Comprehensive analysis of mesenchymal cells reveals a dysregulated TGF-β/WNT/HOXB7 axis in patients with

Saravanan Ganesan1, Sarah Awan-Toor1, Fabien Guidez1,2

  • 1INSERM UMRS 1131, Institut de Recherche Saint-Louis, Université Paris Cité, Paris, France.

JCI Insight
|October 29, 2024
PubMed

Insights

Researchers identified a novel TGF-β/WNT/HOXB7 pathway driving myelofibrosis (MF) in myeloproliferative neoplasms (MPN). Inhibiting this pathway reversed abnormal cell behavior, offering a new therapeutic target for MPN-MF progression.

Area of Science:

  • Hematology
  • Oncology
  • Molecular Biology

Background:

  • Myeloproliferative neoplasms (MPN) are incurable, with a significant risk of progressing to acute myeloid leukemia or myelofibrosis (MF).
  • The pathogenesis of MPN evolution to MF is poorly understood, hindering the development of targeted therapies.
  • Insights from solid tumor and fibrosis research highlight the importance of the microenvironment, but specific data for MPN-MF is lacking.

Purpose of the Study:

  • To elucidate the molecular mechanisms underlying the evolution of MPN to MF.
  • To identify novel therapeutic targets for preventing or managing MPN progression to MF.

Main Methods:

  • Transcriptomic and epigenetic analysis of MF microenvironment in patient samples.
  • Cell-based assays to investigate the role of identified pathways.
  • Inhibition studies using gene-based and chemical approaches targeting the novel pathway.

Main Results:

  • Identified homeobox B7 (HOXB7) overexpression in the MF microenvironment.
  • Discovered a novel pro-fibrotic and pro-osteoblastic signaling pathway involving TGF-β/WNT/HOXB7.
  • Demonstrated that inhibition of this pathway reversed the abnormal differentiation of mesenchymal stromal cells (MSCs) from MF patients.

Conclusions:

  • The TGF-β/WNT/HOXB7 pathway is implicated in the pathogenesis of MF in MPN.
  • Targeting this pathway offers a promising strategy to prevent or treat MPN evolution to MF.
  • HOXB7 and its associated pathway represent a potential novel therapeutic target for MPN.