Role of neoplastic monocyte-derived fibrocytes in primary myelofibrosis

Srdan Verstovsek, Taghi Manshouri, Darrell Pilling, Carlos E. Bueso-Ramos, Kate J. Newberry, Sanja Prijic, Liza Knez, Ksenija Bozinovic, David M. Harris, Erika L. Spaeth, Sean M. Post, Asha S. Multani, Raajit K. Rampal, Jihae Ahn, Ross L. Levine, Chad J. Creighton, Hagop M. Kantarjian, Zeev Estrov

Research output: Contribution to journalArticlepeer-review

117 Scopus citations

Abstract

Primary myelofibrosis (PMF) is a fatal neoplastic disease characterized by clonal myeloproliferation and progressive bone marrow (BM) fibrosis thought to be induced by mesenchymal stromal cells stimulated by overproduced growth factors. However, tissue fibrosis in other diseases is associated with monocyte-derived fibrocytes. Therefore, we sought to determine whether fibrocytes play a role in the induction of BM fibrosis in PMF. In this study, we show that BM from patients with PMF harbors an abundance of clonal, neoplastic collagen- and fibronectin-producing fibrocytes. Immunodeficient mice transplanted with myelofibrosis patients' BM cells developed a lethal myelofibrosis-like phenotype. Treatment of the xenograft mice with the fibrocyte inhibitor serum amyloid P (SAP; pentraxin-2) significantly prolonged survival and slowed the development of BM fibrosis. Collectively, our data suggest that neoplastic fibrocytes contribute to the induction of BM fibrosis in PMF, and inhibiting fibrocyte differentiation with SAP may interfere with this process.

Original languageEnglish (US)
Pages (from-to)1723-1740
Number of pages18
JournalJournal of Experimental Medicine
Volume213
Issue number9
DOIs
StatePublished - Aug 22 2016

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology

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