The pool of candidates for treatment of hematologic malignancies via bone marrow (BM) transplants has greatly expanded due to advancements in conditioning strategies, but these carry an increased risk of failure and complications as patients age. Myelosuppressive treatment can cause irreversible damage to the BM niche, hindering the recovery of the hematopoietic system. BM endothelial cell (EC) signaling is indispensable for supporting hematopoietic stem cell (HSC) self-renewal and differentiation, and age-related loss of vascular integrity negatively affects HSC’s ability to recover postmyelosuppression. Using our previously defined premature vascular aging model, we identified thrombospondin-1 (Thbs1) as a progerontic factor that, when globally knocked out (KO’ed), preserves HSC function in aged mice. We created a Thbs1-GFP reporter mouse, unveiling ECs, megakaryocytes, osteoblasts, and myeloid and stromal cells to be Thbs1-producing cells in the BM niche. Cell-specific deletion of Thbs1 from these cells, followed by competitive stem cell transplantations, revealed that only KO of EC-derived Thbs1 preserves HSC functionality during aging, as seen in the global Thbs1 KO. Furthermore, myelosuppression on our Thbs1-GFP reporter showed dynamic Thbs1 expression throughout recovery within BM cells, indicating that cell-specific Thbs1 plays a role during recovery. Myelosuppressed Thbs1 global KO mice exhibited earlier and more robust multilineage hematologic reconstitution, notably in the clinical marker of neutrophil recovery, which is recapitulated in the EC-specific Thbs1 KO model. Collectively, we show that EC-derived Thbs1 plays a crucial role in the aging of the BM niche and recovery postmyelosuppressive treatment, validating it as a therapeutic target to support the regeneration of the hematopoietic system following myelosuppression in aged patients facing malignancy.
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