Pegylated interferon alfa (pegIFN-α) can induce molecular remissions in patients with JAK2-V617F-positive myeloproliferative neoplasms (MPNs) by targeting long-term hematopoietic stem cells (LT-HSCs). Additional somatic mutations in genes regulating LT-HSC self-renewal, such as DNMT3A, have been reported to have poorer responses to pegIFN-α. We investigated whether DNMT3A loss leads to alterations in JAK2-V617F LT-HSC functions conferring resistance to pegIFN-α treatment in a mouse model of MPN and in hematopoietic progenitors from patients with MPN. Long-term treatment with pegIFN-α normalized blood parameters and reduced splenomegaly and JAK2-V617F chimerism in single-mutant JAK2-V617F (VF) mice. However, pegIFN-α in VF;Dnmt3aΔ/Δ (VF;DmΔ/Δ) mice worsened splenomegaly and failed to reduce JAK2-V617F chimerism. Furthermore, LT-HSCs from VF;DmΔ/Δ mice compared with VF were less prone to accumulate DNA damage and exit dormancy upon pegIFN-α treatment. RNA sequencing showed that IFN-α induced stronger upregulation of inflammatory pathways in LT-HSCs from VF;DmΔ/Δ than from VF mice, indicating that the resistance of VF;DmΔ/Δ LT-HSC was not due to failure in IFN-α signaling. Transplantations of bone marrow from pegIFN-α-treated VF;DmΔ/Δ mice gave rise to more aggressive disease in secondary and tertiary recipients. Liquid cultures of hematopoietic progenitors from patients with MPN with JAK2-V617F and DNMT3A mutation showed increased percentages of JAK2-V617F-positive colonies upon IFN-α exposure, whereas in patients with JAK2-V617F alone, the percentages of JAK2-V617F-positive colonies decreased or remained unchanged. PegIFN-α combined with 5-azacytidine only partially overcame resistance in VF;DmΔ/Δ mice. However, this combination strongly decreased the JAK2-mutant allele burden in mice carrying VF mutation only, showing potential to inflict substantial damage preferentially to the JAK2-mutant clone.

• MeSH
• buněčná sebeobnova MeSH
• chemorezistence * genetika   MeSH
• DNA methyltransferasa 3A * genetika   MeSH
• DNA-(cytosin-5-)methyltransferasa * genetika   metabolismus   MeSH
• hematopoetické kmenové buňky * metabolismus   patologie   účinky léků   MeSH
• interferon alfa * farmakologie   MeSH
• Janus kinasa 2 * genetika   metabolismus   MeSH
• lidé MeSH
• myeloproliferativní poruchy * genetika   patologie   farmakoterapie   metabolismus   MeSH
• myši inbrední C57BL MeSH
• myši MeSH
• polyethylenglykoly farmakologie   MeSH
• rekombinantní proteiny MeSH
• zvířata MeSH
• Check Tag
• lidé MeSH
• myši MeSH
• zvířata MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Názvy látek
• DNA methyltransferasa 3A * MeSH
• DNA-(cytosin-5-)methyltransferasa * MeSH
• DNMT3A protein, human MeSH Prohlížeč
• Dnmt3a protein, mouse MeSH Prohlížeč
• interferon alfa * MeSH
• JAK2 protein, human MeSH Prohlížeč
• Jak2 protein, mouse MeSH Prohlížeč
• Janus kinasa 2 * MeSH
• peginterferon alfa-2a MeSH Prohlížeč
• polyethylenglykoly MeSH
• rekombinantní proteiny MeSH