Single-cell transcriptome analysis of bone-marrow residing human megakaryocytes Iain Macaulay1, Willem H Ouwehand2, Sarah Teichmann1 1 Wellcome Trust Sanger Institute-European Bioinformatics Institute Single-Cell Genomics laboratory, Welcome Trust Genome Campus, Hinxton, Cambridge 2 Department of Haematology, University of Cambridge and NHS Blood and Transplant, Cambridge Biomedical Campus, Cambridge Email: [email protected] Group website: www.ebi.ac.uk/research/teichmann Platelets are the second most abundant cell of the blood and a major constituent of thrombi. At places of vascular damage and plaque rupture platelets become activated, adhere to the damaged endothelium and drive thrombus formation, directly contributing to acute heart attacks (AHA) and thrombotic stroke (TS). Current pharmacological therapies focus at the molecular level, reducing their activation and aggregation. While these therapies have enormously improved outcome, particularly AHA resistance is a recognised problem and most platelet inhibitors are ineffective in the management of TS. There is a body of epidemiological evidence, which shows that increased volume and activity of platelets are risk factors of AHA and of poor outcome in the post-event setting. Platelets are delivered to the blood by bone-marrow residing megakaryocytes (MKs). MKs are derived from haematopoietic stem cells (HSCs) and during the final stages of their differentiation they become polyploid. Endomitosis increases chromosome content to levels ranging between 4N and 128N and concomitantly the volume of cytoplasm increases and mature MKs are therefore extremely large (150400 𝞵m). MKs are rare and constitute only 0.01 and 0.05% of the cells in a bone marrow harvest. The MK, and its erythroid equivalent, the erythroblast (EB), are thought to be derived from the bipotent MK-EB progenitor or MEP.1-4 Recent studies suggest however that the HSC may commit to the MK lineage in a more linear fashion and this notion has become far more credible by our recently completed study in transgenic mice.5 MKs can also be generated in the laboratory by culturing HSCs in the presence of thrombopoietin and interkeukin 1β1-3, but high levels of ploidy remain elusive for MKs obtained in vitro. We postulate that the MKs generated in vitro do not reach the level of maturation, which is achieved if the HSC differentiates into MKs in the bone marrow niche1-3. This assumption is supported by the results from our array-based expression study, which identified a substantial number of transcripts present in blood platelets at high levels but absent from in vitro generated MKs. The aim of the proposed project is therefore to more accurately define the transcript landscape of primary MKs and for reasons of comparison of primary EBs. Research Ethics Committee permission has been secured for obtaining samples of bone marrow from the hip bones of AHA patients or of healthy allogeneic blood stem cell donors and from the sternum of patients undergoing elective cardiothoracic procedures. EBs and MKs obtained by culture of CD34+ immune-purified stem cells from cord and adult blood or by forward programming of human induced pluripotent stem cells (iPSC)6 will be used to contrast their transcriptome landscapes with the ones of primary progenitor cells. We are in the unique position to have access to bone marrow samples from up to 80 AHA patients because of the BAMI study, a phase III randomised controlled trial evaluating the effects of stem cell intracoronary reinfusion on post-AHA heart tissue regeneration. Bone marrow will be harvested three days after presentation with the heart attack and sternum harvests are obtained from stable patients undergoing ‘heart’ surgery requiring medium sternotomy. EBs and MKs are obtained from the harvested bone marrow samples or from culture flasks. Because of the rarity of MKs, the aspirate is enriched by a Percoll density gradient centrifugation. Following centrifugation the cells from the lower interface are collected, washed and pelleted and a CD42b antibody separation kit (EasySepTMPE positive selection kit, StemcellTM Technologies) is used to enrich the MKs further. EBs are abundant in bone marrow aspirates and their enrichment is therefore not required. Individual EBs and MKs are picked under 40x objective inverted light microscope using a glass pipette mounted in a micromanipulator and deposited into lysis buffer (0.2% triton, 1U/µL RNAse inhibitor) and stored at -80°C until RNA-seq libraries are prepared. The wet-lab experiments are performed by Fizzah Choudry, a MRC-funded clinical PhD fellow. She has already confirmed the feasibility of the outlined approach and up to 2,000 MKs can be isolated from a 1 ml bone marrow aspirate (5 ml aspirates are routinely obtained with REC permission) and the BRC-EBI fellow will be responsible for the analysis. Fizzah has under supervision of Dr Macaulay used the platform for single-cell