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Instructive Role of MLL-Fusion Proteins Revealed by a Model of t(4;11) Pro-B Acute Lymphoblastic Leukemia
Shan Lin1, Roger T Luo2, Anetta Ptasinska3
1Cancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
Abstract:
The t(4;11)(q21;q23) fuses mixed-lineage leukemia (MLL) to AF4, the most common MLL-fusion partner. Here we show that MLL fused to murine Af4, highly conserved with human AF4, produces high-titer retrovirus permitting efficient transduction of human CD34+ cells, thereby generating a model of t(4;11) pro-B acute lymphoblastic leukemia (ALL) that fully recapitulates the immunophenotypic and molecular aspects of the disease. MLL-Af4 induces a B ALL distinct from MLL-AF9 through differential genomic target binding of the fusion proteins leading to specific gene expression patterns. MLL-Af4 cells can assume a myeloid state under environmental pressure but retain lymphoid-lineage potential. Such incongruity was also observed in t(4;11) patients in whom leukemia evaded CD19-directed therapy by undergoing myeloid-lineage switch. Our model provides a valuable tool to unravel the pathogenesis of MLL-AF4 leukemogenesis.
Insights
A new model of mixed-lineage leukemia (MLL)-AF4 pro-B acute lymphoblastic leukemia (ALL) was created. This model fully recapitulates the human disease and aids in understanding leukemogenesis.
Area of Science:
- Hematology
- Molecular Biology
- Oncology
Background:
- The t(4;11) translocation creates the MLL-AF4 fusion, a common driver in acute lymphoblastic leukemia (ALL).
- Existing models do not fully capture the complexity of MLL-AF4 driven B-ALL.
Purpose of the Study:
- To develop a robust preclinical model of MLL-AF4 positive B-ALL.
- To investigate the distinct molecular mechanisms of MLL-Af4 compared to other MLL fusions.
- To study the lineage plasticity observed in t(4;11) ALL.
Main Methods:
- Generation of high-titer retrovirus encoding MLL-Af4.
- Transduction of human CD34+ hematopoietic stem cells.
- Immunophenotypic and molecular characterization of the generated leukemia model.
- Comparative analysis of MLL-Af4 and MLL-AF9 fusion proteins' genomic targets.
Main Results:
- MLL-Af4 efficiently transduced human CD34+ cells, creating a faithful model of t(4;11) B-ALL.
- MLL-Af4 induced distinct gene expression patterns compared to MLL-AF9 due to differential target binding.
- The MLL-Af4 model exhibited lineage plasticity, switching to a myeloid state while retaining lymphoid potential, mirroring patient observations.
Conclusions:
- The MLL-Af4 retroviral model is a valuable tool for studying t(4;11) B-ALL pathogenesis.
- Understanding lineage plasticity is crucial for developing effective therapies against MLL-AF4 ALL.
- This model can facilitate the discovery of novel therapeutic strategies for MLL-AF4 leukemias.
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