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Transcription factor RUNX1 promotes survival of acute myeloid leukemia cells
Susumu Goyama, Janet Schibler, Lea Cunningham, Yue Zhang, Yalan Rao, Nahoko Nishimoto, Masahiro Nakagawa, Andre Olsson, Mark Wunderlich, Kevin A. Link, Benjamin Mizukawa, H. Leighton Grimes, Mineo Kurokawa, P. Paul Liu, Gang Huang, James C. Mulloy
Susumu Goyama, Janet Schibler, Lea Cunningham, Yue Zhang, Yalan Rao, Nahoko Nishimoto, Masahiro Nakagawa, Andre Olsson, Mark Wunderlich, Kevin A. Link, Benjamin Mizukawa, H. Leighton Grimes, Mineo Kurokawa, P. Paul Liu, Gang Huang, James C. Mulloy
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Research Article Oncology

Transcription factor RUNX1 promotes survival of acute myeloid leukemia cells

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Abstract

RUNX1 is generally considered a tumor suppressor in myeloid neoplasms. Inactivating RUNX1 mutations have frequently been found in patients with myelodysplastic syndrome (MDS) and cytogenetically normal acute myeloid leukemia (AML). However, no somatic RUNX1 alteration was found in AMLs with leukemogenic fusion proteins, such as core-binding factor (CBF) leukemia and MLL fusion leukemia, raising the possibility that RUNX1 could actually promote the growth of these leukemia cells. Using normal human cord blood cells and those expressing leukemogenic fusion proteins, we discovered a dual role of RUNX1 in myeloid leukemogenesis. RUNX1 overexpression inhibited the growth of normal cord blood cells by inducing myeloid differentiation, whereas a certain level of RUNX1 activity was required for the growth of AML1-ETO and MLL-AF9 cells. Using a mouse genetic model, we also showed that the combined loss of Runx1/Cbfb inhibited leukemia development induced by MLL-AF9. RUNX2 could compensate for the loss of RUNX1. The survival effect of RUNX1 was mediated by BCL2 in MLL fusion leukemia. Our study unveiled an unexpected prosurvival role for RUNX1 in myeloid leukemogenesis. Inhibiting RUNX1 activity rather than enhancing it could be a promising therapeutic strategy for AMLs with leukemogenic fusion proteins.

Authors

Susumu Goyama, Janet Schibler, Lea Cunningham, Yue Zhang, Yalan Rao, Nahoko Nishimoto, Masahiro Nakagawa, Andre Olsson, Mark Wunderlich, Kevin A. Link, Benjamin Mizukawa, H. Leighton Grimes, Mineo Kurokawa, P. Paul Liu, Gang Huang, James C. Mulloy

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Figure 9

BCL2 antagonizes apoptosis induced by RUNX1 inhibition.

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BCL2 antagonizes apoptosis induced by RUNX1 inhibition.
(A) Immunoblotti...
(A) Immunoblotting of murine MLL-AF9/CreER–expressing cells bearing wild-type or Runx1/Cbfb floxed alleles (Runx1/Cbfbf/f) treated with EtOH or 4OHT for 24 hours. (B) Relative mRNA levels of Bcl2 in 4OHT-treated wild-type, Runx1f/f, or Runx1/Cbfbf/f murine MLL-AF9 cells after 4 days of treatment. Results were normalized to Gapdh, with the relative mRNA level in EtOH-treated cells set at 1. Data are shown as the mean ± SD of triplicate wells. (C) Expression of BCL2 in Runx1f/f and Runx1Δ/Δ murine MLL-ENL in vivo leukemia cells. Other probes for BCL2 showed similar results (Supplemental Figure 12B). (D) Relative mRNA levels of BCL2 in sh-2–transduced or Ro5-3335–treated (10 μM) human MLL-AF9 cells 3 days after shRNA transduction or drug addition. Results were normalized to PRKG1, with the relative mRNA level in control (NT-transduced or DMSO-treated) MLL-AF9 cells set at 1. Data are shown as the mean ± SD of triplicate wells. (E) Protein expression of RUNX1, BCL2, and β-actin in NT or sh-2–transduced human MLL-AF9 cells. (F) Experimental scheme used in G and H. See also Supplemental Figure 13. (G) Venus+ (shRNA-transduced) cells (1 × 106) were sorted and cultured with cytokines. Cell numbers in each culture were counted on days 4 and 8. (H) Apoptosis and cell cycle were assessed 4 days after shRNA transduction. Frequency of annexin V+ or S/G2/M phase cells in each culture is shown.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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