Myelodysplastic syndrome (MDS) is a heterogeneous group of diseases affecting hematopoietic stem cells. Children with this disorder have impaired hematopoiesis resulting in peripheral blood cytopenias, hypocellular bone marrows, and are frequently associated with chromosome 7 deletions (monosomy 7). We recently identified heterozygous germline mutations in sterile alpha motif (SAM) domain-9 (SAMD9) and its paralog, SAMD9-like (SAMD9L) in children with monosomy 7 mediated MDS. Surprisingly, the monosomy 7 clone that expands in the bone marrow universally lacks the germline mutation suggesting there is strong selective pressure against the growth of hematopoietic stem cells expressing the mutant proteins. Expression of SAMD9 and SAMD9L is induced by interferons and other inflammatory stimuli and causes reduced cell division and cell growth. Most pathogenic mutations found in patients dramatically enhance these effects, exaggerating the anti- proliferative effects. Our data strongly suggest that SAMD9 and SAMD9L play an important role in pediatric MDS, but there is an inadequate understanding of the cellular and biochemical function of these proteins. The rigor of these findings provides a strong scientific premise to investigate the molecular and biochemical function of these proteins in order to understand their functional role in the development of MDS with monosomy 7. I hypothesize that the hematopoietic cell growth suppression resulting from the expression of mutant SAMD9 or SAMD9L is secondary to changes their protein-protein interaction networks and biochemical function preceding Monosomy 7 development. I will test these hypotheses in the following specific aims using human hematopoietic cells.
In specific aim 1, I will test the hypothesis that protein-protein interactions of SAMD9 and SAMD9L play a regulatory role in hematopoietic cell growth.
In specific aim 2, I will define the biochemical structure and function of SAMD9 and SAMD9L domain(s) necessary for the inhibition of cellular growth. We don?t know the mechanism(s) SAMD9 and SAMD9L employ that leads to the selection of monosomy 7 cells which can progress to MDS. My proposed studies aim to fill these knowledge gaps and will ultimately help drive the field of pediatric MDS research forward, potentially leading to new approaches for the treatment of children with germline SAMD9 and SAMD9L mutations.
Pediatric myelodysplastic syndrome (MDS) with monosomy 7 is associated with germline mutations in SAMD9 or SAMD9L. In this proposal, I will use molecular and structural biochemistry and cell biology experimental models to determine the function of SAMD9 and SAMD9L proteins, and how pathogenic mutations observed in patients alter the proteins? function. We will use these data to elucidate the molecular mechanism by which mutant SAMD9 and SAMD9L lead to bone marrow dysfunction and the development of pediatric MDS with monosomy 7.
