Stage-specific human induced pluripotent stem cells map the progression of myeloid transformation to transplantable leukemia Journal Article


Authors: Kotini, A. G.; Chang, C. J.; Chow, A.; Yuan, H.; Ho, T. C.; Wang, T.; Vora, S.; Solovyov, A.; Husser, C.; Olszewska, M.; Teruya-Feldstein, J.; Perumal, D.; Klimek, V. M.; Spyridonidis, A.; Rampal, R. K.; Silverman, L.; Reddy, E. P.; Papaemmanuil, E.; Parekh, S.; Greenbaum, B. D.; Leslie, C. S.; Kharas, M. G.; Papapetrou, E. P.
Article Title: Stage-specific human induced pluripotent stem cells map the progression of myeloid transformation to transplantable leukemia
Abstract: Myeloid malignancy is increasingly viewed as a disease spectrum, comprising hematopoietic disorders that extend across a phenotypic continuum ranging from clonal hematopoiesis to myelodysplastic syndrome (MDS) and acute myeloid leukemia (AML). In this study, we derived a collection of induced pluripotent stem cell (iPSC) lines capturing a range of disease stages encompassing preleukemia, low-risk MDS, high-risk MDS, and secondary AML. Upon their differentiation, we found hematopoietic phenotypes of graded severity and/or stage specificity that together delineate a phenotypic roadmap of disease progression culminating in serially transplantable leukemia. We also show that disease stage transitions, both reversal and progression, can be modeled in this system using genetic correction or introduction of mutations via CRISPR/Cas9 and that this iPSC-based approach can be used to uncover disease-stage-specific responses to drugs. Our study therefore provides insight into the cellular events demarcating the initiation and progression of myeloid transformation and a new platform for testing genetic and pharmacological interventions. © 2017 Elsevier Inc.
Keywords: leukemia; transplantation; myelodysplastic syndrome; induced pluripotent stem cells; acute myeloid leukemia; cancer progression; hpsc-derived hematopoiesis; ipsc disease modeling; leukemia progression; myeloid malignancy
Journal Title: Cell Stem Cell
Volume: 20
Issue: 3
ISSN: 1934-5909
Publisher: Cell Press  
Date Published: 2017-03-02
Start Page: 315
End Page: 328.e7
Language: English
DOI: 10.1016/j.stem.2017.01.009
PROVIDER: scopus
PMCID: PMC5337161
PUBMED: 28215825
DOI/URL:
Notes: Article -- Export Date: 4 April 2017 -- Source: Scopus
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Virginia Klimek
    147 Klimek
  2. Raajit Kumar Rampal
    338 Rampal
  3. Christina Leslie
    187 Leslie
  4. Michael Kharas
    96 Kharas
  5. Tzu Chieh   Ho
    5 Ho
  6. Arthur W Chow
    17 Chow