Signalling input from divergent pathways subverts B cell transformation
Lai N Chan1, Mark A Murakami2,3, Mark E Robinson1
1Department of Systems Biology, City of Hope Comprehensive Cancer Center, Monrovia, CA, USA.
Nature
|July 24, 2020
Summary
Cancer develops when mutations converge on a single oncogenic pathway, not individually. Reactivating suppressed pathways can reverse transformation and enhance leukemia treatment.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Cancer arises from accumulated genetic mutations.
- Leukemogenesis involves specific oncogenic pathways driving cell transformation.
- B-cell acute lymphoblastic leukemia (B-ALL) is characterized by distinct genetic lesions.
Purpose of the Study:
- To investigate the role of converging oncogenic pathways in B-ALL.
- To understand how divergent pathways affect leukaemogenesis.
- To explore therapeutic strategies targeting oncogenic pathways in B-ALL.
Main Methods:
- Analysis of 1,148 patient-derived B-ALL samples.
- Single-cell mutation and phospho-protein analyses.
- Investigating STAT5 and ERK signaling pathways and their associated transcription factors (MYC, BCL6).
Main Results:
- Leukemia development requires convergence on a single oncogenic pathway characteristic of the cell's differentiation stage.
- Mutations activating STAT5 (pro-B-cell stage) or ERK (pre-B-cell stage) are common but typically segregated into competing clones.
- Reactivation of suppressed divergent pathways reversed transformation, while their deletion accelerated it.
Conclusions:
- Convergence on a principal oncogenic driver is central to leukemia initiation.
- Divergent signaling pathways act as a barrier to transformation.
- Reactivating suppressed divergent pathways offers a novel therapeutic strategy to enhance treatment response in B-ALL, synergizing with inhibition of the principal oncogenic driver.
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