The Oncogenic Transcription Factor RUNX1/ETO Corrupts Cell Cycle Regulation to Drive Leukemic Transformation

Natalia Martinez-Soria1, Lynsey McKenzie1, Julia Draper2

  • 1Wolfson Childhood Cancer Research Centre, Northern Institute for Cancer Research, Newcastle University, Brewery Lane, Newcastle upon Tyne NE1 7RU, UK.

Cancer Cell
|October 10, 2018
PubMed

Insights

RUNX1/ETO drives acute myeloid leukemia (AML) by increasing Cyclin D2 (CCND2) expression. Targeting CCND2 with approved drugs halts leukemia cell growth and spread, offering a new therapeutic strategy for AML.

Area of Science:

  • Hematology
  • Molecular Biology
  • Oncology

Background:

  • RUNX1/ETO is a fusion protein driving t(8;21) acute myeloid leukemia (AML).
  • Targeting oncogenic transcription factors in AML presents significant therapeutic challenges.
  • Understanding the transcriptional network is crucial for developing effective AML treatments.

Purpose of the Study:

  • To identify key components of the transcriptional network maintaining t(8;21) AML.
  • To investigate the role of Cyclin D2 (CCND2) in RUNX1/ETO-driven leukemogenesis.
  • To evaluate CCND2 inhibition as a therapeutic strategy for AML.

Main Methods:

  • Utilized epigenomic profiling data and RNA interference (RNAi) screening.
  • Analyzed the cooperation between RUNX1/ETO and AP-1 in regulating CCND2 expression.
  • Assessed the impact of CCND2 knockdown and pharmacological inhibition on AML cells in vitro and in vivo.

Main Results:

  • Identified CCND2 as a critical mediator of RUNX1/ETO-driven leukemic propagation.
  • Demonstrated that RUNX1/ETO and AP-1 cooperate to induce CCND2 expression.
  • Showed that CCND2 inhibition significantly reduces AML cell expansion and engraftment in murine models.

Conclusions:

  • RUNX1/ETO maintains AML by promoting cell cycle progression through CCND2.
  • G1 Cyclin D-CDK complexes are promising therapeutic targets for RUNX1/ETO-driven AML.
  • Pharmacological inhibition of CCND2 offers a viable treatment strategy for this AML subtype.

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