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Updated: May 7, 2026

Flow Cytometry to Estimate Leukemia Stem Cells in Primary Acute Myeloid Leukemia and in Patient-derived-xenografts, at Diagnosis and Follow Up
Published on: March 26, 2018
MLL translocations, histone modifications and leukaemia stem-cell development.
Andrei V Krivtsov1, Scott A Armstrong
1Division of Haematology/Oncology, Children's Hospital, Department of Pediatric Oncology, and Harvard Medical School, Boston, Massachusetts 02115, USA.
Mixed lineage leukaemia (MLL) gene translocations create fusion proteins that transform hematopoietic cells into leukemia stem cells by disrupting epigenetic regulation. This highlights the role of epigenetic landscapes in both normal and cancerous stem cell development.
Area of Science:
- Molecular Biology
- Epigenetics
- Hematology
Background:
- Translocations involving the mixed lineage leukaemia (MLL) gene are associated with a distinct subtype of acute leukaemia.
- These leukaemias often present with a poor prognosis.
- The MLL gene product is a DNA-binding protein crucial for gene expression regulation, including Hox genes, via histone H3 lysine 4 (H3K4) methylation.
Purpose of the Study:
- To investigate the functional consequences of MLL gene translocations in leukaemogenesis.
- To explore the role of MLL fusion proteins in the development of leukaemia stem cells.
- To understand the connection between chromatin modulation and stem cell biology in the context of leukaemia.
Main Methods:
- Analysis of MLL gene translocations in acute leukaemias.
- Assessment of H3K4 methyltransferase activity in MLL fusion proteins.
- Evaluation of the capacity of MLL fusion proteins to transform hematopoietic cells into leukaemia stem cells.
Main Results:
- Leukaemogenic MLL translocations result in MLL fusion proteins lacking H3K4 methyltransferase activity.
- MLL fusion proteins possess a potent ability to transform hematopoietic cells, generating leukaemia stem cells.
- A significant link exists between MLL's role as a chromatin modulator and the generation of leukaemia stem cells.
Conclusions:
- MLL fusion proteins drive leukaemogenesis by disrupting normal epigenetic regulation.
- The transformation of hematopoietic cells into leukaemia stem cells is a key mechanism in MLL-driven leukaemias.
- Epigenetic landscapes are critical determinants in both normal stem cell development and the pathogenesis of leukaemia.
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