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Schlafen2 is a regulator of quiescence in adult murine hematopoietic stem cells

Even though hematopoietic stem cells (HSC) are characterized by their ability to self-renew and differentiate, they primarily reside in quiescence. Despite the immense importance of this quiescent state, its maintenance and regulation is still incompletely understood. Schlafen2 (Slfn2) is a cytoplasmic protein known to be involved in cell proliferation, differentiation, quiescence, interferon response, and regulation of the immune system. Interestingly, Slfn2 is highly expressed in primitive hematopoietic cells. In order to investigate the role of Slfn2 in the regulation of HSC we have studied HSC function in the elektra mouse model, where the elektra allele of the Slfn2 gene contains a point mutation causing loss of function of the Slfn2 protein. We found that homozygosity for the elektra allele caused a decrease of primitive hematopoietic compartments in murine bone marrow. We further found that transplantation of elektra bone marrow and purified HSC resulted in a significantly reduced regenerative capacity of HSC in competitive transplantation settings. Importantly, we found that a significantly higher fraction of elektra HSC (as compared to wild-type HSC) were actively cycling, suggesting that the mutation in Slfn2 increases HSC proliferation. This additionally caused an increased amount of apoptotic stem and progenitor cells. Taken together, our findings demonstrate that dysregulation of Slfn2 results in a functional deficiency of primitive hematopoietic cells, which is particularly reflected by a drastically impaired ability to reconstitute the hematopoietic system following transplantation and an increase in HSC proliferation. This study thus identifies Slfn2 as a novel and critical regulator of adult HSC and HSC quiescence.


Introduction
Hematopoietic stem cells (HSC) typically reside in a dormant state in the bone marrow (BM). They are kept under tight regulation by both intrinsic factors and extrinsic factors provided by surrounding cells in the BM niche, 1 affecting the various fate options of HSC, such as quiescence, self-renewal, and differentiation. The longevity of adult HSC is in large due to their maintenance in a quiescent (G 0 ) state. 2 Several factors regulate entry into the proliferating G 1 phase (followed by S/G 2 /M phases), including Cyclin-Cdk complexes, the Ink4 proteins (e.g., p15, p16, p18), as well as CIP/KIP family members (p21, p27, p57) and their regulators such as p53. 2 It has been suggested that HSC quiescence correlates with repopulation potential and self-renewal capacity. 3 Considerable work remains in the long-term aim of mapping the HSC regu-latory network, in particular regarding the regulation of quiescence. The Schlafen (Slfn) proteins are a largely uncharacterized protein family with roles in cell proliferation, differentiation, immune system regulation, and interferon (IFN) response. [4][5][6][7] Slfn2 belongs to subgroup I, the shortest of the Slfn proteins, and has in cell lines been shown to localize exclusively in the cytoplasm. 8 In previous studies, the function of Slfn2 has primarily been characterized in cell lines and to a lesser extent in immune cells. Recent work identified Slfn2 as a critical regulator of T-cell quiescence and apoptosis. Using a mouse model containing a loss of function point mutation in the Slfn2 gene (the so called elektra allele, which renders an isoleucine-to-asparagine substitution of residue 135 of the 378 amino acid protein), it was shown that elektra homozygous T cells proliferated excessively and underwent apoptosis upon cytokine-me-diated activation. 9 Additionally, small interfering RNA (siRNA)-mediated knockdown (KD) of Slfn2 in Sca1 + mouse BM cells enhances proliferation in colony formation assays. 5 Slfn2 is also known to be expressed in a primitive self-renewing hematopoietic cell line, and its expression is downregulated when these cells are differentiated to various lineages. 10 Cell proliferation, differentiation, and quiescence are important features for HSC regulation, where quiescence is a fundamental characteristic of HSC. Due to the decrease in expression of Slfn2 with hematopoietic cell differentiation, and the apparent link between Slfn2 and quiescence, we hypothesized that Slfn2 has a role in the regulation of HSC. In order to investigate the role of Slfn2 in vivo, we made use of the previously characterized elektra mouse model. 9 Interestingly, we can show that elektra HSC have a severely impaired capacity to regenerate the hematopoietic system of irradiated mice and elektra hematopoietic stem and progenitor cells (HSPC) are in a state of excessive cycling and apoptosis. Our study thus identifies Slfn2 as a critical regulator of adult murine HSC quiescence and function.

Ethical approval
All animal experimental procedures were approved by the regional Animal Ethical Committee in Lund.

