Oncogenic IL7R gain-of-function mutations in childhood T-cell acute lymphoblastic leukemia

PP Zenatti, D Ribeiro, W Li, L Zuurbier, MC Silva… - Nature …, 2011 - nature.com
PP Zenatti, D Ribeiro, W Li, L Zuurbier, MC Silva, M Paganin, J Tritapoe, JA Hixon
Nature genetics, 2011nature.com
Abstract Interleukin 7 (IL-7) and its receptor, formed by IL-7Rα (encoded by IL7R) and γc, are
essential for normal T-cell development and homeostasis. Here we show that IL7R is an
oncogene mutated in T-cell acute lymphoblastic leukemia (T-ALL). We find that 9% of
individuals with T-ALL have somatic gain-of-function IL7R exon 6 mutations. In most cases,
these IL7R mutations introduce an unpaired cysteine in the extracellular juxtamembrane-
transmembrane region and promote de novo formation of intermolecular disulfide bonds …
Abstract
Interleukin 7 (IL-7) and its receptor, formed by IL-7Rα (encoded by IL7R) and γc, are essential for normal T-cell development and homeostasis. Here we show that IL7R is an oncogene mutated in T-cell acute lymphoblastic leukemia (T-ALL). We find that 9% of individuals with T-ALL have somatic gain-of-function IL7R exon 6 mutations. In most cases, these IL7R mutations introduce an unpaired cysteine in the extracellular juxtamembrane-transmembrane region and promote de novo formation of intermolecular disulfide bonds between mutant IL-7Rα subunits, thereby driving constitutive signaling via JAK1 and independently of IL-7, γc or JAK3. IL7R mutations induce a gene expression profile partially resembling that provoked by IL-7 and are enriched in the T-ALL subgroup comprising TLX3 rearranged and HOXA deregulated cases. Notably, IL7R mutations promote cell transformation and tumor formation. Overall, our findings indicate that IL7R mutational activation is involved in human T-cell leukemogenesis, paving the way for therapeutic targeting of IL-7R–mediated signaling in T-ALL.
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