Resistance to inflammation underlies enhanced fitness in clonal hematopoiesis

Science. 2021 Nov 5;374(6568):768-772. doi: 10.1126/science.aba9304. Epub 2021 Nov 4.

Abstract

Clonal hematopoiesis results from enhanced fitness of a mutant hematopoietic stem and progenitor cell (HSPC), but how such clones expand is unclear. We developed a technique that combines mosaic mutagenesis with color labeling of HSPCs to study how acquired mutations affect clonal fitness in a native environment. Mutations in clonal hematopoiesis–associated genes such as asxl1 promoted clonal dominance. Single-cell transcriptional analysis revealed that mutations stimulated expression of proinflammatory genes in mature myeloid cells and anti-inflammatory genes in progenitor cells of the mutant clone. Biallelic loss of one such immunomodulator, nr4a1, abrogated the ability of asxl1-mutant clones to establish clonal dominance. These results support a model where clonal fitness of mutant clones is driven by enhanced resistance to inflammatory signals from their mutant mature cell progeny.

Publication types

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

MeSH terms

  • Animals
  • CRISPR-Cas Systems
  • Clonal Hematopoiesis*
  • Cytokines / genetics
  • Cytokines / metabolism
  • DNA (Cytosine-5-)-Methyltransferases / genetics
  • Frameshift Mutation
  • Genes, p53
  • Hematopoietic Stem Cells / physiology*
  • Inflammation* / genetics
  • Mutation
  • Myeloid Cells / physiology*
  • Nuclear Receptor Subfamily 4, Group A, Member 1 / genetics
  • Nuclear Receptor Subfamily 4, Group A, Member 1 / metabolism
  • RNA-Seq
  • Repressor Proteins / genetics
  • Selection, Genetic
  • Single-Cell Analysis
  • Zebrafish / embryology
  • Zebrafish / genetics
  • Zebrafish Proteins / genetics

Substances

  • Cytokines
  • Nuclear Receptor Subfamily 4, Group A, Member 1
  • Repressor Proteins
  • Zebrafish Proteins
  • asxl1 protein, zebrafish
  • DNA (Cytosine-5-)-Methyltransferases