DNA-damage-induced differentiation of leukaemic cells as an anti-cancer barrier Journal Article


Authors: Santos, M. A.; Faryabi, R. B.; Ergen, A. V.; Day, A. M.; Malhowski, A.; Canela, A.; Onozawa, M.; Lee, J. E.; Callen, E.; Gutierrez-Martinez, P.; Chen, H. T.; Wong, N.; Finkel, N.; Deshpande, A.; Sharrow, S.; Rossi, D. J.; Ito, K.; Ge, K.; Aplan, P. D.; Armstrong, S. A.; Nussenzweig, A.
Article Title: DNA-damage-induced differentiation of leukaemic cells as an anti-cancer barrier
Abstract: Self-renewal is the hallmark feature both of normal stem cells and cancer stem cells. Since the regenerative capacity of normal haematopoietic stem cells is limited by the accumulation of reactive oxygen species and DNA double-strand breaks, we speculated that DNA damage might also constrain leukaemic self-renewal and malignant haematopoiesis. Here we show that the histone methyl-transferase MLL4, a suppressor of B-cell lymphoma, is required for stem-cell activity and an aggressive form of acute myeloid leukaemia harbouring the MLL-AF9 oncogene. Deletion of MLL4 enhances myelopoiesis and myeloid differentiation of leukaemic blasts, which protects mice from death related to acute myeloid leukaemia. MLL4 exerts its function by regulating transcriptional programs associated with the antioxidant response. Addition of reactive oxygen species scavengers or ectopic expression of FOXO3 protects MLL4(-/-) MLL-AF9 cells from DNA damage and inhibits myeloid maturation. Similar to MLL4 deficiency, loss of ATM or BRCA1 sensitizes transformed cells to differentiation, suggesting that myeloid differentiation is promoted by loss of genome integrity. Indeed, we show that restriction-enzyme-induced double-strand breaks are sufficient to induce differentiation of MLL-AF9 blasts, which requires cyclin-dependent kinase inhibitor p21(Cip1) (Cdkn1a) activity. In summary, we have uncovered an unexpected tumour-promoting role of genome guardians in enforcing the oncogene-induced differentiation blockade in acute myeloid leukaemia.
Keywords: oncoprotein; acute granulocytic leukemia; genetics; leukemia, myeloid, acute; mouse; animal; cytology; metabolism; animals; mice; dna damage; dna repair; enzymology; pathology; brca1 protein; cell transformation, neoplastic; gene expression regulation; tumor suppressor gene; gene expression regulation, neoplastic; cell transformation; histone-lysine n-methyltransferase; genes, brca1; oncogene proteins, fusion; hematopoietic stem cells; reactive oxygen species; reactive oxygen metabolite; atm protein; dna breaks, double-stranded; double stranded dna break; hematopoietic stem cell; cdkn1a protein, mouse; cyclin dependent kinase inhibitor 1a; cyclin-dependent kinase inhibitor p21; histone lysine methyltransferase; myelopoiesis; male; female; article; mll af9 fusion protein, mouse; mll-af9 fusion protein, mouse; mll4 protein, mouse; ataxia telangiectasia mutated proteins
Journal Title: Nature
Volume: 514
Issue: 7520
ISSN: 0028-0836
Publisher: Nature Publishing Group  
Date Published: 2014-10-02
Start Page: 107
End Page: 111
Language: English
DOI: 10.1038/nature13483
PUBMED: 25079327
PROVIDER: scopus
PMCID: PMC4410707
DOI/URL:
Notes: Export Date: 1 December 2014 -- Source: Scopus
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  1. Scott Allen Armstrong
    108 Armstrong