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Ezh2 and Runx1 Mutations Collaborate to Initiate Lympho-Myeloid Leukemia in Early Thymic Progenitors.

Accepted version
Peer-reviewed

Type

Article

Change log

Authors

Booth, Christopher AG 
Barkas, Nikolaos 
Neo, Wen Hao 
Boukarabila, Hanane 
Soilleux, Elizabeth J 

Abstract

Lympho-myeloid restricted early thymic progenitors (ETPs) are postulated to be the cell of origin for ETP leukemias, a therapy-resistant leukemia associated with frequent co-occurrence of EZH2 and RUNX1 inactivating mutations, and constitutively activating signaling pathway mutations. In a mouse model, we demonstrate that Ezh2 and Runx1 inactivation targeted to early lymphoid progenitors causes a marked expansion of pre-leukemic ETPs, showing transcriptional signatures characteristic of ETP leukemia. Addition of a RAS-signaling pathway mutation (Flt3-ITD) results in an aggressive leukemia co-expressing myeloid and lymphoid genes, which can be established and propagated in vivo by the expanded ETPs. Both mouse and human ETP leukemias show sensitivity to BET inhibition in vitro and in vivo, which reverses aberrant gene expression induced by Ezh2 inactivation.

Description

Keywords

BET inhibition, EZH2, FLT3-ITD, RUNX1, early thymic progenitor leukemia, early thymic progenitors, leukemia propagating cells, leukemic stem cells, Animals, Core Binding Factor Alpha 2 Subunit, Enhancer of Zeste Homolog 2 Protein, Gene Expression Regulation, Leukemic, Leukemia, Myeloid, Acute, Mice, Knockout, Mutation, Myeloid Cells, Signal Transduction, Stem Cells

Journal Title

Cancer Cell

Conference Name

Journal ISSN

1535-6108
1878-3686

Volume Title

33

Publisher

Elsevier BV
Sponsorship
Medical Research Council (MR/M010392/1)
European Research Council (647685)
Medical Research Council (MC_PC_12009)
Worldwide Cancer Research (None)