Sox4 is a key oncogenic target in C/EBPα mutant acute myeloid leukemia

Hong Zhang1, Meritxell Alberich-Jorda, Giovanni Amabile

  • 1Harvard Stem Cell Institute, Harvard Medical School, Boston, MA 02215, USA; Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.

Cancer Cell
|November 5, 2013
PubMed

Insights

Transcription factor C/EBPα inactivation in acute myeloid leukemia (AML) leads to Sox4 overexpression. This contributes to leukemia development by promoting self-renewal and inhibiting differentiation of leukemia-initiating cells (LICs).

Area of Science:

  • Molecular Biology
  • Cancer Research
  • Hematology

Background:

  • Transcription factor CCAAT/enhancer-binding protein alpha (C/EBPα) is frequently inactivated in acute myeloid leukemia (AML).
  • Inactivation of C/EBPα leads to a common gene expression profile in AML, but downstream targets driving leukemogenesis remain unclear.

Purpose of the Study:

  • To identify direct downstream targets of C/EBPα in AML.
  • To investigate the role of these targets in regulating leukemia-initiating cell (LIC) phenotype and function.

Main Methods:

  • Gene expression profiling to compare AML models with C/EBPα inactivation and Sox4 overexpression.
  • Functional assays to assess the impact of Sox4 modulation on leukemic cell self-renewal and differentiation.
  • Analysis of leukemia-initiating cells (LICs) from genetically modified murine AML models.

Main Results:

  • Sox4 was identified as a direct transcriptional target of C/EBPα, with inverse correlation between their activities.
  • Downregulation of Sox4 reversed the aberrant self-renewal and restored differentiation in leukemic cells.
  • Gene expression profiles of LICs from Sox4-overexpressing and C/EBPα-mutant AML models showed distinct clustering.

Conclusions:

  • Sox4 overexpression, driven by C/EBPα inactivation, is a key mechanism contributing to AML pathogenesis.
  • Sox4 plays a critical role in conferring a distinct leukemia-initiating cell phenotype in specific AML subtypes.

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