HOXA9 is required for survival in human MLL-rearranged acute leukemias
2009-03-12
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Leukemias that harbor translocations involving the mixed lineage leukemia gene (MLL) possess unique biologic characteristics and often have an unfavorable prognosis. Gene expression analyses demonstrate a distinct profile for MLL-rearranged leukemias with consistent high-level expression of select Homeobox genes, including HOXA9. Here, we investigated the effects of HOXA9 suppression in MLL- rearranged and MLL-germline leukemias using RNA interference. Gene expression profiling after HOXA9 suppression demonstrated co-down-regulation of a program highly expressed in human MLL- AMLand murine MLL-leukemia stem cells, including HOXA10, MEIS1, PBX3, and MEF2C. We demonstrate that HOXA9 depletion in 17 human AML/ALL cell lines (7 MLL-rearranged, 10 MLL-germline) induces proliferation arrest and apoptosis specifically in MLL-rearranged cells (P = .007). Similarly, assessment of primary AMLs demonstrated that HOXA9 suppression induces apoptosis to a greater extent in MLL-rearranged samples (P = .01). Moreover, mice transplanted with HOXA9-depleted t(4;11) SEMK2 cells revealed a significantly lower leukemia burden, thus identifying a role for HOXA9 in leukemia survival in vivo. Our data indicate an important role for HOXA9 in human MLL-rearranged leukemias and suggest that targeting HOXA9 or downstream programs may be a novel therapeutic option. © 2009 by The American Society of Hematology.
- article
- human
- priority journal
- controlled study
- animal model
- cancer cell culture
- human cell
- mouse
- nonhuman
- unclassified drug
- cancer survival
- acute leukemia
- clinical assessment
- transplantation
- animal cell
- in vivo study
- transcription factor
- cell proliferation
- immunosuppressive treatment
- gene expression profiling
- Hox protein
- HoxA9 protein
- RNA interference
- acute granulocytic leukemia
- apoptosis
- cell cycle arrest
- chromosome rearrangement
- germ line
- leukemia cell
- mixed lineage leukemia protein
- protein depletion
- receptor down regulation
- stem cell
- transcription factor HoxA10
- transcription factor MEIS1
- transcription factor Mef2c
- transcription factor PBX3
- hoxa 9 suppression
- leukemia
- expression
- hoxa 9
- suppression
- shrna
- hoxa 9 expression
- figure
- analysis
- signi
- blood
- mll-rearranged
- control
- transduction
- murine
- myeloid
- induction
- signi ficantly
- transduced
- erasmus mc