From www.bloodjournal.org by guest on June 17, 2017. For personal use only. Blood First Edition Paper, prepublished online October 1, 2014; DOI 10.1182/blood-2014-05-575308 Growth hormone receptor signaling is dispensable for HSC function and aging. Morag H. Stewart1,2, Paula Gutierrez-Martinez1,2, Isabel Beerman1,2, Brian Garrison1,2, Emily. J. Gallagher3, Derek LeRoith3 and Derrick J. Rossi1,2* 1 Program in Cellular and Molecular Medicine, Boston Children’s Hospital, Boston, USA. 2 Department of Stem Cell and Regenerative Medicine, Harvard University, Cambridge, USA. 3Division of Medicine, Endocrinology, Diabetes, and Bone Diseases, Department of Medicine, Mount Sinai School of Medicine, New York, USA. *corresponding author. *corresponding author: Derrick J. Rossi Email: [email protected] phone: 617-713-8900 fax: 617-713-8910 Running Title: Ghr is dispensable for HSC function and aging. Abstract word count: 134 Text word count: 1300 (+123 acknowledgments and contributions) Figures: 2 Tables: 0 References: 27 1 Copyright © 2014 American Society of Hematology From www.bloodjournal.org by guest on June 17, 2017. For personal use only. Key Points 1. Ghr is specifically expressed on HSCs within the hematopoietic system and is dynamically regulated upon HSC aging and activation 2. Ghr is dispensable for HSC function. Abstract Growth hormone receptor (Ghr) signaling is important in a wide variety of cellular processes including aging, however the role of Ghr signaling in hematopoietic stem cell (HSC) biology remains unexplored. Within the hematopoietic system, Ghr is expressed in a highly HSC-specific manner and is significantly upregulated during aging. Exposure of young and old HSCs to recombinant growth hormone (rGh) ex vivo led to diminished short-term reconstitution, and restored B-cell output from old HSCs. Hematopoieticspecific genetic deletion of Ghr neither impacted steady-state hematopoiesis nor serial transplantation potential. Repeat challenge with 5-fluorouracil showed that Ghr was dispensable for HSC activation and homeostatic recovery in vivo and, following challenge, Ghr-deficient HSCs functioned normally through serial transplantation. These results indicate that while exogenous Gh induces age-dependent HSC effects, Ghr signaling appears largely dispensable for HSC function and aging. 2 From www.bloodjournal.org by guest on June 17, 2017. For personal use only. Introduction Upon aging the hematopoietic system displays diminished regenerative potential, reduced immune competence, and a predisposition towards myelogenous disease1. The importance of cell autonomous regulation of hematopoietic stem cell (HSC) potential throughout aging is well established, though emerging evidence suggests that HSC potential may also be regulated by environmental cues that are subject to age-related variation2. Growth hormone (Gh) signaling has been implicated in a variety of age-related hematopoietic phenotypes3-5 and exogenous Gh can enhance or restore young or aged hematopoietic cellularity and function, respectively5-11. Studies have proposed that Gh mediates its hematopoietic effects indirectly through non-hematopoietic cells within the BM7,12, however as the Gh responsive cell was not identified in these studies, it remains unclear whether Gh directly targets hematopoietic stem/progenitor cells in a cell autonomous manner. Here, we have addressed the cell intrinsic impact of Gh signaling on HSCs during aging using gain-of-function and loss-of-function approaches. We found that Ghr is specifically expressed on HSCs within the hematopoietic system and ex vivo exposure of HSCs to Gh compromised the short-term reconstitution potential of young but not old HSCs and led to restored B-lymphocyte potential in old HSCs. Hematopoietic deletion of Ghr surprisingly did not impact hematopoietic steady-state homeostasis or HSC activity upon 5-fluorouracil (5-FU) challenge or serial transplantation. These results show that while exogenous Gh exposure elicits age-dependent effects in HSCs, Ghr signaling is non-essential to HSC biology and aging. Methods Mice. Ghrfl/fl mice were bred with