The TEL-AML1 leukemia fusion gene dysregulates the TGF-β pathway in early B lineage progenitor cells

被引:98
作者
Ford, Anthony M. [1 ]
Palmi, Chiara [1 ,2 ,3 ]
Bueno, Clara [1 ,4 ]
Hong, Dengli
Cardus, Penny [1 ]
Knight, Deborah [1 ]
Cazzaniga, Giovanni [2 ]
Enver, Tariq [5 ]
Greaves, Mel [1 ]
机构
[1] Inst Canc Res, Sect Haematooncol, Sutton SM2 5NG, Surrey, England
[2] Univ Milano Bicocca, Pediat Clin, Ctr Ric Tettamanti, Osped San Gerardo, Monza, Italy
[3] Univ Vita Salute San Raffaele, PhD Program Mol Med, Milan, Italy
[4] Univ Granada, Andalusian Stem Cell Bank, Ctr Invest Biomed, Granada, Spain
[5] John Radcliffe Hosp, Weatherall Inst Mol Med, Mol Haematol Unit, Oxford OX3 9DU, England
关键词
GROWTH-FACTOR-BETA; LYMPHOBLASTIC-LEUKEMIA; CHROMOSOME TRANSLOCATIONS; REPOPULATING CELLS; LENTIVIRAL VECTOR; STEM-CELLS; T(12/21); TRANSDUCTION; EXPRESSION; INHIBITOR;
D O I
10.1172/JCI36428
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Chromosome translocation to generate the TEL-AML1 (also known as ETV6-RUNX1) chimeric fusion gene is a frequent and early or initiating event in childhood acute lymphoblastic leukemia (ALL). Our starting hypothesis was that the TEL-AML1 protein generates and maintains preleukemic clones and that conversion to overt disease requires secondary genetic changes, possibly in the context of abnormal immune responses. Here, we show that a murine B cell progenitor cell line expressing inducible TEL-AML1 proliferates at a slower rate than parent cells but is more resistant to further inhibition of proliferation by TGF-beta. This facilitates the competitive expansion of TEL-AML1-expressing cells in the presence of TGF-beta. Further analysis indicated that TEL-AML1 binds to a principal TGF-beta signaling target, Smad3, and compromises its ability to activate target promoters. In mice expressing a TEL-AML1 transgene, early, pre-pro-B cells were increased in number and also showed reduced sensitivity to TGF-beta-mediated inhibition of proliferation. Moreover, expression of TEL-AML1 in human cord blood progenitor cells led to the expansion of a candidate preleukemic stem cell population that had an early B lineage phenotype (CD34(+)CD38(-)CD19(+)) and a marked growth advantage in the presence of TGF-beta. Collectively, these data suggest a plausible mechanism by which dysregulated immune responses to infection might promote the malignant evolution of TEL-AML1-expressing preleukemic clones.
引用
收藏
页码:826 / 836
页数:11
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