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62             Part II:  The Organization of the Lymphohematopoietic Tissues                                                              Chapter 5:  Structure of the Marrow and the Hematopoietic Microenvironment                63





                TABLE 5–1.  Cell Membrane Presentation and Matrix     differentiation. 245–247  They also mediate progenitor cell binding to other
                                                                                          248–250
                                                                      ECM molecules such as FN.
                Association of Cytokines and Chemokines
                                                                          Agrin, a proteoglycan associated with neuromuscular junctions,
                Cell Membrane       Matrix Association                is produced in the marrow by MSCs, osteoblasts and monocytes, and
                                                                                                            251
                Chemokine           Chemokine                         interacts through α-dystroglycan receptors on HSCs  and their prog-
                                                                                                                       252
                                                                      eny as they differentiate  along the monocyte/macrophage lineage.
                Fractalkine         RANTES, PF-4, IP-10, IL-8
                                                                      Agrin-deficient mice have hypocellular marrows as a result of decrease
                                    Macrophage inflammatory proteins   in all marrow hematopoietic cell lineages  as well as specific inhibition
                                                                                                   251
                                    (MIP-1α, MIP-1β)                  of numbers and phagocytic function of monocytes and macrophages.
                                                                                                                       252
                                    CXCL12/stromal cell-derived growth   An important hematopoietic cell proteoglycan, CD44, has hyaluronate
                                    factor-1 (SDF-1α, SDF-1β)         as a major matrix ligand. The CD44–hyaluronate interaction is greatly
                                    Monocyte chemoattractant protein-1   enhanced by various cytokines, and it promotes other matrix and cel-
                                                                                                    253
                                    (MCP-1)                           lular interactions by hematopoietic cells.  Cytokines (GM-CSF, IL-3,
                                                                      SCF)  rapidly  induce  CD44  expression and  increase  CD44-mediated
                Cytokine            Cytokine                          adhesion of CD34+ hematopoietic progenitors to hyaluronan.  Lym-
                                                                                                                   254
                c-KIT ligand        Granulocyte-macrophage colony-    phocyte CD44 has a binding site on the carboxy-terminal heparin-
                                    stimulating factor                binding domain of FN,  and neutralizing antibodies to CD44 inhibit
                                                                                       255
                                                                                                       256
                Tumor necrosis factor-α   Interferon-γ (IFN-γ)        hematopoiesis in long-term marrow cultures.  Chondroitin sulfates A
                (TNF-α)                                               and B mediate monocyte and B-cell activation via a CD44-dependent
                                                                      pathway.  Hyaluronate binding enhances hematopoiesis by releasing
                                                                            257
                Interleukin-1 (IL-1)  Leukemia inhibitory factor (LIF)
                                                                      IL-1 in a CD44-dependent manner and IL-6 by a CD44-independent
                Macrophage colony-  Interleukins (IL-1α, IL-1β, IL-2, IL-3, IL-4,   pathway.  In humans, a specific CD44 isoform displayed on hemato-
                                                                            258
                stimulating factor   IL-5, IL-6, IL-7, IL-12)         poietic cells is a ligand for E- and L-selectins and plays a role in HSC
                (M-CSF)                                               homing  and  integrin-mediated  transendothelial  migration  in  the
                                    Basic fibroblast growth factor (bFGF)  marrow. 259
                                                                                                                    235
                Transforming growth   Hepatocyte growth factor (HGF)      Heparan sulfate mediates IL-7–dependent lymphopoiesis  and
                                                                                                                     260
                factor-α (TGF-α)                                      modulates hematopoiesis and stromal cell–matrix remodeling  by
                                                                      anchoring HGF 236,261  and bFGF. 260,262,263  On the surface of marrow
                                    Transforming growth factor-β (TGF-  stromal cells, the main heparan sulfate-containing proteoglycans are
                                    β; binding to endoglin and heparan
                                    sulfate)                          syndecan-3, syndecan-4, and glypican-1. In the ECM, the most prev-
                                                                      alent form is perlecan.  Syndecan-3 is expressed by marrow stromal
                                                                                       264
               IP-10, interferon-inducible protein 10; PF-4, platelet factor 4; RANTES,   cells as a variant form with a core protein of 50 to 55 kDa, suggesting
               regulated upon activation normal T-cell expressed and secreted.  syndecan-3 plays a role in hematopoiesis.  Perlecan promotes bFGF
                                                                                                     264
                                                                      receptor binding and mitogenesis, and can bind GM-CSF. 257,265  Hepa-
                                                                      ran sulfate expression is induced on the cell surface in early erythroid
                                                                                                  266
                   In addition to its supply of hematopoietic growth factors, the ECM   differentiation of multipotential HSC.  Glypican-4, another member
                                                                                                                       267
               provides noncellular binding partners for surface adhesion molecules   of this family, is found on marrow stromal cells and progenitor cells.
