Demonstration of human mast cell progenitors in the bone marrow
Authors: Maya Salomonsson, Johanna Ungerstedt, Perla A. Alvarado‐Vazquez, Jenny Hallgren
Journal: Allergy (2019)

To the editor Mast cells are tissue-resident cells widely recognized for their role in asthma and allergy. In inflammatory diseases, mast cells accumulate and become activated in particular sites of affected tissues such as, for example in the bronchial smooth muscles of allergic asthmatics.1 Using in vivo models, we and others have shown that these inflammation-induced mast cells originate from mast cell progenitors (MCp).2 For decades, human mast cells have been differentiated in vitro from uncommitted progenitor cells isolated from, for example peripheral blood and bone marrow (BM). In the current study, a population of MCp in the BM of healthy adults was identified, which was more frequent, and had lower surface expression of integrin β7 than the recently described MCp population in the blood.3 Integrin β7 is required for transmigration of mouse MCp into the lung.4 Thus, we speculate that integrin β7 is upregulated on the human MCp upon release from the BM in preparation for their transmigration from the blood to the peripheral tissues. Using flow cytometry, BM samples from healthy donors were investigated for the possible presence of a MCp population. In comparison with peripheral blood samples from the same individuals (n = 11), the BM was enriched in lineage (Lin)− (CD4− CD8− CD19− CD14−) cells, Lin− CD34hi cells and Lin− CD34hi CD117+ cells (Figure 1A). A population of Lin− CD34hi CD117+ FcεRI+ cells was found in healthy BM (Figure 1D), which was similar but 14-fold more frequent than the known MCp population in peripheral blood (Figure 1B and I). In one set of experiments, Lin− CD34hi CD117+ FcεRI+ cells from the BM and blood from seven donors were isolated by fluorescence-activated cell sorting (FACS) and either cultured in a myeloid-erythroid cytokine cocktail for 7 days or analysed directly. The primary BM Lin− CD34hi CD117+ FcεRI+ cells demonstrated immunofluorescence for mast cell tryptase (Figure 1E). Re-analysis of the respective progeny cells by flow cytometry revealed that all cells had an intermediate CD117 expression after culture and that a proportion of them had lost FcεRI surface expression (Figure 1F and J). The loss of FcεRI expression upon in vitro culture of the human peripheral blood MCp during the same culture conditions was reported previously,3 and FcεRI− mast cells have been demonstrated in vitro5 and shown residing in the alveolar parenchyma in vivo.6 Regardless, there was no difference in the expression of FcεRI between the BM and blood progenies (39.8% ± 10.2% and 52.7% ± 12.0%, respectively). The BM progeny cells had a similar mast cell-like morphology, determined by May-Grünwald-Giemsa staining (Figure 1G), as the blood progeny cells (Figure 1K). Further, the progeny cells from both sources expressed various levels of tryptase (Figure 1H and L). Altogether, the progenies of the Lin− CD34hi CD117+ FcεRI+ cells from the BM and blood were similar in terms of morphology and surface expression of CD117 and FcεRI, indicating that both populations consisted of MCp. To verify this, mRNA expression of mast cell-related genes was assessed in MCp from three donors. Both MCp populations expressed similar levels of mRNA of CD117 (KIT), the FcεRI alpha chain (FCER1A), carboxypeptidase A3 (CPA3), hematopoietic prostaglandin D synthase (HPGDS), serglycin (SRGN) and tryptase alpha/beta I/II (TPSAB1/TPSB2) (Figure 1C). As both the CD34+ cells and the MCp were more frequent in the BM than in the blood, we investigated whether the MCp frequency was related to the frequency of CD34+ cells. Indeed, the levels of MCp correlated with the frequency of CD34hi cells in BM and blood from 11 donors (Figure 2A and B). To assess the proliferation capacity, 50 BM and blood MCp from 7 donors were cultured in a myeloid-erythroid cytokine cocktail for 7 days, before quantification by flow cytometry. The MCp proliferation capacity was variable between donors and the number of progenies after culture did not differ between the MCp from blood (866 ± 375) and BM (1028 ± 433) (Figure 2C). On average, the MCp divided approximately four times. The proliferation capacity of the MCp populations in BM (n = 4) and blood (n = 3) was also compared by determining the protein expression of the intracellular proliferation marker Ki-67. Most MCp from both sources were positive for Ki-67 (Figure 2D). As the MCp were in a highly proliferative state but divided poorly in vitro, our culture system was insufficient in supporting mast cell proliferation. Next, the surface expression of the IL-33 binding receptor ST2, integrin β7 and the IL-3 receptor (IL-3R) on primary blood and BM MCp from the same three donors was determined by flow cytometry. The membrane-bound ST2 receptor is expressed on mouse MCp7 and human in vitro-derived mast cells.8 However, the human MCp from BM and blood lacked or had minimal ST2 surface expression (Figure 2E). Mouse MCp express integrin β7,7 and the α4β7 integrin is functionally important for the transmigration of MCp into the lung in a mouse model of allergic airway inflammation.4 In humans, α4β7 is required for transmigration of lymphocytes into the gut and a therapeutic target in inflammatory bowel diseases. Interestingly, the surface expression of integrin β7 was three times higher in the blood MCp than in the BM MCp (Figure 2F). We speculate that the MCp upregulates integrin β7 expression as they leave the BM and that integrin α4β7 is involved in the transmigration of human circulating MCp into tissues. As surface expression of the IL-3R was reported on SSClo CD14− CD34+ CD117int/hi FcεRI+ blood MCp,9 the surface expression of IL-3R was compared between BM and blood MCp. In all donors, the relative IL-3R expression was higher in the BM MCp compared to the blood counterparts (Figure 2G). In conclusion, we establish the presence of a MCp population in the BM of healthy subjects, which is more frequent in numbers compared to peripheral blood MCp from the same donors. Blood and BM MCp have a similar expression of mast cell-related genes and demonstrate a mast cell-like phenotype after in vitro culture. However, the blood MCp have three times higher surface expression of integrin β7 than the BM MCp, indicating that the circulating MCp are preparing to transmigrate into tissues. This work is supported by The Swedish Research Council, The Swedish Heart-lung foundation, Ruth and Nils-Erik Stenbäck Foundation, Gustav V:s 80th anniversary Foundation, Apotekare Hedberg's Foundation for Medical Research, Konsul ThC Bergh's Foundation, and Ellen, Walter and Lennart Hesselman Foundation (to JH) and the Swedish Cancer Society (to J.U). The authors declare no conflicts of interest. MS and JH conceived the idea and designed the study; JU recruited the healthy donors and arranged the sampling; MS performed the experiments; PAA-V. performed one set of experiments; MS, PAA-V., and JH analysed the data; MS and J.H wrote the manuscript; JU and PAA-V critically reviewed the manuscript and approved of submission. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.