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Molecular and Cellular Biology, August 2009, p. 4394-4405, Vol. 29, No. 16
0270-7306/09/$08.00+0 doi:10.1128/MCB.00596-09
Copyright © 2009, American Society for Microbiology. All Rights Reserved.

Zhijun Duan,3
Jeremy Wechsler,3
Kathleen F. Benson,3,
Richard E. Person,3,
H. Leighton Grimes,2 and
Marshall S. Horwitz3*
Department of Genome Sciences, University of Washington, Box 355065, Seattle, Washington 98195,1 Division of Immunobiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229,2 Department of Pathology, Institute for Stem Cell and Regenerative Medicine, University of Washington, Box 358056, Seattle, Washington 981953
Received 6 May 2009/ Accepted 29 May 2009
"Neutropenia" refers to deficient numbers of neutrophils, the most abundant type of white blood cell. Two main forms of inherited neutropenia are cyclic neutropenia, in which neutrophil counts oscillate with a 21-day frequency, and severe congenital neutropenia, in which static neutropenia may evolve at times into leukemia. Mutations of ELA2, encoding the protease neutrophil elastase, can cause both disorders. Among other genes, severe congenital neutropenia can also result from mutations affecting the transcriptional repressor Gfi1, one of whose genetic targets is ELA2, suggesting that the two act through similar mechanisms. In order to identify components of a common pathway regulating neutrophil production, we conducted yeast two-hybrid screens with Gfi1 and neutrophil elastase and detected a novel protein, PFAAP5 (also known as N4BP2L2), interacting with both. Expression of PFAAP5 allows neutrophil elastase to potentiate the repression of Gfi1 target genes, as determined by reporter assays, RNA interference, chromatin immunoprecipitation, and impairment of neutrophil differentiation in HSCs with PFAAP5 depletion, thus delineating a mechanism through which neutrophil elastase could regulate its own synthesis. Our findings are consistent with theoretical models of cyclic neutropenia proposing that its periodicity can be explained through disturbance of a feedback circuit in which mature neutrophils inhibit cell proliferation, thereby homeostatically regulating progenitor populations.
Published ahead of print on 8 June 2009.
Present address: Max-Planck-Institut für Neurobiologie, Martinsried 82152, Germany.
Present address: NIS Laboratories, Klamath Falls, OR 97601.
Present address: Baylor College of Medicine, Houston, TX 77030.
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