Vav1Cre/+ mice to generate Ghrfl/fl;Vav1Cre/+ experimental and Ghr+/+;Vav1Cre/+ control mice. All mice were maintained according to Boston Children’s Hospital Animal Facility protocols. Procedures were performed with consent from local ethics committees. Ex vivo rGh administration For transplantation experiments, FACS isolated HSCs were cultured in S-Clone 0.75% BSA, 50ng/mL each SCF, TPO and IL12 +/– 100ng/mL recombinant mouse Gh (rGh) for 6 days. Media was changed at day 2 and day 4. At day 6, each well was transplanted into 3 recipient mice with 3x105 competitive BM. 5FU treatment. Four doses of 5-fluorouracil (5-FU) at 150 mg/kg were administered every 3 weeks by intraperitoneal (i.p.) injection to Ghrfl/fl;Vav1Cre/+ (n=4) and Ghr+/+;Vav1Cre/+ (n=4) littermates. Genotyping primers, Supplemental Table 1. See supplemental file for full Methods. 3 From www.bloodjournal.org by guest on June 17, 2017. For personal use only. Results and Discussion Ghr is HSC-specific and age-regulated We identified Ghr as a gene whose expression was highly restricted to HSCs in comparison to their downstream progeny through analysis of a number of comprehensive expression profiling studies generated by ourselves and others13-15 (Fig 1A-B). Interestingly, Ghr was substantially upregulated (3.7-fold) in HSCs isolated from old mice whereas no change in downstream MPP1s was observed during aging (Figure 1C-D). Protein analysis confirmed that Ghr was expressed on HSCs (Supplemental Figure 1A), however in contrast to the differential age regulation at the mRNA level, no difference in protein expression was observed during aging (Supplemental Figure 1B). As the activity of Ghr signaling has been shown to be aging dependent16-18, we assessed expression of Ghr signaling targets Igf119 and suppressor of cytokine signaling 2 (Socs2)20 in purified HSCs from young and old mice following exposure to recombinantGh (rGh). rGh exposure marginally upregulated Igf1 expression in young HSCs, while Socs2 was significantly upregulated in old HSCs (Supplemental Figure 1C-D). To determine whether Ghr was dynamically regulated upon HSC activation, we examined its expression in young and old HSCs over 24 hours post-cytokine stimulation in vitro (Figure 1E)21. Interestingly, Ghr exhibited a dynamic age-dependent response in which old but not young HSCs rapidly upregulated Ghr upon ex vivo stimulation peaking at 6 hours (Figure 1E); both young and old HSCs downregulated Ghr starting at 12 hours post-stimulation. Together, these results show that Ghr expression is largely HSCspecific within the hematopoietic system and that Ghr signaling cascades are dynamically regulated with age upon HSC activation. Ex vivo rGh exposure impacts HSC function in an aging-dependent manner To investigate the possibility that the differential Ghr signaling we observed may contribute to the functional changes observed during HSCs aging, we cultured purified young and old HSCs in the presence of rGh and then assessed their potential by competitive transplantation (Figure 1F). This allowed us to assay Gh signaling in HSCs cell autonomously without confounding effects arising from systemic treatment with Gh. Interestingly, whereas old HSCs exhibited similar reconstitution kinetics independent of rGh exposure, young HSCs exposed to rGh exhibited significantly diminished short-term reconstitution that largely recovered at later time points post-transplant (Figure 1G). Comparison of young and old cohorts showed that total reconstitution was significantly diminished with aging independent of rGh treatment (Figure 1H). Interestingly however, exposure to rGh partially mitigated the loss in B-cell potential (Figure 1I), that is characteristic of old HSCs 22. We also observed a significant increase in T-cell potential arising from rGh treated young HSCs, which was not observed with the old (Figure 1I). BM analysis performed at week 20 post-transplant revealed that donor-derived chimerism and frequency of progenitors and HSCs within the BM were not impacted by exposure to rGh (Supplemental Figure 2A-D). We did not observe changes in myeloid potential reported in earlier studies that employed systemic rGh treatment5,7 suggesting that these previous observations reflect non-cell autonomous changes in hematopoietic lineage potential. Together our results show that exogenous rGh treatment differentially affects lineage potential of young and old HSCs, and induces a more balanced lineage output from aged HSCs. Genetic ablation reveals that Ghr is dispensable for HSC function. 