Molecular Mechanisms of ARID5B-Mediated Genetic Susceptibility to Acute Lymphoblastic Leukemia.
Molecular Mechanisms of ARID5B-Mediated Genetic Susceptibility to Acute Lymphoblastic Leukemia.
复制标题
ARID5B 介导的急性淋巴细胞白血病遗传易感性的分子机制。
DOI:
10.1093/jnci/djac101
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发表时间:
2022
期刊:
影响因子:
--
通讯作者:
Yang,
中科院分区:
文献类型:
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作者:
Zhao,Xujie;Qian,Maoxiang;Goodings,Charnise;Zhang,Yang;Yang,Wenjian;Wang,Ping;Xu,Beisi;Tian,Cheng;Pui,Ching-Hon;Hunger,StephenP;Raetz,ElizabethA;Devidas,Meenakshi;Relling,MaryV;Loh,MignonL;Savic,Daniel;Li,Chunliang;Yang,
BackgroundThere is growing evidence for the inherited basis of susceptibility to childhood acute lymphoblastic leukemia (ALL). Genome-wide association studies have identified non-coding ALL risk variants at theARID5Bgene locus, but their exact functional effects and the molecular mechanism linkingARID5Bto B-cell ALL leukemogenesis remain largely unknown.MethodsWe performed targeted sequencing ofARID5Bin germline DNA of 5008 children with ALL. Variants were evaluated for association with ALL susceptibility using 3644 patients from the UK10K cohort as non-ALL controls, under an additive model.Cis-regulatory elements inARID5Bwere systematically identified using dCas9-KRAB–mediated enhancer interference system enhancer screen in ALL cells. Disruption of transcription factor binding byARID5Bvariant was predicted informatically and then confirmed using chromatin immunoprecipitation and coimmunoprecipitation.ARID5Bvariant association with hematological traits was examined using UK Biobank dataset. All statistical tests were 2-sided.ResultsWe identified 54 common variants inARID5Bstatistically significantly associated with leukemia risk, all of which were noncoding. Sixcis-regulatory elements at theARID5Blocus were discovered using CRISPR-based high-throughput enhancer screening. Strikingly, the top ALL risk variant (rs7090445,P=5.57 × 10–45) is located precisely within the strongest enhancer element, which is also distally tethered to theARID5Bpromoter. The variant allele disrupts the MEF2C binding motif sequence, resulting in reduced MEF2C affinity and decreased local chromosome accessibility. MEF2C influencesARID5Bexpression in ALL, likely via a transcription factor complex with RUNX1. Using the UK Biobank dataset (n = 349 861), we showed that rs7090445 was also associated with lymphocyte percentage and count in the general population (P=8.6 × 10–22and 2.1 × 10–18, respectively).ConclusionsOur results indicate that ALL risk variants inARID5Bfunction by modulatingcis-regulatory elements at this locus.