Diversity Supplement to R01 Parent Grant HL150624

PROJECT SUMMARY Clonal hematopoiesis of indeterminate potential (CHIP) increases with age and occurs when a single mutant hematopoietic stem cell (HSC) contributes to a significant clonal proportion of mature blood lineages. CHIP is associated with increased risks of developing hematological malignancies. TP53 mutations rank in the top 5

among mutations identified in CHIP and clinical studies showed that expansion of TP53 mutated HSCs with age predisposes individuals with CHIP to myeloid neoplasms such as myelodysplastic syndromes (MDS). During the previous funding period, we found that mutant p53 utilizes a cell intrinsic mechanism to drive clonal

hematopoiesis through enhancing EZH2 activity and increasing H3K27me3 in HSCs. However, there is a significant gap in knowledge regarding the mechanisms by which extrinsic factors drive TP53 mutant clonal hematopoiesis. In the competitive renewal, we will focus on determining the impact of inflammatory stress on

TP53 mutant clonal hematopoiesis and developing novel strategies for preventing the progression of clonal hematopoiesis to MDS. Infection activates inflammatory response and induces chronic inflammation. We discovered that bacterial infection confers a competitive advantage to p53 mutant hematopoietic stem and

progenitor cells (HSPCs) via activating the NLRP1 inflammasome and increasing the secretion of proinflammatory cytokines. Furthermore, we found that some p53 mutant mice developed MDS with age and that there are increased levels of IL-1β and IL-6 in the BM of aged p53 mutant mice. We hypothesize that

mutant p53 enhances inflammatory stress via activating the NLRP1 inflammasome and increasing the secretion of proinflammatory cytokines, thereby generating a chronic inflammatory microenvironment that inhibits wild type (WT) HSPC fitness in a paracrine fashion. We further speculate that reducing chronic inflammation will

prevent or delay the progression of TP53 mutant clonal hematopoiesis to MDS. To test the hypothesis, we will determine the mechanisms by which inflammatory stress drives TP53 mutant clonal hematopoiesis. We will develop novel strategies that block TP53 mutant clonal hematopoiesis from progression to MDS. Delineating

the impact of inflammatory stress on p53 mutant HSPC expansion will fill a significant knowledge gap regarding the mechanisms by which extrinsic factors drive TP53 mutant clonal hematopoiesis and promote the development of MDS.