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The <jats:styled-content style=\"fixed-case\">JAK<\/jats:styled-content>1\/2 inhibitor Ruxolitinib has remarkable clinical efficacy, including spleen reduction, improvement of constitutional symptoms, and bone marrow (<jats:styled-content style=\"fixed-case\">BM<\/jats:styled-content>) fibrosis reversal. Whether this is due to inhibition of <jats:styled-content style=\"fixed-case\">JAK<\/jats:styled-content>2\u2010mutated <jats:styled-content style=\"fixed-case\">HSC<\/jats:styled-content> only, or whether Ruxolitinib also affects <jats:styled-content style=\"fixed-case\">BM<\/jats:styled-content> stroma is not known.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study investigated potential effects of Ruxolitinib on <jats:styled-content style=\"fixed-case\">BM<\/jats:styled-content> mesenchymal stromal cells (<jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content>), which are not only major regulators of hematopoiesis but also contribute to fibrosis, from 10 healthy donors and 7 <jats:styled-content style=\"fixed-case\">JAK<\/jats:styled-content>2<jats:sup>V617F<\/jats:sup>\u2010positive <jats:styled-content style=\"fixed-case\">MPN<\/jats:styled-content> patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ruxolitinib moderately inhibited the growth of healthy donor <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content>) and <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content> from <jats:styled-content style=\"fixed-case\">JAK<\/jats:styled-content>2<jats:sup>V617F+<\/jats:sup> <jats:styled-content style=\"fixed-case\">MPN<\/jats:styled-content> patients (P\u2010<jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content>) in short\u2010 and long\u2010term assays. The clonogenic potential of <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content> was not affected by Ruxolitinib. <jats:styled-content style=\"fixed-case\">JAK<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">STAT<\/jats:styled-content> signaling, however, was markedly inhibited in both <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content> and P\u2010<jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content>, the latter of which showed higher expression of fibrosis\u2010associated and hematopoiesis\u2010maintenance genes. Moreover, Ruxolitinib reduced <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content> secretion of <jats:styled-content style=\"fixed-case\">MCP<\/jats:styled-content>\u20101 and <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\u20106.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Ruxolitinib affected <jats:styled-content style=\"fixed-case\">JAK<\/jats:styled-content>2 signaling in <jats:styled-content style=\"fixed-case\">MSC<\/jats:styled-content> at clinically relevant doses, which is likely to contribute to the normalization of the inflammatory milieu in <jats:styled-content style=\"fixed-case\">MPNs<\/jats:styled-content>. Thus, combined <jats:styled-content style=\"fixed-case\">HSC<\/jats:styled-content> and stroma\u2010directed interventions have the potential to improve constitutional symptoms and reduce stromal proliferation in <jats:styled-content style=\"fixed-case\">MPN<\/jats:styled-content>s.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ejh.13079","type":"journal-article","created":{"date-parts":[[2018,4,12]],"date-time":"2018-04-12T10:10:22Z","timestamp":1523527822000},"page":"57-67","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Effects of <scp>JAK<\/scp>1\/2 inhibition on bone marrow stromal cells of myeloproliferative neoplasm (<scp>MPN<\/scp>) patients and healthy individuals"],"prefix":"10.1111","volume":"101","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4954-233X","authenticated-orcid":false,"given":"Dimitra","family":"Zacharaki","sequence":"first","affiliation":[{"name":"Division of Molecular Hematology &amp; Lund 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