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Updated: Nov 19, 2025

Hemogenic Reprogramming of Human Fibroblasts by Enforced Expression of Transcription Factors
Published on: November 4, 2019
FGF-23 from erythroblasts promotes hematopoietic progenitor mobilization
Shinichi Ishii1, Tomohide Suzuki1, Kanako Wakahashi1
1Division of Hematology, Department of Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.
Granulocyte colony-stimulating factor (G-CSF) mobilizes hematopoietic progenitor cells (HPCs) by increasing fibroblast growth factor 23 (FGF-23) from erythroblasts in bone marrow. This FGF-23 suppresses progenitor cell migration, facilitating their release into circulation.
Area of Science:
- Hematology
- Endocrinology
- Cell Biology
Background:
- Fibroblast growth factor 23 (FGF-23) is a hormone primarily produced by osteocytes, regulating phosphate homeostasis.
- Granulocyte colony-stimulating factor (G-CSF) is known to induce hematopoietic progenitor cell (HPC) mobilization from bone marrow (BM).
- The precise mechanisms by which G-CSF stimulates HPC release, particularly the role of local factors within the BM microenvironment, are not fully understood.
Purpose of the Study:
- To investigate the role of FGF-23 in G-CSF-induced HPC mobilization.
- To identify the cellular source of FGF-23 during G-CSF treatment.
- To elucidate the mechanism by which FGF-23 affects HPC mobilization.
Main Methods:
- Administration of G-CSF to mice and analysis of FGF-23 mRNA and protein levels in BM cells and blood.
- Identification of FGF-23 producing cells using cell surface markers (CD45, Ter119, CD71).
- In vitro experiments using human erythroblast cells (HUDEP-2) under low oxygen conditions.
- Studies using FGF-23 knockout mice (FGF-23-/-) and chimeric mice to assess the contribution of FGF-23 from different cell types.
- Assessment of HPC migration in response to CXCL-12 and the effect of FGF-23 and FGF receptor inhibitors.
Main Results:
- G-CSF administration rapidly increased FGF-23 mRNA in BM cells, primarily from erythroblasts.
- FGF-23 protein levels increased in BM extracellular fluid during G-CSF-induced HPC mobilization, but not in blood.
- Low oxygen conditions induced FGF-23 release from erythroblasts in vitro.
- G-CSF-induced HPC mobilization was significantly impaired in FGF-23 deficient mice (hematopoietic cell-specific deficiency) but not in osteocyte-specific FGF-23 deficient mice.
- FGF-23 interfered with the transwell migration of HPCs toward CXCL-12, an effect blocked by FGF receptor inhibitors.
Conclusions:
- Erythroblast-derived FGF-23, not bone-derived FGF-23, is crucial for G-CSF-induced HPC mobilization from the BM.
- FGF-23 acts as an intrinsic suppressor of HPC chemoattraction by interfering with migration towards CXCL-12.
- These findings reveal a novel mechanism where erythroblasts regulate HPC release via FGF-23 production, impacting hematopoietic stem cell mobilization.
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