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  4. Failure of metabolic checkpoint control during late-stage granulopoiesis drives neutropenia in reticular dysgenesis
 
research article

Failure of metabolic checkpoint control during late-stage granulopoiesis drives neutropenia in reticular dysgenesis

Wang, Wenqing
•
Arreola, Martin
•
Mathews, Thomas
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December 26, 2024
Blood

Cellular metabolism is highly dynamic during hematopoiesis, yet the regulatory networks that maintain metabolic homeostasis during differentiation are incompletely understood. Herein, we have studied the grave immunodeficiency syndrome reticular dysgenesis caused by loss of mitochondrial adenylate kinase 2 (AK2) function. By coupling single-cell transcriptomics in samples from patients with reticular dysgenesis with a CRISPR model of this disorder in primary human hematopoietic stem cells, we found that the consequences of AK2 deficiency for the hematopoietic system are contingent on the effective engagement of metabolic checkpoints. In hematopoietic stem and progenitor cells, including early granulocyte precursors, AK2 deficiency reduced mechanistic target of rapamycin (mTOR) signaling and anabolic pathway activation. This conserved nutrient homeostasis and maintained cell survival and proliferation. In contrast, during late-stage granulopoiesis, metabolic checkpoints were ineffective, leading to a paradoxical upregulation of mTOR activity and energy-consuming anabolic pathways such as ribonucleoprotein synthesis in AK2-deficient cells. This caused nucleotide imbalance, including highly elevated adenosine monophosphate and inosine monophosphate levels, the depletion of essential substrates such as NAD+ and aspartate, and ultimately resulted in proliferation arrest and demise of the granulocyte lineage. Our findings suggest that even severe metabolic defects can be tolerated with the help of metabolic checkpoints but that the failure of such checkpoints in differentiated cells results in a catastrophic loss of homeostasis.

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Type
research article
DOI
10.1182/blood.2024024123
Scopus ID

2-s2.0-85209255962

PubMed ID

39378586

Author(s)
Wang, Wenqing

Stanford University School of Medicine

Arreola, Martin

Stanford University School of Medicine

Mathews, Thomas

UT Southwestern Medical Center

DeVilbiss, Andrew

UT Southwestern Medical Center

Zhao, Zhiyu

UT Southwestern Medical Center

Martin-Sandoval, Misty

UT Southwestern Medical Center

Mohammed, Abdulvasey

Stanford University School of Medicine

Benegiamo, Giorgia  

École Polytechnique Fédérale de Lausanne

Awani, Avni

Stanford University School of Medicine

Goeminne, Ludger  

École Polytechnique Fédérale de Lausanne

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Date Issued

2024-12-26

Published in
Blood
Volume

144

Issue

26

Start page

2718

End page

2734

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LISP  
FunderFunding(s)Grant NumberGrant URL

Kathryne and Gene Bishop Distinguished Chair

Cancer Prevention and Research Institute of Texas Scholar

Binns Program for Cord Blood Research

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Available on Infoscience
January 25, 2025
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/244234
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