Abstract

The sympathetic nervous system has been evolutionary selected to respond to stress and activates haematopoietic stem cells via noradrenergic signals. However, the pathways preserving haematopoietic stem cell quiescence and maintenance under proliferative stress remain largely unknown. Here we found that cholinergic signals preserve haematopoietic stem cell quiescence in bone-associated (endosteal) bone marrow niches. Bone marrow cholinergic neural signals increase during stress haematopoiesis and are amplified through cholinergic osteoprogenitors. Lack of cholinergic innervation impairs balanced responses to chemotherapy or irradiation and reduces haematopoietic stem cell quiescence and self-renewal. Cholinergic signals activate α7 nicotinic receptor in bone marrow mesenchymal stromal cells leading to increased CXCL12 expression and haematopoietic stem cell quiescence. Consequently, nicotine exposure increases endosteal haematopoietic stem cell quiescence in vivo and impairs hematopoietic regeneration after haematopoietic stem cell transplantation in mice. In humans, smoking history is associated with delayed normalisation of platelet counts after allogeneic haematopoietic stem cell transplantation. These results suggest that cholinergic signals preserve stem cell quiescence under proliferative stress.

Highlights

  • The sympathetic nervous system has been evolutionary selected to respond to stress and activates haematopoietic stem cells via noradrenergic signals

  • We found that cholinergic neural signals are transmitted in the skeletal system through cholinergic osteoprogenitors

  • We measured choline acetyltransferase (ChAT)+ osteoprogenitors and found them expanded 2 weeks after irradiation (Fig. 1e–h and Supplementary Fig. 1c–e). These results suggest that both neural and non-neuronal bone marrow (BM) cholinergic signals increase during haematopoietic regeneration

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Summary

Introduction

The sympathetic nervous system has been evolutionary selected to respond to stress and activates haematopoietic stem cells via noradrenergic signals. We found that cholinergic signals preserve haematopoietic stem cell quiescence in bone-associated (endosteal) bone marrow niches. Cholinergic signals activate α7 nicotinic receptor in bone marrow mesenchymal stromal cells leading to increased CXCL12 expression and haematopoietic stem cell quiescence. In humans, smoking history is associated with delayed normalisation of platelet counts after allogeneic haematopoietic stem cell transplantation These results suggest that cholinergic signals preserve stem cell quiescence under proliferative stress. Cholinergic-neural signals activate bone-associated nestin+ BM mesenchymal stem cells (BMSCs) and regulate HSC quiescence locally in endosteal BM niches. These results illustrate the regulation of stem cell quiescence by the cholinergic system. This mechanism seems to allow stem cells to meet physiological demands and respond to stress, without losing potency

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