4 From www.bloodjournal.org by guest on June 17, 2017. For personal use only. To address how loss of Ghr signaling would impact HSC potential, we generated Ghrfl/fl;Vav1Cre/+ experimental and Ghr+/+;Vav1Cre/+ control mice23. Genomic PCR of FACS isolated BM cells confirmed efficient hematopoietic deletion of Ghr in the experimental mice (Supplemental Figure 3A). To assess how loss of Ghr in HSCs impacted steadystate hematopoiesis, we analyzed complete blood cell counts (CBCs) and peripheral blood (PB) composition of age-matched experimental and control mice. A significant decrease in the number of platelets was observed in the absence of Ghr but no other lineages were altered (Supplemental Figure 3B-F). Analysis of progenitor compartments in the BM of Ghrfl/fl;Vav1Cre/+ and Ghr+/+;Vav1Cre/+ mice revealed that all were maintained at comparable frequencies regardless of Ghr status (Figure 2A-B). To address the possibility that deletion of Ghr from HSCs might preserve or enhance HSC potential, we competitively transplanted whole BM cells from Ghrfl/fl;Vav1Cre/+ and Ghr+/+;Vav1Cre/+ mice (Figure 2C). PB analysis over 16 weeks did not reveal any differences in the reconstitution or lineage potential (Figure 2D, Supplemental Figure 4A). BM analysis at 17 weeks post-transplant similarly revealed no difference in donor chimerism or in stem and progenitor compartments (Figure 2E, Supplemental 4B-C). To examine the impact of Ghr deletion on HSC self-renewal, we performed secondary transplants. PB analysis showed that loss of Ghr did not alter reconstitution or lineage potential (Figure 2F, Supplemental Figure 4D). BM analysis at 20 weeks post-secondary transplant revealed diminished total chimerism, though this did not reach significance (Figure 2G). Similarly, progenitors and HSCs were not impacted by loss of Ghr (Supplemental Figure 4E-F). Due to the dynamic regulation of Ghr expression in HSCs during ex vivo activation (Figure 1E), we examined the functional response of HSCs subjected to repeated cycles of activation induced by 5-FU exposure (Figure 2H). 5-FU exposure activates HSCs24-26 and we have shown repeat exposure compromises HSC functional potential27. CBC analysis showed that Ghr deletion did not compromise the ability of HSCs and progenitors to mount an effective recovery of WBCs, RBCs or platelets following each 5FU exposure (Figure 2I, Supplemental Figure 5 & 6A-B). In order to assess how serial 5-FU exposure impacted HSC potential in Ghrfl/fl;Vav1Cre/+ and Ghr+/+;Vav1Cre/+ mice, competitive BM transplantation was performed (Figure 2H). Deletion of Ghr did not impact PB engraftment or lineage potential (Figure 2J, Supplemental Figure 6C), and BM analysis at 26 weeks post-transplantation showed no significant difference in the level of engraftment or the frequency of BM progenitors and HSCs (Supplemental Figure 6D-F). To assess HSC self-renewal, competitive secondary transplants were performed. No difference in PB engraftment or lineage reconstitution potential was observed over 16 weeks post-secondary transplant (Figure 2K, Supplemental Figure 6G) and no change in BM reconstitution or in the frequency of BM progenitors or HSCs was found at 20 weeks (Supplemental Figure 6H-J). The lack of differential recovery of the hematopoietic system in steady-state or following transplantation as a consequence of Ghr deletion demonstrated, surprisingly, that Ghr is dispensable for HSC activation and recovery, and further, serial activation of HSCs did not affect the engraftment or lineage potential of Ghr null HSCs. In conclusion, our results suggest that while exogenous Gh can impact HSC potential in an age-dependent manner, Ghr signaling appears largely dispensable to HSC function and aging. 