RNA sequencing (RNA-seq) currently operational at the WTSI-EBI single-cell genomics centre.7 RNA will be harvested from at least 96 cells per harvest using three biological replicates for EBs and MKs from the seven different biological sources (hip harvest from AHA cases and healthy controls, sternum harvest from ‘elective’ surgery cases, cord and adult blood HSC-derived, forward programmed iPSCs). For hip & sternum samples genomic DNA will be sequenced in addition to the RNA to determine for the first time the level of haplotype silencing by imprinting in polyploid (4N–128N) MKs. Coding single nucleotide variants will inform the imprinting analysis for about 70% of genes at the planned number of samples to be included in our experiment (this is under the assumption that the nature of imprinting is independent of the hip vs sternum niche types and health vs ill-health status of research volunteers). Single cell RNA-seq, including downstream bioinformatics analysis, is well established in the Teichmann group. They have recently collaborated on a quantitative assessment of technical noise in single cell RNA-seq experiments using the ERCC92 spike-in kit of mRNA standards.8 This technology was crucial in their recent work describing a T helper cell subtype that synthesizes steroids de novo, because the single cell transcriptome data revealed a cell surface marker for this Th2 cell population. This provided a means of purifying these cells and characterising their suppressive function in T and B cell co-culture experiments.9 Applying this type of approach to MKs will increase our understanding the basic molecular aspects of differentiation and maturation of primary MKs. This is relevant because of the causative role of platelets in heart attack and thrombotic stroke and the large unmet medical need in stroke management, where the current platelet drugs do not work. The study will complement our recently completed RNAseq study of the eight classical types of blood progenitors, including EBs and MKs, which for the first time revealed extensive alternative splicing at branch points in haematopoiesis.10 In addition the study will answer the following basic cell biology questions: i) is there in humans a subset of transcriptionally MK-primed HSCs, which have recently been identified by us in a transgenic mouse model5, ii) does the level of MK polyploidisation equates with their maturation; this important question continues to be disputed in haematopoiesis community and iii) how does the transcriptome of mature MKs poised to proplatelet formation differs from the MKs that do not show evidence of proplatelet formation. In aggregate the outlined study does not only address questions relevant for the understanding of the pathobiological processes underlining the Number 1 killer in Western society, but also provides key insights in the formation of the MK and its progeny the platelet. The latter is important for the successful delivery of our NIHR, MRC and Wellcome Trust funded regenerative medicine research, which aims to generate platelets for clinical use from MKs obtained from human iPSCs. References 1. Comparative gene expression profiling of in vitro differentiated megakaryocytes and erythroblasts identifies novel activatory and inhibitory platelet membrane proteins. Macaulay IC1, Tijssen MR et al. Blood. 2007;109:3260-9. 2. Genome-wide analysis of simultaneous GATA1/2, RUNX1, FLI1, and SCL binding in megakaryocytes identifies hematopoietic regulators. Tijssen MR, Cvejic A, et al. Dev Cell. 2011;20:597-609. 3. New gene functions in megakaryopoiesis and platelet formation. Gieger C, Radhakrishnan A, Cvejic A, et al. Nature. 2011;480:201-8. 4. Compound inheritance of a low-frequency regulatory SNP and a rare null mutation in exon-junction complex subunit RBM8A causes TAR syndrome. Albers CA, Paul DS, et al. Nat Genet. 2012;44:435-9. 5. Platelet-biased stem cells reside at the apex of the haematopoietic stem-cell hierarchy, Sanjuan-Pla A, Macaulay IC, et al. Nature. 2013;502:232-6. 6. Generation of mature megakaryocytes from pluripotent stem cells by a chemically-defined transcription factor-based forward programming approach. Morreau T, Evans A, et al. Nat Methods, 2014; submitted 7. Single-cell paired-end genome sequencing reveals structural variation per cell cycle. Voet T1, Kumar P, et al. Nucleic Acids Res. 2013;41:6119-38. 8. Accounting for technical noise in single-cell RNA-seq experiments. Brennecke P, Anders S, et al. Nat Methods. 2013;10:1093-5. 9. Single cell RNA-sequencing reveals T helper cells synthesizing steroids de novo to contribute to immune homeostasis. Mahata B, Zhang X, et al. Cell Reports. 2014;7:1130-42. 10. Transcriptome analysis of human hematopoietic progenitor cells reveals extensive alternative splicing at lineage commitment. Chen L, Kostadima M, et al. Science. 2014; accepted pending minor revisions.
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