               of the hematopoietic and mesenchymal cells. The marrow microelastic-  Syndecan-1 expression in B lymphoid cells is reduced by IL-6, which
                                                                                                               268
               ity, which is a function of cellular density and ECM composition, var-  implies similar regulatory pathways in other cell types.  Biglycan, a
               ies more than 100-fold from the soft central areas to the much stiffer   matrix glycoprotein, with homology to osteonectin, and the molecule
               endosteal areas.  This microelasticity determines the differentiation of   SIM, a transmembrane protein, selectively increase IL-7–dependent
                           239
                                                                                      269
               MSCs,  and the fate of HSCs and committed hematopoietic cells.  In   proliferation of B cells.  Interactions of B cells with other components
                    240
                                                               241
               HSCs and HPCs, the activities of two nonmuscle myosin isozymes are   of the immune system are mediated by syndecan-4, which facilitates the
                                                                                              270
               regulated in response to the elasticity of the ECM. The increased relative   formation of dendritic processes  and regulates focal adhesion, stress
               activity of nonmuscle myosin II B that mediates asymmetric cell divi-  fiber formation, and cell migration. 271
               sion and self-renewal is greatest in the stiffer ECM of endosteal areas,
               whereas increased relative activity of non-muscle myosin IIA in the areas   Fibronectin
               of softer ECM mediates symmetric cell division and differentiation. 239  FN localizes at sites of attachment of hematopoietic cells and marrow
                                                                      stromal cells in vitro 219,272  and at sites of interaction between these cells
               Proteoglycans                                          and developing granulocytes or monocytes.  Early erythroid pro-
                                                                                                       273
               Proteoglycans are polyanionic macromolecules (heparan sulfate, der-  genitors bind FN through their integrin receptors α β  and α β . 274,275
                                                                                                                   4 1
               matan, chondroitin sulfate, hyaluronic acid) that are distributed on the   Adhesion of HPCs to stroma is partly mediated by FN. 5 1   The alterna-
                                                                                                             248,276
               surface of adventitial reticular cells and within the ECM. 218,242  Heparan   tively spliced form of FN (type III connecting segment [IIICS]), which
               sulfate is the main cell-surface GAG in long-term marrow cultures,   is expressed uniquely within the marrow microenvironment, associates
               and chondroitin sulfate is the major secreted species.  D-xylosides,   with the α β -integrin receptor on HSC.  Additional IIICS FN variants
                                                       243
                                                                                                  277
                                                                             4 1
               which stimulate artificial sulfated GAG synthesis, increase chondroitin   have been detected in marrow stroma, providing for finely controlled
               sulfate synthesis and hematopoietic cell production.  Hyaluronic   progenitor–stem cell interactions based on messenger RNA splicing.
                                                                                                                       278
                                                        243
               acid and chondroitin sulfate-containing proteoglycans are prominent   FN adhesion to peptide domains, such as the CS1 domain (which acti-
               in the  adherent and  nonadherent compartments  of long-term mar-  vates α  integrins) or stromal cells, can have dual effects of stimulation
                                                                           4
               row cultures.  Heparin-containing and heparan sulfate-containing   and inhibition of hematopoietic progenitor growth. 279–282
                         242
               proteoglycans interact with laminin and type IV collagen  and may   The very-late antigens (VLA)-4 and VLA-5 (α β  and  α β ) and
                                                          244
                                                                                                                   5 1
               play a role in cell–cell interactions, cytokine presentation, and cell   CD44 cooperate to promote FN adhesive interactions. 4 1   Cytokines
                                                                                                            279,282–284
          Kaushansky_chapter 05_p0051-0084.indd   62                                                                    9/19/15   12:10 AM
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