5 From www.bloodjournal.org by guest on June 17, 2017. For personal use only. Acknowledgements The authors would like to sincerely thank A. Zguro for animal husbandry and technical assistance as well as all members of the D.J.R. lab. This work was supported by grants from National Institutes of Health (to D.J.R., R00AG029760 to D.J.R., UO1DK072473-01 to D.J.R.), the Leona M. and Harry B. Helmsley Charitable Trust (to D.J.R.), the New York Stem Cell Foundation (to D.J.R.), and the Harvard Stem Cell Institute (to D.J.R.). D.J.R. is a New York Stem Cell Foundation Robertson Investigator. Authorship Contributions and Disclosure of Conflicts of Interest M.H.S designed and performed experiments and wrote manuscript. I.B, P.G-M and B.G helped with experiments. E.J.G and D.L. provided Ghrfl/fl animals. D.J.R designed experiments and wrote manuscript. The authors declare no conflict of interest. References 1. Beerman I, Maloney W, Weissmann I, Rossi D. Stem cells and the aging hematopoietic system. Current opinion in immunology. 2010;22(4):500-506. 2. Geiger H, de Haan G, Florian MC. The ageing haematopoietic stem cell compartment. Nat Rev Immunol. 2013;13(5):376-389. 3. Ding J, Sackmann-Sala L, Kopchick JJ. Mouse models of growth hormone action and aging: a proteomic perspective. Proteomics. 2013;13(3-4):674-685. 4. Taub D, Murphy W, Longo D. Rejuvenation of the aging thymus: growth hormone-mediated and ghrelin-mediated signaling pathways. Current opinion in pharmacology. 2010;10(4):408-424. 5. French R, Broussard S, Meier W, et al. Age-associated loss of bone marrow hematopoietic cells is reversed by GH and accompanies thymic reconstitution. Endocrinology. 2002;143(2):690-699. 6. Carlo-Stella C, Di Nicola M, Milani R, et al. Age- and irradiation-associated loss of bone marrow hematopoietic function in mice is reversed by recombinant human growth hormone. Experimental hematology. 2004;32(2):171-178. 7. Chen B, Deoliveira D, Spasojevic I, et al. Growth hormone mitigates against lethal irradiation and enhances hematologic and immune recovery in mice and nonhuman primates. PloS one. 2010;5(6). 8. Pello O, Moreno-Ortiz M, Rodríguez-Frade J, et al. SOCS up-regulation mobilizes autologous stem cells through CXCR4 blockade. Blood. 2006;108(12):39283937. 9. Carlo-Stella C, Di Nicola M, Milani R, et al. Use of recombinant human growth hormone (rhGH) plus recombinant human granulocyte colony-stimulating factor (rhGCSF) for the mobilization and collection of CD34+ cells in poor mobilizers. Blood. 2004;103(9):3287-3295. 10. van der Klaauw A, Pereira A, Rabelink T, et al. 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Chambers S, Shaw C, Gatza C, Fisk C, Donehower L, Goodell M. Aging hematopoietic stem cells decline in function and exhibit epigenetic dysregulation. PLoS biology. 2007;5(8). 16. Xu X, Bennett SA, Ingram RL, Sonntag WE. Decreases in growth hormone receptor signal transduction contribute to the decline in insulin-like growth factor I gene expression with age. Endocrinology. 1995;136(10):4551-4557. 17. Lieberman SA, Mitchell AM, Marcus R, Hintz RL, Hoffman AR. The insulin-like growth factor I generation test: resistance to growth hormone with aging and estrogen replacement therapy. Horm Metab Res. 1994;26(5):229-233. 18. Velasco B, Cacicedo L, Melian E, Fernandez-Vazquez G, Sanchez-Franco F. Sensitivity to exogenous GH and reversibility of the reduced IGF-I gene expression in aging rats. Eur J Endocrinol. 2001;145(1):73-85. 19. Rotwein P. Mapping the growth hormone--Stat5b--IGF-I transcriptional circuit. Trends Endocrinol Metab. 2012;23(4):186-193. 20. Vesterlund M, Zadjali F, Persson T, et al. The SOCS2 ubiquitin ligase complex regulates growth hormone receptor levels. PloS one. 2011;6(9). 21. Beerman I, Seita J, Inlay M, Weissman I, Rossi D. Quiescent hematopoietic stem cells accumulate DNA damage during aging that is repaired upon entry into cell cycle. Cell stem cell. 2014. 22. Rossi D, Bryder D, Zahn J, et al. Cell intrinsic alterations underlie hematopoietic stem cell aging. Proceedings of the National Academy of Sciences of the United States of America. 