Flow cytometry and fluorescense-activated cell sorting
Flow cytometry analyzes were performed on a Beckton Dickinson CantoII or custom order LSRII at the Lund University FACS core. Sorting was performed on a custom order AriaII or AriaIII. A list of antibodies is provided in the Online Supplementary Table S1. HSPC compartments were defined by using markers for lineages (Ter119, B220, CD3, Mac1, Gr1), Sca1, and c-kit, with CD34/Flt3 or CD150/CD48 and CD9. 11 Progenitor analyzis was done as previously described. 12 Apoptotic cells were defined using AnnexinV and cell cycle analysis was done by intracellular staining for Ki67/DAPI (Molecular Probes, Invitrogen). For cell cycle analysis, cells were fixed and permeabilized using 0.4% formaldehyde and 0.2% Triton-X. Flow cytometry data was analyzed in FlowJo (TreeStar software). In this study, analysis of primitive hematopoietic cells was done using LSK (Lineage -Sca1 + c-kit + ) with either CD34/Flt3 or CD150/CD48. In order to distinguish between these analyzed populations of primitive hematopoietic cells we use the following terminology. LSK CD34 -Flt3stem cells are called CD34-LTHSC (long-term HSC) or defined by markers if only abbreviated LTHSC. Other populations in this analysis modality are short-term HSC (ST-HSC; LSK CD34 + Flt3 -) and lymphoid-primed multipotent progenitors (LMPP; LSK CD34 + Flt3 + ). LSK CD150 + CD48stem cells are called SLAM-LTHSC or defined by markers if only abbreviated LTHSC. Other populations in this modality are MPP (LSK CD150 -CD48 -) and lineage restricted progenitor (LRP; LSK CD150 -CD48 + ). The abbreviation HSC is also used as a broader term for hematopoietic stem cells regardless of cell surface markers.

Knockdown of Slfn2
For knockdown (KD) of Slfn2, lentiviral plasmid pGFP-C-shLenti containing short hairpin RNA (shRNA) targeting Slfn2 or scrambled (Scr) shRNA (OriGene) was used to produce lentiviral particles at the Stem Cell Center Vector Core Facility (Lund University). C-kit-enriched BM cells from WT mice were placed into virus-loaded plates at an MOI of 50 and incubated overnight (37°C, 5% CO2). Transduced cells were collected and transplanted into lethally-irradiated recipient mice. An aliquot of cells was cultured for flow cytometry analysis of transduction efficiency after 48 h. Experiment schematic is outlined in the Online Supplementary Figure S1A. BM of transplanted animals was analyzed at 16-18 weeks after transplantation. Recipient and donor cells were discriminated using the markers CD45.1 versus CD45.2. Additional methods are included in the Online Supplementary Appendix.
compartments, quantitative polymerase chain reaction (qPCR) analysis was performed on WT murine BM. We found that CD34-LTHSC (LSK CD34 -Flt3 -) had higher expression of Slfn2 than short-term HSC (ST-HSC; LSK CD34 + Flt3 -) and lymphoid-primed multipotent progenitors (LMPP; LSK CD34 + Flt3 + ) ( Figure 1A) and hypothesized that Slfn2 has a role in regulation of LTHSC specifically. We also saw a high expression in Lin+ cells ( Figure 1A), which can be explained by the role of Slfn2 in lymphocytes and lymphocyte progenitors. Our data is in line with findings presented in the online gene expression tool BloodSpot. 13 The elektra point mutation does not affect mRNA level or subcellular localization As previous studies have shown that Slfn2 localizes exclusively in the cytoplasm in cell lines, 8 we investigated whether this was the case also for its mutated form elektra. Myc-tagged Slfn2 and elektra were overexpressed in transfected HT1080 cells, which were then stained using anti-Myc and DAPI and analyzed for fluorescent signal. In contrast to previous findings, we saw that both Slfn2 and elektra localize to both the cytoplasm and nucleus in the above cell line (Online Supplementary Figure S2A). There is a reduced number of granulocyte-macrophage progenitors (GMP) (L -S -K + CD41 -FcR + CD150 -) and PreGM (L -S -K + CD41 -FcR -CD150 -CD105 -) cells in elektra mice (n=7-8). (F) Elektra BM cells show reduced colony formation capacity in CFU-GM assays (n=6-9). Steady state analyses were also done in mice heterozygous for the elektra allele; these data are not shown, as they did not differ significantly compared to wild-type (WT) mice.

