Abstract

Erythropoiesis involves complex interrelated molecular signals influencing cell survival, differentiation, and enucleation. Diseases associated with ineffective erythropoiesis, such as β-thalassemias, exhibit erythroid expansion and defective enucleation. Clear mechanistic determinants of what make erythropoiesis effective are lacking. We previously demonstrated that exogenous transferrin ameliorates ineffective erythropoiesis in β-thalassemic mice. In the current work, we utilize transferrin treatment to elucidate a molecular signature of ineffective erythropoiesis in β-thalassemia. We hypothesize that compensatory mechanisms are required in β-thalassemic erythropoiesis to prevent apoptosis and enhance enucleation. We identify pleckstrin-2—a STAT5-dependent lipid binding protein downstream of erythropoietin—as an important regulatory node. We demonstrate that partial loss of pleckstrin-2 leads to worsening ineffective erythropoiesis and pleckstrin-2 knockout leads to embryonic lethality in β-thalassemic mice. In addition, the membrane-associated active form of pleckstrin-2 occurs at an earlier stage during β-thalassemic erythropoiesis. Furthermore, membrane-associated activated pleckstrin-2 decreases cofilin mitochondrial localization in β-thalassemic erythroblasts and pleckstrin-2 knockdown in vitro induces cofilin-mediated apoptosis in β-thalassemic erythroblasts. Lastly, pleckstrin-2 enhances enucleation by interacting with and activating RacGTPases in β-thalassemic erythroblasts. This data elucidates the important compensatory role of pleckstrin-2 in β-thalassemia and provides support for the development of targeted therapeutics in diseases of ineffective erythropoiesis.

Highlights

  • Erythropoiesis involves complex interrelated molecular signals influencing cell survival, differentiation, and enucleation

  • Erythroblast reactive oxygen species (ROS) are increased in βthalassemic mice[13,28] and prior reports suggest that ineffective erythropoiesis in β-thalassemia is a consequence of increased ROS11, we demonstrate that reversal of ineffective erythropoiesis in apoTf-treated β-thalassemic mice occurs as a consequence of decreased ROS in pro-erythroblasts (Pro-E) stage, despite persistently increased ROS in later erythroblasts (Fig. 1a)

  • The fraction of enucleated erythroblasts is unchanged in thal plek2+/− relative to thal mice (Fig. 2i). These results demonstrate that the fraction of thal plek2+/− that survive to analysis are the least pathologically affected and that erythroblast apoptosis is increased despite increased Epo in thal plek2+/− mice, together revealing that ineffective erythropoiesis is mitigated by upregulation of plek[2] in β-thalassemic erythropoiesis

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Summary

Introduction

Erythropoiesis involves complex interrelated molecular signals influencing cell survival, differentiation, and enucleation. Pleckstrin-2 enhances enucleation by interacting with and activating RacGTPases in β-thalassemic erythroblasts This data elucidates the important compensatory role of pleckstrin-2 in β-thalassemia and provides support for the development of targeted therapeutics in diseases of ineffective erythropoiesis. A complete mechanistic understanding of how apoTf improves ineffective erythropoiesis is unavailable, evaluating apoTf-treated βthalassemic mice provides an opportunity to explore mechanisms underlying ineffective erythropoiesis and its reversal to better understand regulatory nodes in ineffective erythropoiesis. In this current work, we identify pleckstrin-2 (plek2) as an essential response element in β-thalassemic mice and use plek[2] knockout mice to generate plek[2] loss in β-thalassemic mice. Several previously published manuscripts provide data on the functional importance of plek[2] in erythropoiesis

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