2005;102(26):9194-9199. 23. Wu Y, Liu C, Sun H, et al. Growth hormone receptor regulates β cell hyperplasia and glucose-stimulated insulin secretion in obese mice. The Journal of clinical investigation. 2011;121(6):2422-2426. 24. Harrison DE, Lerner CP. Most primitive hematopoietic stem cells are stimulated to cycle rapidly after treatment with 5-fluorouracil. Blood. 1991;78(5):1237-1240. 25. Wilson A, Laurenti E, Oser G, et al. Hematopoietic stem cells reversibly switch from dormancy to self-renewal during homeostasis and repair. Cell. 2008;135(6):11181129. 26. Randall TD, Weissman IL. Phenotypic and functional changes induced at the clonal level in hematopoietic stem cells after 5-fluorouracil treatment. Blood. 1997;89(10):3596-3606. 27. Beerman I, Bock C, Garrison B, et al. Proliferation-dependent alterations of the DNA methylation landscape underlie hematopoietic stem cell aging. Cell stem cell. 2013;12(4):413-425. 7 From www.bloodjournal.org by guest on June 17, 2017. For personal use only. Figure Legends Figure 1: Dynamic regulation of Ghr on HSCs induces age-dependent effects upon ex vivo rGH stimulation. A) Expression of Ghr in hematopoiesis in the indicated populations as revealed by microarray analysis. B) qRT-PCR of Ghr expression in HSCs (LSKCD34–Flk2–), MPP1(LSKCD34+Flk2–) and myeloid progenitors (MP, Lin-Sca1– cKit+) young (4 months) mice. C) Expression of Ghr in young, mid and old HSC (LSKFlk2-CD34-) and MPP1 (LSKCD34+Flk2–) populations. D) qRT-PCR of Ghr expression in young and old HSCs. E) Ghr expression in young and old HSCs over 24 hours of ex vivo culture. E) Experimental design of ex vivo rGh treatment of isolated young and old HSCs (LSKCD34–Flk2–CD150+) followed by in vivo functional analysis. G-I) PB analysis following transplantation of rGh treated or control treated young and old HSCs showing G) Donor engraftment at 4 and 17 weeks post-transplant; H) Foldchange in PB engraftment between by young and old untreated and rGh-treated HSCs at week 17 post-transplant, and; I) Lineage reconstitution at 17 weeks post-transplant. Unpaired t-test: *p<0.05, **p<0.01, ***p<0.001. Figure 2: Ghr is dispensable for HSC function. A-B) BM analysis of steady-state hematopoiesis in Ghrfl/fl;Vav1Cre/+ experimental and Ghr+/+;Vav1Cre/+ control mice showing BM frequency of A) LSK, MP and CLP populations and B) LSK compartment including HSCs. C) Experimental design for analysis of recipient mice competitively transplanted with Ghrfl/fl;Vav1Cre/+ and Ghr+/+;Vav1Cre/+ BM. D-E) Primary transplant analysis showing; D) Donor PB reconstitution; E) Donor BM reconstitution. F-G) Secondary transplant analysis showing; D) Donor PB reconstitution; E) Donor BM reconstitution. H) Experimental overview of serial 5-FU exposure followed by competitive BM transplantation of Ghrfl/fl;Vav1Cre/+ experimental and Ghr+/+;Vav1Cre/+ control mice. I) Analysis of WBC counts following post-5-FU injection over the indicated time-course in Ghrfl/fl;Vav1Cre/+ (grey line) and Ghr+/+;Vav1Cre/+ (black line) mice. Arrows indicate time points of 5-FU injection. J) 1o transplant analysis showing donor reconstitution in PB at 4 and 16 weeks post-transplant and K) Secondary transplant analysis showing donor reconstitution in PB at 4 and 16 weeks post-transplant . 8 From www.bloodjournal.org by guest on June 17, 2017. For personal use only. Figure 1 $#$+3 :4 B "" ) *!"## %($+ 9: *!"## 3 14 A +'# @ < 8 55 555 *!"## 3 "," *!"## 4 C "" ) ! 9=88 9888 =88 8 + ' + ' $$ "+$" +$ E 55 ** < :888 ; : 9888 9 8 5 8 5 8 ; > 9: :< 8 ; > 9: :<" + + ' F ' <=/9 <=/: "" #%$'% 3D )$ #4 988 ** =8 := + ' >8 <8 E 2 E + ' * 55!F8/88=A # ** :8 8 " 2 2 E E ::8 2 2 E E 2 2 E E 9 <0@ "" ) +## ) :8 H 2 E;*98=<=/9 8 E " 2 + ' "!" +## <[email protected]:.9?)# >+# !'"% ?= I D " E01" :888 <=/: G 9 55 55 5 ;888 2 E 988 "" #%$'% 3D )$ #4 *!"## 3 14 = *!"## 3 "," *!"## 4 D ?= *** 5!F8/8:8< ;/?* * :/;* =8 := 8 2" E" From www.bloodjournal.org by guest on June 17, 2017. For personal use only. Figure 2 95 75 5 C ;5 W K 5-7 5-5 B 7-: 7-5 6-: 5-9 A A& A 6 7 6" !" 9:-7 )!! '75 )!! 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