The Oncogenic Transcription Factor RUNX1/ETO Corrupts Cell Cycle Regulation to Drive Leukemic Transformation.

The Oncogenic Transcription Factor RUNX1/ETO Corrupts Cell Cycle Regulation to Drive Leukemic Transformation.
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DOI:
10.1016/j.ccell.2018.08.015
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发表时间:
2018-10-08
期刊:
影响因子:
50.3
通讯作者:
Heidenreich O
Heidenreich O
中科院分区:
医学1区
文献类型:
--
作者:
Martinez-Soria N;McKenzie L;Draper J;Ptasinska A;Issa H;Potluri S;Blair HJ;Pickin A;Isa A;Chin PS;Tirtakusuma R;Coleman D;Nakjang S;Assi S;Forster V;Reza M;Law E;Berry P;Mueller D;Osborne C;Elder A;Bomken SN;Pal D;Allan JM;Veal GJ;Cockerill PN;Wichmann C;Vormoor J;Lacaud G;Bonifer C;Heidenreich O

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致癌转录因子,如驱动t(8;21)急性髓性白血病(AML)的白血病融合蛋白RUNX1/ETO,构成了癌症特异性但极具挑战性的治疗靶点。我们使用表观基因组分析数据进行RNAi筛选,以询问维持t(8;21) AML的转录网络。该策略确定了细胞周期蛋白D2 (CCND2)是RUNX1/ eto驱动的白血病传播的关键递质。RUNX1/ETO与AP-1协同驱动CCND2表达。经批准的药物敲低或药理学抑制CCND2可显著损害患者源性AML细胞的白血病扩增和在免疫缺陷小鼠宿主中的植入。我们的数据表明,RUNX1/ETO通过促进细胞周期进展来维持白血病,并确定G1 CCND-CDK复合物是治疗RUNX1/ETO驱动的AML的有希望的治疗靶点。RNAi筛选发现CCND2是RUNX1/ETO的关键转录靶点RUNX1/ETO通过与上游元件结合促进CCND2表达,CCND2在体外抑制RUNX1/ETO驱动的白血病扩张,而在体内表达RUNX1/ETO的白血病细胞对CDK4/6抑制剂高度敏感。利用体外和体内筛选确定AML中必要的RUNX1/ETO转录靶点,马丁内斯-索利亚发现CCND2是白血病维持和自我更新所必需的。使用CDK4/6抑制剂palbociclib靶向这种依赖性可以延长AML PDX模型的生存期。
Oncogenic transcription factors such as the leukemic fusion protein RUNX1/ETO, which drives t(8;21) acute myeloid leukemia (AML), constitute cancer-specific but highly challenging therapeutic targets. We used epigenomic profiling data for an RNAi screen to interrogate the transcriptional network maintaining t(8;21) AML. This strategy identified Cyclin D2 (CCND2) as a crucial transmitter of RUNX1/ETO-driven leukemic propagation. RUNX1/ETO cooperates with AP-1 to drive CCND2 expression. Knockdown or pharmacological inhibition of CCND2 by an approved drug significantly impairs leukemic expansion of patient-derived AML cells and engraftment in immunodeficient murine hosts. Our data demonstrate that RUNX1/ETO maintains leukemia by promoting cell cycle progression and identifies G1 CCND-CDK complexes as promising therapeutic targets for treatment of RUNX1/ETO-driven AML. An RNAi screen identifies CCND2 as a crucial transcriptional target of RUNX1/ETO RUNX1/ETO promotes CCND2 expression by binding to an upstream element CCND2 knockdown inhibits RUNX1/ETO-driven leukemic expansion in vitro and in vivo RUNX1/ETO-expressing leukemic cells are highly sensitive to a CDK4/6 inhibitor Using in vitro and in vivo screens to identify essential RUNX1/ETO transcriptional targets in AML, Martinez-Soria identify CCND2 as required for leukemia maintenance and self-renewal. Targeting this dependency using the CDK4/6 inhibitor palbociclib prolongs the survival of AML PDX models.
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