A B C D E F
Previous research also suggests a possible, though debated, connection between the Schlafen proteins and CyclinD1. 14,15 Quantitative PCR analysis of mRNA in Slfn2 WT or deficient (elektra) murine SLAM-LTHSC (LSK CD48 -CD150 + ) showed no difference in levels of CyclinD1 mRNA. We further confirmed that the Slfn2 mRNA levels are not changed, i.e., the elektra mutation does not cause degradation or dysregulation at the mRNA level (Online Supplementary Figure S2B).

Slfn2 deficiency causes perturbations in steady state hematopoietic parameters
In order to investigate the effect of Slfn2 on steady state hematopoietic parameters we performed flow cytometry analyses on blood and BM of elektra mice. Mice homozygous for the elektra allele had unaltered steady state blood parameters ( Figure 1B; Online Supplementary Figure  S3A), except for a significant reduction in T cells ( Figure  1B) at 8 weeks of age. This was, however, not observed in blood of 12-week-old mice (Online Supplementary Figure  S3B) or in BM (data not shown). We found reduced HSPC compartments in BM, with a significant reduction in the LSK and LMPP fraction ( Figure 1C) and when staining for SLAM markers we similarly saw a reduction in the multipotent progenitor (MPP) fraction ( Figure 1D). We also found that elektra mice had a significantly lower number of granulocyte-macrophage progenitors (GMP) and PreGM cells ( Figure 1E). Accordingly, when assessing progenitor colony formation in methylcellulose (CFU-GM) assays there was a reduced colony-forming activity in elektra BM cells ( Figure 1F). Heterozygous mice did not show any significant differences in steady state hematopoietic parameters (data not shown). Together, our data show that dysregulation of Slfn2 causes perturbed steady state hematopoietic parameters in BM, such as reduced HSPC compartments and colony-forming activity.

Reduced regenerative capacity of hematopoietic stem cells following loss of Slfn2 function
In order to assess the role of Slfn2 in long-term repopulation potential of HSC we performed serial transplantations of whole BM as well as of purified SLAM-LTHSC (LSK CD9 high CD150 + CD48 -) (schematic in Figures 2A and 3A). Following competitive whole BM transplantation into irradiated recipient mice, we found that elektra homozygosity causes a significant and robust reduction in reconstitution of blood and BM compared to WT littermates 16 weeks after transplantation ( Figure 2B and C). There were no significant differences in lineage repopulation of blood (Online Supplementary Figure S4A to C). When analyzing reconstitution of HSPC compartments in primary recipients we observed a significant decrease in frequency of immunophenotypic LTHSC and MPP as defined by LSK expressing CD150 and CD105 (endoglin), but not based on Continued on following page.

A B C D E
expression of CD34 and Flt3 ( Figure 2D). When comparing absolute numbers of engrafted HSPC we saw similar results, but with a near-significant decrease in CD34-LTHSC as well as a significant decrease in ST-HSC ( Figure 2E). When following CD34-LTHSC engraftment through primary, secondary, and tertiary transplantations, we continued to find no significant differences in either frequency or number of engrafted WT versus elektra LTHSC (Online Supplementary Figure S5A and B).
The FACS gating strategy used for purifying HSC for transplantation is shown in Figure 3B. The above-described reduced regenerative capacity was recapitulated and exacerbated following transplantation of purified SLAM-LTHSC ( Figure 3C and D), indicating that Slfn2 is essential for LTHSC specifically and that reconstitution levels following whole BM transplant is partially rescued by downstream progenitor cells. There were again no significant differences in lineage repopulation of blood (Online Supplementary Figure S4D and F). All primitive HSPC populations as defined by LSK with SLAM markers CD150 and CD48 were significantly reduced in both frequency and number in the BM of primary recipients ( Figure 3E and F). When analyzing primitive cells by the LSK CD34 Flt3 immunophenotype we found a significant decrease in LSK cells (frequency and absolute numbers engrafted) as well as frequency of ST-HSC and engrafted number of LMPP ( Figure 3G and H). Though LSK CD48 -CD150 + LTHSC continued to show a clear decrease in secondary and tertiary recipients, the differences no longer reached statistical significance (Online Supplementary Figure S5C and D). These data establish an essential role for Slfn2 in HSC transplantation, where loss of Slfn2 function leads to a dramatic decrease in engrafting LTHSC.

