute
  • Oncode Institute (Nederland)
  • Heidelberg Institute for Stem Cell Technology and Experimental Medicine GmbH (HI-STEM)
  • Erasmus MC Cancer Institute
  • Erasmus University Medical Centre

Research output: Contribution to journalArticleAcademicpeer-review

10 Citations (Scopus)
55 Downloads (Pure)

Abstract

How genetic haploinsufficiency contributes to the clonal dominance of hematopoietic stem cells (HSCs) in del(5q) myelodysplastic syndrome (MDS) remains unresolved. Using a genetic barcoding strategy, we performed a systematic comparison on genes implicated in the pathogenesis of del(5q) MDS in direct competition with each other and wild-type (WT) cells with single-clone resolution. Csnk1a1 haploinsufficient HSCs expanded (oligo)clonally and outcompeted all other tested genes and combinations. Csnk1a12/1 multipotent progenitors showed a proproliferative gene signature and HSCs showed a downregulation of inflammatory signaling/immune response. In validation experiments, Csnk1a12/1 HSCs outperformed their WT counterparts under a chronic inflammation stimulus, also known to be caused by neighboring genes on chromosome 5. We therefore propose a crucial role for Csnk1a1 haploinsufficiency in the selective advantage of 5q-HSCs, implemented by creation of a unique competitive advantage through increased HSC self-renewal and proliferation capacity, as well as increased fitness under inflammatory stress.

Original languageEnglish
Pages (from-to)1780-1796
Number of pages17
JournalBlood advances
Volume6
Issue number6
DOIs
Publication statusPublished - 22 Mar 2022

Bibliographical note

Funding Information: This work was supported by grants from the MPN foundation (2017 MPNRF/LLS Award), a KWF Kankerbestrijding young investigator grant (11031/2017–1, Bas Mulder Award; Dutch Cancer Foundation) and a grant from the European Research Council (ERC) (deFIBER;ERC-StG 757339) to R.K.S., and by a grant from the NIH (R01 HL082945) to B.L.E. T.H.B., I.C. and R.K.S. are part of the clinical research unit CRU344 supported by the German Research Foundation (DeutscheForschungsge-meinschaft, DFG). I.C. and R.K.S. are members of the E:MED Consortia Fibromap, funded by the German Ministry of Education and Science (BMBF). I.C. was supported by an IZKF grant

Publisher Copyright: © 2022 by The American Society of Hematology.

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