NF-E2 overexpression delays erythroid maturation and increases erythrocyte production

Br J Haematol. 2009 Jul;146(2):203-17. doi: 10.1111/j.1365-2141.2009.07742.x. Epub 2009 May 19.

Abstract

The transcription factor Nuclear Factor-Erythroid 2 (NF-E2) is overexpressed in the vast majority of patients with polycythaemia vera (PV). In murine models, NF-E2 overexpression increases proliferation and promotes cellular viability in the absence of erythropoietin (EPO). EPO-independent growth is a hallmark of PV. We therefore hypothesized that NF-E2 overexpression contributes to erythrocytosis, the pathognomonic feature of PV. Consequently, we investigated the effect of NF-E2 overexpression in healthy CD34+ cells. NF-E2 overexpression led to a delay in erythroid maturation, manifested by a belated appearance of glycophorin A-positive erythroid precursors. Maturation delay was similarly observed in primary PV patient erythroid cultures compared to healthy controls. Protracted maturation led to a significant increase in the accumulated number of erythroid cells both in PV cultures and in CD34+ cells overexpressing NF-E2. Similarly, NF-E2 overexpression altered erythroid colony formation, leading to an increase in erythroid burst-forming unit formation. These data indicate that NF-E2 overexpression delays the early phase of erythroid maturation, resulting in an expansion of erythroid progenitors, thereby increasing the number of erythrocytes derived from one CD34+ cell. These data propose a role for NF-E2 in mediating the erythrocytosis of PV.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antigens, CD34
  • Erythrocytes / metabolism*
  • Erythroid Precursor Cells / metabolism
  • Erythropoiesis / physiology*
  • Humans
  • NF-E2 Transcription Factor / metabolism*
  • Polycythemia / etiology
  • Polycythemia Vera / blood
  • Polycythemia Vera / etiology*
  • Polycythemia Vera / metabolism

Substances

  • Antigens, CD34
  • NF-E2 Transcription Factor