The proliferation and differentiation of adult stem cells is balanced to ensure adequate generation of differentiated cells, stem cell homeostasis, and guard against malignant transformation. CD48 is broadly expressed on hematopoietic cells but excluded from quiescent longterm murine HSCs. Through its interactions with CD244 on progenitor cells, it influences HSC function by altering the BM cytokine milieu, particularly IFN␥. In CD48-null mice, the resultant misregulation of cytokine signaling produces a more quiescent HSC, a disproportionate number of short-term progenitors, and hyperactivation of Pak1, leading to hematologic malignancies similar to those found in patients with X-linked lymphoproliferative disease. CD48 plays a vital role as an environmental sensor for regulating HSC and progenitor cell numbers and inhibiting tumor development. (Blood. 2011;118(1):80-87)
IntroductionHSCs maintain lifelong blood production, but the mechanisms regulating them remain largely obscure. Although several genes have been identified that play key cell-autonomous roles in the HSC, [1][2][3][4] we still have few insights into the manner in which the BM milieu impacts HSC function. Under normal circumstances, the majority of HSCs reside in a quiescent state, with less than 5% in cycle at any given time. 5,6 Nevertheless, blood homeostasis is exquisitely effective, in that the progenitor pool and numbers of differentiated blood cells are maintained at a constant level. To ensure coordinated blood cell production, a sensitive feedback mechanism must be in place, so that the number of progeny are sensed by more primitive progenitors allowing for subtle regulation of the HSCs to generate more downstream cells only as needed. Moreover, under hematopoietic stress, the manufacture of differentiated cells is rapidly adjusted, marshaling increased output from both committed progenitors as well as HSCs. 7 When the loss of blood cells and committed progenitors is particularly complete, virtually all of the HSCs are transiently drafted, after which most of them return to quiescence to ensure long-term maintenance of the HSC pool. 6 CD48 was previously identified as broadly expressed on differentiated hematopoietic cells, but excluded from quiescent long-term HSCs (LT-HSCs). 3,8 CD48 is a GPI-linked member of the signaling lymphocyte activation molecule (SLAM) family of proteins. It can act as a ligand for SLAM member CD244 and, depending on the context, either inhibits or stimulates IFN␥ production from the target cell. 9-12 IFN␥ has previously been shown it to be a suppressor of hematopoiesis and at high levels it may lead to BM failure. 13 However, IFN␥ has also been shown to stimulate progenitor cell proliferation. [14][15][16] Recently, work from our laboratory has shown a lack of IFN␥ in vivo leads to a less proliferative HSC, whereas increasing IFN␥ increases HSC proliferation. 7 Because CD48 offered a context-dependent mechanism for the secretion of IFN␥, which impinges directly on HSCs, we sought to determine its role in maint...