Ribosomopathies are congenital disorders caused by mutations in the genes encoding ribosomal and other functionally related proteins. They are characterized by anemia, other hematopoietic and developmental abnormalities, and p53 activation. Ribosome assembly requires coordinated expression of many ribosomal protein (RP) genes; however, the regulation of RP gene expression, especially in hematopoietic stem cells (HSCs), remains poorly understood. MYSM1 is a transcriptional regulator essential for HSC function and hematopoiesis. We established that HSC dysfunction in Mysm1 deficiency is driven by p53; however, the mechanisms of p53 activation remained unclear. Here, we describe the transcriptome of Mysm1-deficient mouse HSCs and identify MYSM1 genome-wide DNA binding sites. We establish a direct role for MYSM1 in RP gene expression and show a reduction in protein synthesis in Mysm1(-/-) HSCs. Loss of p53 in mice fully rescues Mysm1(-/-) anemia phenotype but not RP gene expression, indicating that RP gene dysregulation is a direct outcome of Mysm1 deficiency and an upstream mediator of Mysm1-/phenotypes through p53 activation. We characterize a patient with a homozygous nonsense MYSM1 gene variant, and we demonstrate reduced protein synthesis and increased p53 levels in patient hematopoietic cells. Our work provides insights into the specialized mechanisms regulating RP gene expression in HSCs and establishes a common etiology of MYSM1 deficiency and ribosomopathy syndromes.
GrantsCole Foundation Studentship Canadian Foundation for Innovation (CFI) Frederick Banting Tri-Council Scholarship FRQS Masters Training Studentship Max & Jane Childress Entrance Fellowship from the Department of Physiology of McGill University Frederick Banting Tri-Council Graduate Scholarship CIHR Neuroinflammation Training Program FRQS CIHR Helmholtz Center Munich (HMGU) German Center for Infection Research (DZIF) Lost Voices Foundation Weidenhammer-Zoebele Foundation Fonds de Recherche du Quebec Sante (FRQS) Faculty of Medicine of McGill University Canadian Institutes of Health Research (CIHR)