Gene expression analysis reveals elektra-induced changes in molecular programs important for hematopoietic stem cell function
In order to map the mechanism through which Slfn2 exerts its effect on HSC, we purified SLAM-LTHSC (LSK CD9 high CD48 -CD150 + ) and performed microarray analysis. Differentially-expressed genes in elektra SLAM-LTHSC are depicted in the heat map in Figure 4A. Interestingly, both gene ontology analysis (DAVID) and gene set enrichment analysis (GSEA) rendered several clusters of enriched genes in elektra LTHSC, where many of these were associated with HSC fate decision-related processes like cell cycling, differentiation, and apoptosis (Table 1; Online Supplementary Figure S6).
As the MPP population was also decreased in frequency in elektra homozygous mice ( Figure 1D), we similarly purified LSK CD150 -CD48cells for microarray analysis. The number of differentially-expressed genes caused by the elektra mutation in MPP (visualized in the heat map in Figure 4B) was substantially lower compared to that in HSC and only very few genes were involved in functions related to primitive hematopoietic cells or self-renewal (Online Supplementary Figure S7). Together, this data supports a relevant function for Slfn2 in the most primitive HSC and less of a role in the downstream progenitor cells. However, note that these results may be affected by a high fraction of apoptotic MPP in elektra mice (see below) and future studies may need to investigate differentially-expressed genes specifically in the subpopulation consisting of apoptotic MPP.

Increased cycling and apoptosis of Slfn2-deficient hematopoietic stem cells
The previously established role of Slfn2 in cell proliferation together with our microarray findings indicate that dysregulation of Slfn2 would have an effect on apoptosis and cell cycle status of HSC. Indeed, flow cytometry analysis of Ki67 expression and DAPI staining in LSK SLAM compartments ( Figure 5A) showed that elektra HSPC had an increased fraction of cycling cells. We found a significantly lower fraction of cells in G 0 in LSK, MPP, and LRP (LSK CD150 -CD48 + ) compartments, as well as a higher fraction of G 1 cells in the SLAM-LTHSC and MPP compartments ( Figure 5B to E). In order to determine the apoptotic status of elektra HSPC we similarly analyzed Annexin V expression in LSK SLAM populations ( Figure 5A), and found a significantly higher fraction of apoptotic HSC and MPP ( Figure 5F). In order to further assess the effect of Slfn2 on HSPC cycling, we investigated recovery after treatment with the myelotoxic agent 5FU. In accordance with the already increased fraction of cycling elektra SLAM-LTHSC, 10-11 days after a 0.15 mg/g dose of 5FU, two of three elektra mice died while all WT mice survived ( Figure 5G). We also found that elektra mice treated with 5FU could be rescued by a subsequent transplantation of fresh WT BM cells ( Figure 5G). Finally we analyzed Slfn2 gene expression 2 days after 5FU injection, where Slfn2 is found to be upregulated ( Figure 5H). This establishes a role for Slfn2 in HSC stress response.
Taken together, our data shows excessive cycling and apoptosis of cells with dysregulated Slfn2. We also find

G H
Slfn2 upregulated following 5FU treatment in vivo, and decreased survival of 5FU-treated elektra homozygous mice.

Slfn2 knockdown is similar to Slfn2 elektra, a loss of function mutation
The elektra mutation is considered a Slfn2 loss-of-function. 9 However, since both Slfn2 elektra mRNA and protein levels are readily detected in elektra mice, we further in-vestigated the effect of loss of Slfn2 using shRNA KD transplantation experiments. Here, ckit-enriched WT BM cells underwent viral transduction with either a Slfn2-KD or a Scr shRNA vector prior to transplantation. The transduction efficiency at transplantation was significantly higher for the Slfn2-KD vector ( Figure 6A). Despite this, 16 weeks post-transplantation we found a trend towards decreased engraftment of Slfn2-KD cells in most analyzed   Table 1. Gene ontology analysis of the microarray data shows several cell cycle-associated clusters upregulated in elektra long-term hematopoietic stem cells.
List of gene clusters (gene ontology terms or KEGG pathway terms) upregulated or downregulated in elektra long-term hematopoietic stem cells (LTHSC, LSK CD9 hi CD48 -CD150 + ) in comparison to wild-type (WT) LTHSC. This list was created from online analysis (using the tool DAVID) of our in-house generated list of genes up-and downregulated in the microarray of elektra LTHSC.
BM populations ( Figure 6B-I) with a near significant decrease in engrafted GFP+ donor LTHSC (LSK CD34 -Flt3 -) ( Figure 6I; P=0.0501). We also found a near significant decrease of engraftment of Slfn2-KD cells in blood (Online Supplementary Figure S1B). In conclusion, Slfn2-KD cells behave, in a transplantation setting, similarly to Slfn2 elektra cells, further supporting the hypothesis that Slfn2 is critical for HSC function.
The elektra isoleucine-to-asparagine substitution is predicted to be damaging The elektra mutation is a so-called missense mutation where mutation of a single nucleotide leads to a single amino acid substitution at residue 135 of the 378 amino acid protein (Online Supplementary Figure S8A and B). Analysis of protein secondary structure using AlphaFold 16 shows that residue 135 is localized in a β sheet structure and is buried, not exposed (Online Supplementary Figure  . The substitution is predicted to affect both secondary structure and protein binding as analyzed by Predict-Protein 17 (Online Supplementary Figure S9). It is also predicted to have a damaging effect in PolyPhen-2 18 analysis with a high likelihood score of 0.998. This is in line with our data and previous studies. Additional results in are included in the Online Supplementary Appendix.

