Targeting CDC42 reduces skeletal degeneration after hematopoietic stem cell transplantation

Theresa Landspersky, Merle Stein, Mehmet Saçma, Johanna Geuder, Krischan Braitsch, Jennifer Rivière, Franziska Hettler, Sandra Romero Marquez, Baiba Vilne, Erik Hameister, Daniel Richter, Emely Schönhals, Jan Tuckermann, Mareike Verbeek, Peter Herhaus, Judith S. Hecker, Florian Bassermann, Katharina S. Götze, Wolfgang Enard, Hartmut GeigerRobert A.J. Oostendorp, Christina Schreck (Corresponding Author)

Research output: Contribution to journalArticlepeer-review

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Abstract

Osteopenia and osteoporosis are common long-term complications of the cytotoxic conditioning regimen for hematopoietic stem cell transplantation (HSCT). We examined mesenchymal stem and progenitor cells (MSPCs), which include skeletal progenitors, from mice undergoing HSCT. Such MSPCs showed reduced fibroblastic colony-forming units frequency, increased DNA damage, and enhanced occurrence of cellular senescence, whereas there was a reduced bone volume in animals that underwent HSCT. This reduced MSPC function correlated with elevated activation of the small Rho guanosine triphosphate hydrolase CDC42, disorganized F-actin distribution, mitochondrial abnormalities, and impaired mitophagy in MSPCs. Changes and defects similar to those in mice were also observed in MSPCs from humans undergoing HSCT. A pharmacological treatment that attenuated the elevated activation of CDC42 restored F-actin fiber alignment, mitochondrial function, and mitophagy in MSPCs in vitro. Finally, targeting CDC42 activity in vivo in animals undergoing transplants improved MSPC quality to increase both bone volume and trabecular bone thickness. Our study shows that attenuation of CDC42 activity is sufficient to attenuate reduced function of MSPCs in a BM transplant setting.

Original languageEnglish
Pages (from-to)5400-5414
Number of pages15
JournalBlood advances
Volume8
Issue number20
DOIs
Publication statusPublished - 22 Oct 2024

Field of Science*

  • 3.1 Basic medicine

Publication Type*

  • 1.1. Scientific article indexed in Web of Science and/or Scopus database

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