Pediatric MDS and bone marrow failure-associated germline mutations in SAMD9 and SAMD9L impair multiple pathways in

Melvin E Thomas1, Sherif Abdelhamed1, Ryan Hiltenbrand1

  • 1Department of Pathology, St. Jude Children's Research Hospital, Memphis, TN, USA.

Leukemia
|March 18, 2021
PubMed

Insights

Germline mutations in SAMD9 and SAMD9L genes are linked to pediatric myelodysplastic syndromes (MDS). These mutations impair hematopoietic stem and progenitor cells (HSPCs), causing DNA damage and apoptosis, contributing to bone marrow failure.

Area of Science:

  • Genetics and Molecular Biology
  • Hematology
  • Cell Biology

Background:

  • Pediatric myelodysplastic syndromes (MDS) are a group of disorders characterized by ineffective blood cell production and bone marrow failure.
  • Monosomy 7, a common chromosomal abnormality in pediatric MDS, is frequently associated with germline mutations in SAMD9 and SAMD9L.

Purpose of the Study:

  • To investigate the functional impact of wild-type and mutant SAMD9 and SAMD9L in hematopoietic stem and progenitor cells (HSPCs).
  • To elucidate the cellular mechanisms by which SAMD9/SAMD9L mutations contribute to the pathogenesis of pediatric MDS.

Main Methods:

  • Lentiviral overexpression of wild-type and mutant SAMD9/SAMD9L in primary mouse and human HSPCs.
  • Protein interactome analysis, transcriptional profiling, and functional assays.
  • Assessment of cell cycle, proliferation, protein translation, DNA damage repair, and apoptosis.

Main Results:

  • SAMD9 and SAMD9L are multifunctional proteins that significantly alter cell cycle, proliferation, and protein translation in HSPCs.
  • Expression of SAMD9/SAMD9L and their mutations induces DNA damage repair defects and apoptosis in hematopoietic cells.
  • These molecular and cellular alterations provide a mechanism for impaired hematopoiesis and bone marrow hypocellularity in pediatric MDS.

Conclusions:

  • SAMD9 and SAMD9L play critical roles in maintaining hematopoietic function.
  • Mutations in SAMD9/SAMD9L disrupt normal HSPC function, leading to DNA damage, apoptosis, and contributing to the development of pediatric MDS.
  • This study offers novel insights into the molecular underpinnings of SAMD9/SAMD9L-associated pediatric MDS.