Adult haematopoietic stem/progenitor cells (HSPCs) constitute the lifespan reserve for the generation of all the cellular lineages in the blood. Although massive progress in identifying the cluster of master genes controlling self-renewal and multipotency has been achieved in the past decade, some aspects of the physiology of HSPCs still need to be clarified. In particular, there is growing interest in the metabolic profile of HSPCs in view of their emerging role as determinants of cell fate. Indeed, stem cells and progenitors have distinct metabolic profiles, and the transition from stem to progenitor cell corresponds to a critical metabolic change, from glycolysis to oxidative phosphorylation. In this review, we summarize evidence, reported in the literature and provided by our group, highlighting the peculiar ability of HSPCs to adapt their mitochondrial oxidative/ bioenergetic metabolism to survive in the hypoxic microenvironment of the endoblastic niche and to exploit redox signalling in controlling the balance between quiescence versus active cycling and differentiation. Especial prominence is given to the interplay between hypoxia inducible factor-1, globins and NADPH oxidases in managing the mitochondrial dioxygen-related metabolism and biogenesis in HSPCs under different ambient conditions. A mechanistic model is proposed whereby 'mitochondrial differentiation' is a prerequisite in uncommitted stem cells, paving the way for growth/differentiation factor-dependent processes. Advancing the understanding of stem cell metabolism will, hopefully, help to (i) improve efforts to maintain, expand and manipulate HSPCs ex vivo and realize their potential therapeutic benefits in regenerative medicine; (ii) reprogramme somatic cells to generate stem cells; and (iii) eliminate, selectively, malignant stem cells.
LINKED ARTICLESThis article is part of a themed section on Emerging Therapeutic Aspects in Oncology. To view the other articles in this section visit http://dx.doi. org/10.1111/bph.2013.169.issue-8 Abbreviations AMPK, AMP-activated PK; BM, bone marrow; FAO, fatty acid oxidation; HIF-1, hypoxia inducible factor-1; HRE, hypoxia response elements; HSC, haematopoietic stem cell; HSPC, haematopoietic stem/progenitor cell; Lkb1, liver kinase B1; LT-HSC, long-term HSC; OXPHOS, mitochondrial oxidative phosphorylation; NOX, NADPH oxidase; PGC-1α, PPARγ co-activator 1α ; PML, promyelocytic leukaemia; RC, respiratory chain
IntroductionThe mammalian blood system comprises an array of cell types, including erythrocytes, myeloid cells, megakaryocytes and platelets, lymphocytes, natural killer cells, dendritic cells and mast cells. As diverse as these cells are, they all originate from haematopoietic stem cells (HSCs), which are a limited pool of immature progenitors residing in the bone marrow (BM). A reservoir of long-term HSCs (LT-HSCs) lies at the very top of the cellular hierarchy. LT-HSCs guarantee a continuous supply of blood cells throughout an individual's lifetime due to their potential to self-renew (give ris...