Chronic viral infections are associated with hematopoietic suppression, bone marrow (BM) failure, and hematopoietic stem cell (HSC) exhaustion. However, how persistent viral challenge and inflammatory responses target BM tissues and perturb hematopoietic competence remains poorly understood. Here, we combine functional analyses with advanced 3D microscopy to demonstrate that chronic infection with lymphocytic choriomeningitis virus leads to (1) long-lasting decimation of the BM stromal network of mesenchymal CXCL12-abundant reticular cells, (2) proinflammatory transcriptional remodeling of remaining components of this key niche subset, and (3) durable functional defects and decreased competitive fitness in HSCs. Mechanistically, BM immunopathology is elicited by virus-specific, activated CD8 T cells, which accumulate in the BM via interferon-dependent mechanisms. Combined antibody-mediated inhibition of type I and II IFN pathways completely preempts degeneration of CARc and protects HSCs from chronic dysfunction. Hence, viral infections and ensuing immune reactions durably impact BM homeostasis by persistently decreasing the competitive fitness of HSCs and disrupting essential stromal-derived, hematopoietic-supporting cues.
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6 December 2021
Article|
October 28 2021
Chronic viral infections persistently alter marrow stroma and impair hematopoietic stem cell fitness
Stephan Isringhausen
,
(Conceptualization, Data curation, Formal analysis, Investigation, Project administration, Supervision, Validation, Visualization, Writing - original draft, Writing - review & editing)
1
Department of Medical Oncology and Hematology, University Hospital Zurich, Zurich, Switzerland
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YeVin Mun
,
(Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Validation, Visualization, Writing - original draft)
1
Department of Medical Oncology and Hematology, University Hospital Zurich, Zurich, Switzerland
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Larisa Kovtonyuk
,
Larisa Kovtonyuk
(Investigation, Methodology, Validation, Writing - review & editing)
1
Department of Medical Oncology and Hematology, University Hospital Zurich, Zurich, Switzerland
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Nike J. Kräutler
,
Nike J. Kräutler
2
Institute of Microbiology, ETH Zurich, Zurich, Switzerland
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Ute Suessbier
,
Ute Suessbier
(Investigation)
1
Department of Medical Oncology and Hematology, University Hospital Zurich, Zurich, Switzerland
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Alvaro Gomariz
,
Alvaro Gomariz
(Data curation, Formal analysis, Methodology, Resources, Software, Writing - review & editing)
1
Department of Medical Oncology and Hematology, University Hospital Zurich, Zurich, Switzerland
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Gianluca Spaltro
,
Gianluca Spaltro
(Investigation)
1
Department of Medical Oncology and Hematology, University Hospital Zurich, Zurich, Switzerland
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Patrick M. Helbling
,
Patrick M. Helbling
(Investigation, Visualization)
1
Department of Medical Oncology and Hematology, University Hospital Zurich, Zurich, Switzerland
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Hui Chyn Wong
,
Hui Chyn Wong
(Investigation)
1
Department of Medical Oncology and Hematology, University Hospital Zurich, Zurich, Switzerland
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Takashi Nagasawa
,
Takashi Nagasawa
(Methodology, Resources)
3
Department of Microbiology and Immunology, Osaka University, Osaka, Japan
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Markus G. Manz
,
Markus G. Manz
(Conceptualization, Supervision, Validation)
1
Department of Medical Oncology and Hematology, University Hospital Zurich, Zurich, Switzerland
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Annette Oxenius
,
Annette Oxenius
(Conceptualization, Funding acquisition, Methodology, Resources, Supervision)
2
Institute of Microbiology, ETH Zurich, Zurich, Switzerland
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César Nombela-Arrieta
(Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Resources, Supervision, Validation, Visualization, Writing - original draft, Writing - review & editing)
1
Department of Medical Oncology and Hematology, University Hospital Zurich, Zurich, Switzerland
Correspondence to César Nombela-Arrieta: Cesar.NombelaArrieta@usz.ch
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Stephan Isringhausen
Conceptualization, Data curation, Formal analysis, Investigation, Project administration, Supervision, Validation, Visualization, Writing - original draft, Writing - review & editing
1
Department of Medical Oncology and Hematology, University Hospital Zurich, Zurich, Switzerland
YeVin Mun
Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Validation, Visualization, Writing - original draft
1
Department of Medical Oncology and Hematology, University Hospital Zurich, Zurich, Switzerland
Larisa Kovtonyuk
Investigation, Methodology, Validation, Writing - review & editing
1
Department of Medical Oncology and Hematology, University Hospital Zurich, Zurich, Switzerland
Nike J. Kräutler
2
Institute of Microbiology, ETH Zurich, Zurich, Switzerland
Ute Suessbier
Investigation
1
Department of Medical Oncology and Hematology, University Hospital Zurich, Zurich, Switzerland
Alvaro Gomariz
Data curation, Formal analysis, Methodology, Resources, Software, Writing - review & editing
1
Department of Medical Oncology and Hematology, University Hospital Zurich, Zurich, Switzerland
Gianluca Spaltro
Investigation
1
Department of Medical Oncology and Hematology, University Hospital Zurich, Zurich, Switzerland
Patrick M. Helbling
Investigation, Visualization
1
Department of Medical Oncology and Hematology, University Hospital Zurich, Zurich, Switzerland
Hui Chyn Wong
Investigation
1
Department of Medical Oncology and Hematology, University Hospital Zurich, Zurich, Switzerland
Takashi Nagasawa
Methodology, Resources
3
Department of Microbiology and Immunology, Osaka University, Osaka, Japan
Markus G. Manz
Conceptualization, Supervision, Validation
1
Department of Medical Oncology and Hematology, University Hospital Zurich, Zurich, Switzerland
Annette Oxenius
Conceptualization, Funding acquisition, Methodology, Resources, Supervision
2
Institute of Microbiology, ETH Zurich, Zurich, Switzerland
César Nombela-Arrieta
Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Resources, Supervision, Validation, Visualization, Writing - original draft, Writing - review & editing
1
Department of Medical Oncology and Hematology, University Hospital Zurich, Zurich, Switzerland
Correspondence to César Nombela-Arrieta: Cesar.NombelaArrieta@usz.ch
Disclosures: The authors declare no competing interests exist.
*
S. Isringhausen and Y. Mun contributed equally to this paper.
Received:
November 01 2019
Revision Received:
August 11 2021
Accepted:
October 05 2021
Online Issn: 1540-9538
Print Issn: 0022-1007
Funding
Funder(s):
Heubergstiftung
Funder(s):
Swiss National Science Foundation
- Award Id(s): 310030_166078,310030B_166673/1,31003A_159597/1,310030_185171
Funder(s):
Seventh Framework Programme
Funder(s):
Marie Curie Career Integration Program
- Award Id(s): PCIG13-GA-2013-618633
Funder(s):
Vontobel-Stiftung
Funder(s):
Monique Dornonville de la Cour Foundation
Funder(s):
Helmut Horten Stiftung
© 2021 Isringhausen et al.
2021
This article is distributed under the terms of an Attribution–Noncommercial–Share Alike–No Mirror Sites license for the first six months after the publication date (see http://www.rupress.org/terms/). After six months it is available under a Creative Commons License (Attribution–Noncommercial–Share Alike 4.0 International license, as described at https://creativecommons.org/licenses/by-nc-sa/4.0/).
J Exp Med (2021) 218 (12): e20192070.
Article history
Received:
November 01 2019
Revision Received:
August 11 2021
Accepted:
October 05 2021
Citation
Stephan Isringhausen, YeVin Mun, Larisa Kovtonyuk, Nike J. Kräutler, Ute Suessbier, Alvaro Gomariz, Gianluca Spaltro, Patrick M. Helbling, Hui Chyn Wong, Takashi Nagasawa, Markus G. Manz, Annette Oxenius, César Nombela-Arrieta; Chronic viral infections persistently alter marrow stroma and impair hematopoietic stem cell fitness. J Exp Med 6 December 2021; 218 (12): e20192070. doi: https://doi.org/10.1084/jem.20192070
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