Hematopoietic stem cells (HSCs) are rare residents of the bone marrow responsible for the lifelong production of blood cells. Regulation of the balance between HSC self-renewal and differentiation is central to hematopoiesis, allowing precisely regulated generation of mature blood cells at steady state and expanded production at times of rapid need, as well as maintaining ongoing stem cell capacity. Erg, a member of the Ets family of transcription factors, is deregulated in cancers; and although Erg is known to be required for regulation of adult HSCs, its precise role has not been defined. We show here that, although heterozygosity for functional Erg is sufficient for adequate steady-state HSC maintenance, Erg ؉/Mld2 mutant mice exhibit impaired HSC self-renewal after bone marrow transplantation or during recovery from myelotoxic stress. Moreover, although mice functionally compromised for either Erg or Mpl, the receptor for thrombopoietin, a key regulator of HSC quiescence, maintained sufficient HSC activity to sustain hematopoiesis, Mpl ؊/؊ Erg ؉/Mld2 compound mutant mice displayed exacerbated stem cell deficiencies and bone marrow failure. Thus, Erg is a critical regulator of adult HSCs, essential for maintaining self-renewal at times of high HSC cycling. (Blood. 2011;118(9): 2454-2461)
IntroductionAdult hematopoietic stem cells (HSCs) are a rare population of bone marrow cells responsible for the production of multiple functionally specialized lineages of blood cells. In addition to maintaining exquisitely regulated numbers of cells during the normal daily replacement of billions of aged or expended blood cells, HSCs are also critical for regeneration and maintenance of hematopoiesis in response to major hematologic stresses, such as after myelotoxic therapy or stem cell transplantation. Life-long maintenance of the blood cell system requires HSC self-renewal, a specialized cell division in which one or both daughter cells retain full long-term HSC pluripotency. Regulation of the appropriate balance between HSC self-renewal and differentiation is the essence of hematopoiesis, allowing production of sufficient effector blood cells while protecting sufficient pluripotential reserve capacity for future hematopoietic supply. Analysis of the effects of genetic mutation or gene dysregulation have defined diverse molecular regulators of physiologic and stress-induced HSC selfrenewal, including transcription factors, epigenetic regulators, cell cycle modulators, and cell extrinsic regulators and their intracellular signal transducers. 1,2 The E-twenty-six (ETS)-related gene (ERG, OMIM ID 165080) is a member of the ETS family of transcription factors. 3 A key role for ERG in cancer has emerged with the observation that up to 75% of prostate cancers are characterized by ERG deregulation. This commonly occurs via a chromosomal rearrangement that fuses the 5Ј untranslated region of the TMPRSS2 (androgen-regulated transmembrane protease, serine 2, OMIM ID 602060) gene with the 3Ј region of ERG, resulting in expression o...