Coordinated alterations in RNA splicing and epigenetic regulation drive leukaemogenesis Journal Article


Authors: Yoshimi, A.; Lin, K. T.; Wiseman, D. H.; Rahman, M. A.; Pastore, A.; Wang, B.; Lee, S. C. W.; Micol, J. B.; Zhang, X. J.; de Botton, S.; Penard-Lacronique, V.; Stein, E. M.; Cho, H.; Miles, R. E.; Inoue, D.; Albrecht, T. R.; Somervaille, T. C. P.; Batta, K.; Amaral, F.; Simeoni, F.; Wilks, D. P.; Cargo, C.; Intlekofer, A. M.; Levine, R. L.; Dvinge, H.; Bradley, R. K.; Wagner, E. J.; Krainer, A. R.; Abdel-Wahab, O.
Article Title: Coordinated alterations in RNA splicing and epigenetic regulation drive leukaemogenesis
Abstract: Transcription and pre-mRNA splicing are key steps in the control of gene expression and mutations in genes regulating each of these processes are common in leukaemia1,2. Despite the frequent overlap of mutations affecting epigenetic regulation and splicing in leukaemia, how these processes influence one another to promote leukaemogenesis is not understood and, to our knowledge, there is no functional evidence that mutations in RNA splicing factors initiate leukaemia. Here, through analyses of transcriptomes from 982 patients with acute myeloid leukaemia, we identified frequent overlap of mutations in IDH2 and SRSF2 that together promote leukaemogenesis through coordinated effects on the epigenome and RNA splicing. Whereas mutations in either IDH2 or SRSF2 imparted distinct splicing changes, co-expression of mutant IDH2 altered the splicing effects of mutant SRSF2 and resulted in more profound splicing changes than either mutation alone. Consistent with this, co-expression of mutant IDH2 and SRSF2 resulted in lethal myelodysplasia with proliferative features in vivo and enhanced self-renewal in a manner not observed with either mutation alone. IDH2 and SRSF2 double-mutant cells exhibited aberrant splicing and reduced expression of INTS3, a member of the integrator complex3, concordant with increased stalling of RNA polymerase II (RNAPII). Aberrant INTS3 splicing contributed to leukaemogenesis in concert with mutant IDH2 and was dependent on mutant SRSF2 binding to cis elements in INTS3 mRNA and increased DNA methylation of INTS3. These data identify a pathogenic crosstalk between altered epigenetic state and splicing in a subset of leukaemias, provide functional evidence that mutations in splicing factors drive myeloid malignancy development, and identify spliceosomal changes as a mediator of IDH2-mutant leukaemogenesis. © 2019, The Author(s), under exclusive licence to Springer Nature Limited.
Keywords: controlled study; gene mutation; human cell; major clinical study; nonhuman; letter; animal cell; mouse; animal tissue; gene expression; animal experiment; animal model; cohort analysis; in vivo study; dna methylation; myelodysplastic syndrome; messenger rna; epigenetics; gene identification; leukemogenesis; gene loss; c57bl 6 mouse; rna polymerase ii; rna splicing; idh2 gene; acute myeloid leukemia; cell self-renewal; isocitrate dehydrogenase 2; human; male; female; priority journal; srsf2 gene; overlapping gene; ints3 gene
Journal Title: Nature
Volume: 574
Issue: 7777
ISSN: 0028-0836
Publisher: Nature Publishing Group  
Date Published: 2019-10-10
Start Page: 273
End Page: 277
Language: English
DOI: 10.1038/s41586-019-1618-0
PUBMED: 31578525
PROVIDER: scopus
PMCID: PMC6858560
DOI/URL:
Notes: Letter -- Source: Scopus
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MSK Authors
  1. Eytan Moshe Stein
    342 Stein
  2. Ross Levine
    775 Levine
  3. Stanley Chun-Wei Lee
    43 Lee
  4. Hana Cho
    21 Cho
  5. Alessandro   Pastore
    55 Pastore
  6. Daichi   Inoue
    27 Inoue
  7. Akihide   Yoshimi
    35 Yoshimi
  8. Bo Wang
    4 Wang
  9. Xiao Jing Zhang
    7 Zhang
  10. Rachel Elizabeth Miles
    1 Miles