Evidence map›Paper›PMID 41253811›Full record

ArticleNature communications2025

Inflammatory stromal and T cells mediate human bone marrow niche remodeling in clonal hematopoiesis and myelodysplasia.

Karin D Prummel, Kevin Woods, Maksim Kholmatov, Eric C Schmitt, Evi P Vlachou, Mayssa Labyadh, Rebekka Wehner, Gereon Poschmann, Kai Stühler, Susann Winter and 14 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Clonal blood reshapes its home.Nature immunology · 2026
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  11. Antioxidants (Basel, Switzerland) · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors.

Karin D Prummel *Molecular Systems Biology Unit, European Molecular Biology Laboratory (EMBL), Heidelberg, Germany.ORCID http://orcid.org/0000-0001-6077-6407
Kevin Woods *Department of Internal Medicine III, Hematology and Medical Oncology, University Medical Center of of the Johannes Gutenberg University, Mainz, Germany.
Maksim Kholmatov *Molecular Systems Biology Unit, European Molecular Biology Laboratory (EMBL), Heidelberg, Germany.ORCID http://orcid.org/0000-0002-4201-8124
Eric C SchmittDepartment of Internal Medicine III, Hematology and Medical Oncology, University Medical Center of of the Johannes Gutenberg University, Mainz, Germany.ORCID http://orcid.org/0009-0004-9135-1697
Evi P VlachouMolecular Systems Biology Unit, European Molecular Biology Laboratory (EMBL), Heidelberg, Germany.ORCID http://orcid.org/0000-0003-4207-0851
Mayssa LabyadhSorbonne Université, CNRS, INSERM, Development, Adaptation and Ageing, Paris, France.
Rebekka WehnerInstitute of Immunology, Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany.
Gereon PoschmannInstitute of Molecular Medicine I, Proteome Research, University Hospital and Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.ORCID http://orcid.org/0000-0003-2448-0611
Kai StühlerInstitute of Molecular Medicine I, Proteome Research, University Hospital and Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Susann WinterDepartment of Internal Medicine I, Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany.ORCID http://orcid.org/0000-0002-4228-4537
Uta OelschlaegelDepartment of Internal Medicine I, Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany.
Manja WobusDKTK, Partner Site Dresden, DKFZ, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-3262-8172
Logan S SchwartzThe Jackson Laboratory, Bar Harbor, ME, USA.
Pedro L MouraDepartment of Medicine Huddinge, Center for Hematology and Regenerative Medicine, Karolinska Institute, Huddinge, Sweden.ORCID http://orcid.org/0000-0002-0493-5394
Eva Hellström-LindbergDepartment of Medicine Huddinge, Center for Hematology and Regenerative Medicine, Karolinska Institute, Huddinge, Sweden.ORCID http://orcid.org/0000-0002-7839-3743
Krishnaraj RajalingamCell Biology Unit, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.ORCID http://orcid.org/0000-0002-4175-9633
Matthias TheobaldDepartment of Internal Medicine III, Hematology and Medical Oncology, University Medical Center of of the Johannes Gutenberg University, Mainz, Germany.
Jennifer J TrowbridgeThe Jackson Laboratory, Bar Harbor, ME, USA.ORCID http://orcid.org/0000-0002-7636-9504
Clémence CarronSorbonne Université, CNRS, INSERM, Development, Adaptation and Ageing, Paris, France.ORCID http://orcid.org/0000-0002-8776-7380
Thierry JaffredoSorbonne Université, CNRS, INSERM, Development, Adaptation and Ageing, Paris, France.
Marc SchmitzInstitute of Immunology, Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany.
Uwe PlatzbeckerUniversity Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany.
Judith B ZauggMolecular Systems Biology Unit, European Molecular Biology Laboratory (EMBL), Heidelberg, Germany. judith.zaugg@unibas.ch.ORCID http://orcid.org/0000-0001-8324-4040
Borhane GuezguezDepartment of Internal Medicine III, Hematology and Medical Oncology, University Medical Center of of the Johannes Gutenberg University, Mainz, Germany. bguezgue@uni-mainz.de.ORCID http://orcid.org/0000-0002-1474-8074

Funding

Developing Effective Approaches to Extend Hematopoietic Healthspan by Targeting Cell-Extrinsic and Cell-Intrinsic Alterations at Middle AgeR01DK118072 · NIDDK · JACKSON LABORATORY · PI Jennifer Jean Trowbridge · 2018 to 2026
$4.2M
Inflammatory Signaling in DNMT3A-Mutated Human Hematopoietic Stem CellsU01AG077925 · NIA · JACKSON LABORATORY · PI LEVINE, ROSS L, TROWBRIDGE, JENNIFER JEAN · 2021 to 2025
$2.9M
Discovery of Aging-Associated Mechanisms Causing Expansion and Progression of Clonal Hematopoiesis of Indeterminant Potential (CHIP)R01AG069010 · NIA · JACKSON LABORATORY · PI TROWBRIDGE, JENNIFER JEAN · 2020 to 2024
$2.4M
The role of the aged BM microenvironment in accelerating Dnmt3a mutant clonal hematopoiesisF31DK127573 · NIDDK · TUFTS UNIVERSITY BOSTON · PI SCHWARTZ, LOGAN SARI · 2020 to 2022
$126k
Deutsche Forschungsgemeinschaft (German Research Foundation) 318346496 - SFB 1292European Molecular Biology Organization (EMBO) 538-2021José Carreras Leukämie-Stiftung (Deutsche José Carreras Leukämie-Stiftung) 04/R 2018NIA NIH HHS R01 AG069010NIA NIH HHS U01 AG077925NIDDK NIH HHS F31 DK127573NIDDK NIH HHS R01 DK118072Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (Swiss National Science Foundation) P2ZHP3_199669U.S. Department of Health & Human Services | National Institutes of Health (NIH) F31DK127573U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01AG069010U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01DK118072U.S. Department of Health & Human Services | National Institutes of Health (NIH) U01AG077925
6 · The paper itself

Abstract

Somatic mutations in hematopoietic stem/progenitor cells (HSPCs) can lead to clonal hematopoiesis of indeterminate potential (CHIP) and progression to myelodysplastic syndromes (MDS). Using single-cell and anatomical profiling of a large cohort of human bone marrow (BM), we show that the HSPC BM niche in CHIP and MDS is undergoing inflammatory remodeling. This includes loss of CXCL12⁺ adipogenic stromal cells and the emergence of a distinct population of inflammatory mesenchymal stromal cells (iMSCs), which arise in CHIP and become more prevalent in MDS. Functional studies in primary BM HSPC-MSC co-cultures reveals that healthy aged and CHIP HSPCs activate stromal support, while MDS HSPCs fail to do so. In contrast, MDS blasts further suppress HSPC support and trigger inflammation, indicating disease-stage-specific stromal disruption. In parallel, we show that iMSCs retain partial support and angiogenic potential in MDS, coinciding with expanded BM vasculature. Additionally, we identify IFN-responsive T cells that preferentially interact with iMSCs, potentially reinforcing local inflammation. These findings position iMSCs as central mediators of early BM niche dysfunction and potential therapeutic targets for intercepting pre-malignant hematopoiesis.

Indexed as

Bone MarrowClonal HematopoiesisMesenchymal Stem CellsMyelodysplastic SyndromesStem Cell NicheT-LymphocytesAgedChemokine CXCL12Coculture TechniquesFemaleHematopoiesisHematopoietic Stem CellsHumansInflammationMaleMiddle AgedChemokine CXCL12

Identifiers

PMID41253811
PMCPMC12627676

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.