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Published on: February 21, 2018
Heritable polymorphism predisposes to high BAALC expression in acute myeloid leukemia
Ann-Kathrin Eisfeld1, Guido Marcucci, Sandya Liyanarachchi
1The Ohio State University Comprehensive Cancer Center, Columbus, OH 43210, USA.
A specific gene variant (T allele of rs62527607) drives overexpression of the brain and acute leukemia, cytoplasmic (BAALC) gene, potentially increasing acute myeloid leukemia risk. This genetic feature may aid personalized medicine approaches.
Area of Science:
- Genetics
- Oncology
- Molecular Biology
Background:
- The brain and acute leukemia, cytoplasmic (BAALC) gene is overexpressed in various cancers, including acute myeloid leukemia (AML), and linked to poor patient outcomes.
- The mechanisms causing BAALC overexpression and its oncogenic role remain largely unknown.
- A heritable genetic factor influencing BAALC expression in an allele-specific manner was hypothesized.
Purpose of the Study:
- To investigate the genetic basis for BAALC overexpression.
- To identify specific genetic variants associated with BAALC expression levels.
- To elucidate the functional consequences of these variants in leukemogenesis.
Main Methods:
- Sequencing of the BAALC genomic region to identify single nucleotide polymorphisms (SNPs).
- Association studies testing SNPs against BAALC expression levels in patient cohorts.
- In vitro luciferase reporter assays and electrophoretic mobility shift assays (EMSA) to confirm functional mechanisms.
- In vivo validation in independent AML patient cohorts.
Main Results:
- The T allele of SNP rs62527607 was significantly associated with higher BAALC expression.
- This T allele creates a binding site for the RUNX1 transcription factor in the BAALC promoter.
- In vitro and in vivo experiments confirmed the functional and correlational link between the T allele, RUNX1, and BAALC overexpression in AML.
- High BAALC expression and the T allele were correlated with RUNX1 expresser status in cytogenetically normal AML patients.
Conclusions:
- A heritable genetic variant (rs62527607 T allele) predisposes to BAALC oncogene overexpression.
- This mechanism contributes to acute myeloid leukemia pathogenesis.
- Genomic variants may serve as biomarkers for personalized medicine in oncology.
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