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4038 Identification and Characterization of Distinct Pathways for Platelet Replenishment in Steady-State Hematopoiesis

Program: Oral and Poster Abstracts
Session: 501. Hematopoietic Stem and Progenitor Cells and Hematopoiesis: Basic and Translational: Poster III
Hematology Disease Topics & Pathways:
Research, Fundamental Science, Hematopoiesis, Biological Processes, Molecular biology
Monday, December 9, 2024, 6:00 PM-8:00 PM

Stefania Mazzi, PhD1*, Tetsuichi Yoshizato, MD, PhD2, Joana Carrelha, PhD3,4*, Kari Högstrand, PhD5*, Axel Winroth, MD5*, Masafumi Seki, MD, PhD5*, Bishan Wu4*, Ellen Markljung, PhD6*, Amy Hillen6*, Edwin Chari5*, Petter Woll, PhD5* and Sten Eirik Waelgaard Jacobsen, MD, PhD5,6,7,8*

1Center for Hematology and Regenerative Medicine (HERM), Department of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden
2Center for Hematology and Regenerative Medicine (HERM) - Department of Medicine Huddinge, Karolinska Institutet, Solna, Sweden
3Department of Immunology and Inflammation, Imperial College London, London, United Kingdom
4University of Oxford, Oxford, United Kingdom
5Center for Hematology and Regenerative Medicine (HERM) - Department of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden
6Department of Cell and Molecular Biology, Karolinska Institutet, Stockholm, Sweden
7MRC Molecular Haematology Unit - MRC Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom
8Department of Hematology, Karolinska University Hospital, Stockholm, Sweden

Rare multipotent hematopoietic stem cells (HSCs) safeguard the replenishment of millions of blood cells per second in humans, passing through multiple stages of increasingly lineage-restricted progenitors. The turn-over and therefore need for replenishment is particularly high for the short-lived myeloid lineages, including platelets. We previously identified a distinct subset of hematopoietic stem cells (HSCs) in mice, highly biased or even restricted towards exclusively replenishing platelets unlike the prototypical HSCs that produce all blood cell lineages (Carrelha J et al. Nature. 2018 Feb 1;554(7690):106-111).

Through single HSC transplantation studies, we recently established a non-hierarchical relationship between von Willebrand factor negative (Vwf-) HSCs that replenish all blood cell lineages (Vwf- multi-HSCs) and Vwf+ HSCs replenishing almost exclusively platelets (Vwf+ P-HSCs), and that they utilize cellularly, and molecularly distinct pathways for replenishment of distinct megakaryocyte-restricted progenitors (MkPs), multi-MkPs and P-MkPs, respectively (Carrelha J et al. Nat Immunol. 2024 Jun;25(6):1007-1019). In contrast, studies by Poscablo et al (Poscablo DM et al. Cell. 2024 Jun 6;187(12):3090-3107.e21), suggested that a platelet-restricted pathway is unique to old mice, raising the possibility that the platelet-restricted pathway in young mice is absent during steady-state and only activated upon transplantation. One of the most striking differences revealed by single-cell RNA sequencing (scRNAseq) of the progenitor trajectories replenished by transplanted single Vwf multi-HSCs and Vwf+ P-HSCs was the absence of Flt3 RNA expression through the entire Vwf+ P-HSC progenitor pathway, contrasting with all progenitors in the Vwf- multi-HSC pathway having passed through a Flt3+ stage. We therefore investigated young Flt3Cretg/+ R26Tomato/+ mice for the presence of the distinct MkPs replenished through the two pathways. Peripheral blood (PB) analysis of 12-week-old mice revealed that platelets were the only blood cell lineage in which a fraction (10%) of the cells were dTomato-negative, and likewise in the bone marrow (BM) 10% of MkPs were dTomato-negative in contrast to other lineage-restricted progenitors that were all >99% dTomato-positive. ScRNAseq analysis comparing steady-state dTomato-negative and dTomato-positive MkPs recapitulated the distinct gene expression signatures of Multi-MkPs and P-MkPs replenished by single cell transplanted Vwf- Multi-HSCs and Vwf+ P-HSCs, respectively, including upregulation in P-MkPs of several genes (Clu, Ctse, Gda and Phactr), encoding proteins promoting the coagulation process. These findings establish that the platelet-restricted pathway initiated by P-HSCs is established and active already in young adult mice, although most platelets are replenished through the canonical multi-HSC pathway. In agreement with Poscablo et al, and the expansion of P-HSCs upon aging (Grover A et al. Nat Commun. 2016 Mar 24;7:11075), 2-year-old Flt3Cretg/+ R26Tomato/+ mice showed a striking increase in dTomato-negative platelets in PB and MkPs in BM, both rising to 40%.

These findings establish a model to unravel the role of alternative HSC-progenitor pathways for platelet replenishment, the functionality of platelets they produce and how that is altered upon aging.

Disclosures: No relevant conflicts of interest to declare.

*signifies non-member of ASH