RT Journal Article SR Electronic T1 The developmental stage of the hematopoietic niche regulates lineage in MLL-rearranged leukemia JF The Journal of Experimental Medicine JO J Exp Med FD Rockefeller University Press SP jem.20181765 DO 10.1084/jem.20181765 A1 Rowe, R. Grant A1 Lummertz da Rocha, Edroaldo A1 Sousa, Patricia A1 Missios, Pavlos A1 Morse, Michael A1 Marion, William A1 Yermalovich, Alena A1 Barragan, Jessica A1 Mathieu, Ronald A1 Jha, Deepak Kumar A1 Fleming, Mark D. A1 North, Trista E. A1 Daley, George Q. YR 2019 UL http://jem.rupress.org/content/early/2019/02/05/jem.20181765.abstract AB Leukemia phenotypes vary with age of onset. Delineating mechanisms of age specificity in leukemia could improve disease models and uncover new therapeutic approaches. Here, we used heterochronic transplantation of leukemia driven by MLL/KMT2A translocations to investigate the contribution of the age of the hematopoietic microenvironment to age-specific leukemia phenotypes. When driven by MLL-AF9, leukemia cells in the adult microenvironment sustained a myeloid phenotype, whereas the neonatal microenvironment supported genesis of mixed early B cell/myeloid leukemia. In MLL-ENL leukemia, the neonatal microenvironment potentiated B-lymphoid differentiation compared with the adult. Ccl5 elaborated from adult marrow stroma inhibited B-lymphoid differentiation of leukemia cells, illuminating a mechanism of age-specific lineage commitment. Our study illustrates the contribution of the developmental stage of the hematopoietic microenvironment in defining the age specificity of leukemia.