RT Journal Article SR Electronic T1 Non-invasive characterization of human bone marrow by cell free messenger-RNA reveals response to growth factor stimulation and hematopoietic reconstitution after transplantation JF bioRxiv FD Cold Spring Harbor Laboratory SP 516666 DO 10.1101/516666 A1 Arkaitz Ibarra A1 Yue Zhao A1 Neeraj S. Salathia A1 Jiali Zhuang A1 Vera Huang A1 Alexander D. Acosta A1 Jonathan Aballi A1 Shusuke Toden A1 Amy P. Karns A1 Intan Purnajo A1 Julianna R. Parks A1 Lucy Guo A1 James Mason A1 Darren Sigal A1 Tina S. Nova A1 Stephen R. Quake A1 Michael Nerenberg YR 2019 UL http://biorxiv.org/content/early/2019/01/10/516666.abstract AB Circulating cell free mRNA (cf-mRNA) holds great promise as a non-invasive diagnostic biomarker. However, the biological origin of cf-mRNA is still not well understood, limiting the clinical applications of this technology. Here, we use the bone marrow (BM) and pharmacologic manipulation of its resident cells as a window to study the origin of cf-mRNA. Using NGS-based profiling, we show that cf-mRNA is enriched in transcripts derived from the BM compared to circulating cells. Further, BM ablation experiments followed by hematopoietic stem cell transplants in cancer patients show that cf-mRNA levels reflect the transcriptional activity of BM resident hematopoietic lineages during marrow reconstitution. Finally, by stimulating specific BM cell populations in vivo using growth factor therapeutics (i.e. EPO, G-CSF), we show that cf-mRNA reveals dynamic functional changes in growing cell types, suggesting that, unlike other cell-free nucleic acids, cf-mRNA is secreted from living cells, rather than exclusively from apoptotic cells. Our results shed new light on the biology of cf-mRNA and demonstrate its potential applications in clinical practice.