Elimination of peripheral T cells is crucially regulated via apoptosis
through CD95 (APO-1/Fas) receptor ligand interaction. Because homeost
asis in hematopoietic cells may also involve the CD95 system, we analy
zed CD95 expression and sensitivity to CD95-induced apoptosis in human
bone marrow cells. During hematopoiesis CD95 is differentially expres
sed on distinct cell types and at different maturational stages with a
n increase in receptor density from early CD34(+) stem cells to maturi
ng progenitor cells. Incubation of bone marrow cells with anti-APO-1 (
anti-CD95) induces apoptosis in maturing erythroblasts and neutrophil
progenitors (10-19%) and to a lesser extent in stem cells and myelobla
st/proerythroblasts (4-9%). On in vitro culture, CD95 expression is pa
rticularly upregulated on activated CD71(+) myeloid progenitors. Hemat
opoietic cytokines (stem cell factor, interleukin-3, granulocyte macro
phage colony-stimulating factor [GM-CSF], and granulocyte-colony stimu
lating factor [G-CSF] contribute to upregulation of CD95 on bone marro
w cells. CD95-induced apoptosis in activated progenitors was markedly
enhanced by activating cytokines. Thus cytokines known to mediate prol
iferation, survival, and maturation, in hematopoiesis do not prevent,
but rather facilitate negative growth regulation via the CD95 pathway
in activated cells. Deregulation of the CD95 system may provide a mole
cular basis for the development of bone marrow failure or immune-media
ted cytopenia. Defects in the CD95 pathway may contribute to the devel
opment of hematopoietic malignancy by abrogating CD95-mediated growth
control of activated cells.