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Published on: July 17, 2020
PML/RARa inhibits PTEN expression in hematopoietic cells by competing with PU.1 transcriptional activity
Nélida Inés Noguera1,2, Maria Liliana Piredda1,2, Riccardo Taulli3
1Department of Biomedicine and Prevention, University of Rome "Tor Vergata", Rome, Italy.
Abstract:
Acute promyelocitic leukemia (APL) is characterized by the pathognomonic presence in leukemic blasts of the hybrid protein PML/RARA, that acts as a transcriptional repressor impairing the expression of genes that are critical to myeloid differentiation. Here, we show that primary blasts from APL patients express lower levels of the oncosuppressor protein PTEN, as compared to blast cells from other AML subtypes or normal bone marrow, and demonstrate that PML-RARA directly inhibits PTEN expression. We show that All-Trans Retinoic Acid (ATRA) triggers in APL cells an active chromatin status at the core regulatory region of the PTEN promoter, that allows the binding of the myeloid-regulating transcription factor PU.1, and, in turn, the transcriptional induction of PTEN. ATRA, via PML/RARA degradation, also promotes PTEN nuclear re-localization and decreases expression of the PTEN target Aurora A kinase. In conclusion, our findings support the notion that PTEN is one of the primary targets of PML/RARA in APL.
Insights
Acute promyelocytic leukemia (APL) involves the PML/RARA protein inhibiting PTEN expression. All-Trans Retinoic Acid (ATRA) reverses this, restoring PTEN levels and aiding myeloid differentiation.
Area of Science:
- Hematology
- Molecular Biology
- Oncology
Background:
- Acute promyelocytic leukemia (APL) is defined by the PML/RARA fusion protein.
- PML/RARA acts as a transcriptional repressor, hindering myeloid differentiation.
- Reduced PTEN oncosuppressor protein levels are observed in APL blasts.
Purpose of the Study:
- To investigate the role of PTEN in APL pathogenesis.
- To elucidate the mechanism by which PML/RARA affects PTEN expression.
- To explore the impact of All-Trans Retinoic Acid (ATRA) on PTEN in APL.
Main Methods:
- Analysis of PTEN protein levels in APL patient blasts.
- Assessing the direct inhibitory effect of PML/RARA on PTEN expression.
- Chromatin immunoprecipitation assays to study promoter activity.
- Evaluating the effect of ATRA on PTEN transcription and protein localization.
Main Results:
- APL blasts exhibit significantly lower PTEN levels compared to other AML subtypes and normal bone marrow.
- PML/RARA directly suppresses PTEN gene expression.
- ATRA treatment induces active chromatin at the PTEN promoter, facilitating PU.1 binding and PTEN transcription.
- ATRA promotes PTEN nuclear re-localization and reduces Aurora A kinase expression via PML/RARA degradation.
Conclusions:
- PTEN is identified as a key target of PML/RARA in APL.
- Restoration of PTEN expression by ATRA is a crucial mechanism in APL treatment.
- Targeting PTEN represents a potential therapeutic strategy for APL.
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