Leptin receptor+ cells promote bone marrow innervation and regeneration by synthesizing nerve growth factor

Xiang Gao,M. Murphy,James G. Peyer,Yuehan Ni,Min Yang,Yixuan Zhang,Jiaming Guo,Nergis Kara,Claire Embree,Alpaslan Tasdogan,Jessalyn M. Ubellacker,Genevieve M. Crane,Shentong Fang,Zhiyu Zhao,Bo Shen,Sean J. Morrison

Published 2023 in Nature Cell Biology

ABSTRACT

The bone marrow contains peripheral nerves that promote haematopoietic regeneration after irradiation or chemotherapy (myeloablation), but little is known about how this is regulated. Here we found that nerve growth factor (NGF) produced by leptin receptor-expressing (LepR+) stromal cells is required to maintain nerve fibres in adult bone marrow. In nerveless bone marrow, steady-state haematopoiesis was normal but haematopoietic and vascular regeneration were impaired after myeloablation. LepR+ cells, and the adipocytes they gave rise to, increased NGF production after myeloablation, promoting nerve sprouting in the bone marrow and haematopoietic and vascular regeneration. Nerves promoted regeneration by activating β2 and β3 adrenergic receptor signalling in LepR+ cells, and potentially in adipocytes, increasing their production of multiple haematopoietic and vascular regeneration growth factors. Peripheral nerves and LepR+ cells thus promote bone marrow regeneration through a reciprocal relationship in which LepR+ cells sustain nerves by synthesizing NGF and nerves increase regeneration by promoting the production of growth factors by LepR+ cells. Gao et al. report that leptin receptor+ stromal cells sustain nerves in the bone marrow by producing nerve growth factor. After myeloablation, nerves promote marrow regeneration by increasing the production of multiple growth factors by leptin receptor+ cells.

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