Discussion
Knowledge of the role of Slfn2 in hematopoiesis is limited to studies on immune cells and osteoclastogenesis. RANKL-mediated osteoclast differentiation has been shown to induce Slfn2 expression in BM-derived monocytes/macrophages and in an osteoclast precursor cell line. 6 Slfn2 is also a critical regulator of T-cell quiescence, as it has been shown that the dysregulation of Slfn2 causes increased proliferation and apoptosis in T cells. 9 Thus, there is a clear need for further investigations of the role of Slfn2 in hematopoiesis and stem cell biology. Slfn2 is known as a regulator of quiescence, proliferation, and differentiation -properties that are all fundamental for HSC function. The novel data presented here implicates Slfn2 as a critical regulator of adult murine HSC, particularly regarding cell cycle status, apoptosis, and hematopoietic regeneration. We initially found that Slfn2 is expressed in LTHSC at a higher level than in ST-HSC and LMPP, supporting our hypothesis that this protein has a role in LTHSC. We then investigated the function of Slfn2 by using the loss-of-function elektra mouse model, where the so-called elektra allele contains a point mutation in the Slfn2 gene. 9 Here, we report that elektra homozygosity leads to reduced fractions of HSPC in vivo, including significantly reduced LSK CD34 -Flt3 -LTHSC. We also found decreased amounts of GMP and PreGM cells and a corresponding decrease in colony formation capacity following loss of Slfn2 function. These data indicate a role for Slfn2 in the regulation of early hematopoietic cells. In order to assess the role of Slfn2 in HSC function, elektra BM cells and purified SLAM-LTHSC (LSK CD9 high CD48 -CD150 + ) were serially transplanted. We found a drastic reduction in reconstitution in comparison to WT littermate mice, in particular following transplantations of sorted LTHSC, suggesting a role for Slfn2 specifically in LTHSC. The comparatively higher engraftment following whole BM transplantation, in comparison to transplantation of purified LTHSC, could be explained by residual activity of intermediate term HSC at 16 weeks post-transplantation; 19 cells which may not have a similar dependence on Slfn2 as LTHSC.
In order to assess the effect of Slfn2 dysregulation on the BM niche we performed reverse transplantations, which showed no differences in overall engraftment in elektra or WT littermate recipients. However, we found a trend towards increased engraftment of LTHSC in the BM of elektra recipients. This can also be due to decreased fitness of elektra HSC, with fewer competing residual HSC in the elektra BM after irradiation. The mechanism through which Slfn2 acts is still largely unexplored. Previous studies have suggested (and debated) a connection between Slfn proteins and Cyc-linD1, 14,15 which would fit with our observations. However, we found that CyclinD1 is not differentially expressed in elektra LTHSC. Instead we found, in a microarray analysis of elektra LTHSC, dysregulation of several other cell cycleassociated genes. Gene ontology analysis and GSEA of the microarray hits show upregulation of clusters of cell cycle and cell division genes in elektra HSC. In order to exemplify, in our list of genes upregulated in elektra HSC we found Cdk6 (involved in G 1 /S transition and regulated by CyclinD proteins), Ccna2 (involved in S/G 2 /M progression), Cks2 (involved in CDK regulation and cell cycle progression), and Ccnb2 (suggested involvement in TGFβ-mediated cell cycle control). Interestingly, Meg3 and Rian, known to be expressed in quiescent long-term HSC, 20 are downregulated in elektra HSC. We also found down-regulation of Igf2bp2, which has recently been shown to be important for the function of young HSC in mice. 21 Additionally Ccnb2 along with the also upregulated gene Ifi27l1 have previously been found upregulated in HSC of IFNtreated mice. 22 We also found upregulation of Cd53, which is involved in IL2 signaling and thus also connected to inflammation and IFN. The putative connection between Slfn2 and IFN is discussed further below.
