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Published on: February 21, 2018
Upregulation of Flt3 is a passive event in Hoxa9/Meis1-induced acute myeloid leukemia in mice
A Staffas1,2, L S Arabanian1, S Y Wei1,3
1Department of Clinical Chemistry and Transfusion Medicine, Institute of Biomedicine, University of Gothenburg, Gothenburg, Sweden.
Abstract:
HOXA9, MEIS1 and FLT3 are genes frequently upregulated in human acute myeloid leukemia. Hoxa9 and Meis1 also cooperate to induce aggressive AML with high Flt3 expression in mice, suggesting an important role for Flt3 in Hoxa9/Meis1-induced leukemogenesis. To define the role of Flt3 in AML with high Hoxa9/Meis1, we treated mice with Hoxa9/Meis1-induced AML with the Flt3 inhibitor AC220, used an Flt3-ligand (FL-/-) knockout model, and investigated whether overexpression of Flt3 could induce leukemia together with overexpression of Hoxa9. Flt3 inhibition by AC220 did not delay AML development in mice transplanted with bone marrow cells overexpressing Hoxa9 and Meis1. In addition, Hoxa9/Meis1 cells induced AML in FL-/- mice as rapid as in wild-type mice. However, FL-/- mice had reduced organ infiltration compared with wild-type mice, suggesting some Flt3-dependent effect on leukemic invasiveness. Interestingly, leukemic Hoxa9/Meis1 cells from sick mice expressed high levels of Flt3 regardless of presence of its ligand, showing that Flt3 is a passive marker on these cells. In line with this, combined engineered overexpression of Flt3 and Hoxa9 did not accelerate the progression to AML. We conclude that the Hoxa9- and Meis1-associated upregulation of Flt3 is not a requirement for leukemic progression induced by Hoxa9 and Meis1.
Insights
The study found that Flt3 (FMS-like tyrosine kinase 3) is not required for acute myeloid leukemia (AML) progression driven by HOXA9 and MEIS1. High Flt3 expression on leukemia cells acts as a marker, not a driver, in this AML subtype.
Area of Science:
- Molecular Biology
- Hematology
- Cancer Research
Background:
- HOXA9, MEIS1, and FLT3 are frequently upregulated in acute myeloid leukemia (AML).
- Hoxa9 and Meis1 cooperate to induce aggressive AML with high Flt3 expression in mice.
- The precise role of Flt3 in Hoxa9/Meis1-induced leukemogenesis requires further definition.
Purpose of the Study:
- To elucidate the role of Flt3 in AML characterized by high HOXA9 and MEIS1 expression.
- To investigate the impact of Flt3 inhibition and Flt3-ligand deficiency on leukemogenesis.
Main Methods:
- Treatment of Hoxa9/Meis1-induced AML mouse models with the Flt3 inhibitor AC220.
- Utilizing a Flt3-ligand (FL-/-) knockout mouse model.
- Assessing leukemogenesis upon co-overexpression of Flt3 and Hoxa9.
Main Results:
- Flt3 inhibition did not impede AML development in mice overexpressing Hoxa9 and Meis1.
- Hoxa9/Meis1 cells induced AML in FL-/- mice as rapidly as in wild-type mice, with reduced organ infiltration in FL-/- mice.
- Leukemic cells expressed high Flt3 levels irrespective of Flt3-ligand presence, indicating Flt3 is a passive marker.
Conclusions:
- The upregulation of Flt3 associated with HOXA9 and MEIS1 is not essential for leukemic progression.
- Flt3 plays a limited role in the invasiveness of Hoxa9/Meis1-induced AML.
- Flt3 functions primarily as a marker rather than a driver in this specific AML context.
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