Hematopoietic cell transplantation has proven beneficial for various intractable diseases, but it remains unclear how hematopoietic stem/progenitor cells (HSPCs) home to the bone marrow (BM) microenvironment, initiate hematopoietic reconstitution, and maintain life‐long hematopoiesis. The use of newly elucidated molecular determinants for overall HSPC engraftment should benefit patients. Here, we report that modification of C‐X‐C chemokine receptor type 4 (Cxcr4) signaling in murine HSPCs does not significantly affect initial homing/lodging events, but leads to alteration in subsequent BM repopulation kinetics, with observations confirmed by both gain‐ and loss‐of‐function approaches. By using C‐terminal truncated Cxcr4 as a gain‐of‐function effector, we demonstrated that signal augmentation likely led to favorable in vivo repopulation of primitive cell populations in BM. These improved features were correlated with enhanced seeding efficiencies in stromal cell cocultures and altered ligand‐mediated phosphorylation kinetics of extracellular signal‐regulated kinases observed in Cxcr4 signal‐augmented HSPCs in vitro. Unexpectedly, however, sustained signal enhancement even with wild‐type Cxcr4 overexpression resulted in impaired peripheral blood (PB) reconstitution, most likely by preventing release of donor hematopoietic cells from the marrow environment. We thus conclude that timely regulation of Cxcr4/CXCR4 signaling is key in providing donor HSPCs with enhanced repopulation potential following transplantation, whilst preserving the ability to release HSPC progeny into PB for improved transplantation outcomes. Stem Cells 2014;32:1929–1942
Left lobectomy is the only independent risk factor for postoperative AF. Elevated BNP is the risk factor for postoperative AF in patients undergoing left pulmonary lobectomy.
HighlightsWe report the rare anatomical variations of the pulmonary vein wherein the left V2 drained into the inferior pulmonary vein.The left V2 draining into the inferior pulmonary vein has not been yet reported, and this case is the first report.We identify this anomalous V2 before operation by 3D-CT and were able to perform the operation safely by VATS.
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