In accordance with our microarray data, as well as the known role of Slfn proteins in cell quiescence and proliferation and a similar phenotype previously reported for elektra T cells, 9 we found that Slfn2 deficiency leads to a lower fraction of cells in G 0 and a higher fraction in G 1 in HSPC compartments. Additionally, we found an augmented fraction of apoptotic (Annexin V + ) HSC and MPP in the elektra BM. Cell cycling was also indirectly investigated through assessment of hematopoietic stress response, specifically recovery following 5FU treatment. 5FU is a chemotherapeutic agent, causing death of cycling cells and a subsequent increase in cycling of quiescent cells to replenish lost cell populations. 23 Two days after 5FU treatment in WT mice Slfn2 is upregulated in HSC. At day 10-11 after 5FU treatment, two of three Slfn2-deficient mice had died whereas all WT littermates survived. Interestingly, elektra mice treated with 5FU were rescued if transplanted with fresh BM cells, showing that death in these mice is likely due to BM failure and not due to systemic effects of 5FU on elektra cells in other organ systems. A possible explanation of these observations could be that the already increased cycling and apoptosis at steady state is exacerbated by 5FU treatment and leads to HSC exhaustion in elektra mice.
Our results are also in line with previous work showing how increased cycling of HSC is associated with reduced engraftment, 24,25 i.e., the cycling phenotype seen here also explains at least in part the reduced engraftment of elektra HSC.
Our study also shows that both the Slfn2 and elektra pro-tein localize to both cytoplasm and nucleus in HT1080 cells, which is in contrast to previous studies showing exclusive cytoplasmic localization. 8 This new data opens up the possibility of nuclear transcriptional activity of the Slfn2 protein, though localization of Slfn2 is likely to be cell type specific. Finally, we demonstrate that KD of Slfn2 in BM cells prior to transplantation leads to an engraftment phenotype similar to that of the elektra cells. This in combination with lack of phenotype in elektra heterozygotes supports the current standing hypothesis that elektra is a loss-offunction mutation. Previous studies in cell lines have shown that Slfn gene expression is induced by IFN treatment. 5,26 Interestingly, our phenotype has several similarities to a knockout mouse model of Irgm1, which is an IFN-inducible GTPase. It has been shown that the protective effect of Irgm1 is exerted through negative regulation of IFN signaling. 27,28 In addition, it is known through earlier work that IFN treatment causes HSC to exit G 0 and enter an active cell cycle state. 22,29 As our data shows that dysregulation of Slfn2 leads to an increase in cycling cells, we find it unlikely that the proliferative effect of IFN on HSC is mediated by Slfn2. It would seem more probable that Slfn2, like Irgm1, is part of the negative feedback inhibition of IFN signaling, to induce re-entry into quiescence and, thus prevent HSC exhaustion following a physiological IFN response. Earlier work has also suggested p53 as an inducer of quiescence, in addition to its role in apoptosis initiation. 30,31 Similarly, p57 has been implicated in the maintenance of the G 0 (quiescent) state of HSC. 32,33 Mice with a conditional knockout of p57 also have a phenotype similar to that of the elektra mouse model investigated here. It has been shown that p57-deficiency causes a severe defect in HSC self-renewal, a reduction in HSPC populations, reduction of HSPC in G 0 phase, increased apoptosis, as well as a decrease in colony-forming activity of the HSC. 32 Though we found that neither p53 nor p57 were directly affected in elektra HSC, it would be of value in future work to also investigate a putative connection between these two genes and Slfn2 in HSC. In summary, this study identifies Slfn2 as a novel and critical regulator of adult murine HSC, through regulation of their quiescence status. We show that loss of Slfn2 function, via homozygosity for the elektra mutation in the Slfn2 gene, leads to abnormal cell cycle status and apoptosis, which results in a drastic reduction in reconstitution following HSC transplantation and a poor response to hema-topoietic stress induced by 5FU. Further studies are needed to map the effect of Slfn2 activation in the maintenance of the stem cell state. Additionally, it is known that HSC cycling and quiescence is altered in aging and hematopoietic malignancies 2 and Slfn2, as a new cell cycle regulator involved in HSC function, may therefore be of value for future work in these research areas.

Disclosures
No conflicts of interest to disclose.