Cripto Regulates Hematopoietic Stem Cells as a Hypoxic-Niche-Related Factor through Cell Surface Receptor GRP78

SummaryHematopoietic stem cells (HSCs) are maintained in hypoxic niches in endosteal regions of bones. Here we demonstrate that Cripto and its receptor GRP78 are important regulators of HSCs in the niche. Flow cytometry analyses revealed two distinct subpopulations of CD34−KSL cells based on the expression of GRP78, and these populations showed different reconstitution potential in transplantation assays. GRP78+HSCs mainly reside in the endosteal area, are more hypoxic, and exhibit a lower mitochondrial potential, and their HSC capacity was maintained in vitro by Cripto through induction of higher glycolytic activity. Additionally, HIF-1α KO mice have decreased numbers of GRP78+HSCs and reduced expression of Cripto in the endosteal niche. Furthermore, blocking GRP78 induced a movement of HSCs from the endosteal to the central marrow area. These data suggest that Cripto/GRP78 signaling is an important pathway that regulates HSC quiescence and maintains HSCs in hypoxia as an intermediary of HIF-1α.

► Cripto is highly expressed in HSCs and can maintain their function ex vivo
► Cripto regulates HSCs through the receptor GRP78 on the GRP78+ subset of HSCs
► GRP78+HSCs are endosteal, more hypoxic, and have high glycolytic activity
► Cripto regulates HSC quiescence and metabolism as an intermediary of HIF-1α