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Figure legends
18
Figure 1. The roles of bone cells and PNS in hematologic malignancies.
19
Constitutive activation of β-catenin in mature osteoblasts enhances the production
20
of the Notch ligand jagged 1(Jag1) in osteoblasts, which leads to the activation of
21
Notch signaling in HSC and promotes the leukemic transformation. Leukemic cells
22
release IL-1β, an inflammatory cytokine, causing the sympathetic neuropathy in the
23
bone marrow, resulting in the decrease of NE signals. Attenuated NE signaling via
35
Asada N and Katayama Y
β2-AR on nestin-positive niche cells downregulates the expression levels of niche
factors essential for HSC maintenance, which turn in results in the normal HSC
distinction in the leukemic bone marrow. LSC, leukemic stem cell.
Figure 2. Roles of the sensory nerve in bone remodeling. CGRP from sensory
nerve induce osteoblast differentiation via CALCRL/RAMP1 receptor complex and
suppresses the differentiation of osteoclast, resulting in the facilitation of bone
formation. Substance P (SP) promotes macrophage differentiation into osteoclasts,
which promotes osteoclast bone resorption function, but also promotes osteoblast
10
function, which in turn contributes to bone formation. NK1R, neurokinin 1 receptor.
11
12
Figure 3. Hematopoietic regulation by PNS in the bone marrow. G-CSF
13
treatment elicits the NE surge in the bone marrow by suppressing NE reuptake at
14
sympathetic nerve endings, which in turn the suppression of both osteoblasts and
15
osteocytes via β2-AR. NE-β2-AR signaling also stimulates the production of PGE2
16
from neutrophils during the G-CSF-induced HSC mobilization, leading to a febrile
17
side effect. Dopamine also contributes to the HSC maintenance via D2-type receptor
18
(D2R) signaling. Nonmyelinating Schwann cells, wrapping the sympathetic nerves,
19
function as niche cells by transforming TGF-β from latent form into activated form.
20
CGRP released from sensory nerves binds to CALCRL/RAMP1 receptor complex
21
on HSCs and promotes HSC chemotaxis by activating downstream signaling.
36
Asada N and Katayama Y
Capsaicin containing diet, which stimulates nociceptive nerve activity, increases the
efficiency of HSC mobilization.
37
...