Mutant CEBPA promotes tolerance to inflammatory stress through deficient AP-1 activation

Maria Cadefau-Fabregat1,2,3, Gerard Martínez-Cebrián1, Lucía Lorenzi1

  • 1Josep Carreras Leukaemia Research Institute (IJC), Badalona, Spain.

Nature Communications
|April 12, 2025
PubMed

Insights

Mutant CCAAT enhancer-binding protein alpha (CEBPA) in acute myeloid leukemia (AML) produces a p30 isoform that alters inflammatory and stress responses. This impacts cytokine secretion and confers resistance to inflammation, revealing a potential AML vulnerability.

Area of Science:

  • Molecular Biology
  • Cancer Biology
  • Immunology

Background:

  • CCAAT enhancer-binding protein alpha (CEBPA) is a transcription factor frequently mutated in acute myeloid leukemia (AML).
  • CEBPA mutations often lead to biallelic loss and production of a truncated p30 isoform, distinct from the canonical p42 isoform.
  • The functional consequences of CEBPA mutations, particularly the p30 isoform's role in AML pathogenesis, remain incompletely understood.

Purpose of the Study:

  • To elucidate the distinct transcriptional programs regulated by the canonical p42 and AML-associated p30 CEBPA isoforms.
  • To investigate how these isoforms influence cellular responses to inflammatory stimuli and stress.
  • To identify potential therapeutic vulnerabilities associated with mutant CEBPA in AML.

Main Methods:

  • Comparative analysis of gene expression profiles between cells expressing p42 and p30 isoforms.
  • Assessment of transcriptional induction dynamics in response to lipopolysaccharide (LPS) stimulation.
  • Evaluation of cytokine secretion profiles.
  • Investigation of AP-1 family protein regulation and ATF4 function under ER stress conditions.

Main Results:

  • Cells expressing the p30 isoform exhibit reduced baseline inflammatory gene expression.
  • p30-expressing cells show altered transcriptional responses to LPS, leading to modified cytokine secretion.
  • These cells display increased resistance to prolonged inflammatory signals.
  • Differential regulation of AP-1 family proteins, including ATF4, underlies these functional changes.
  • Impaired ATF4 function in p30-expressing cells affects the response to endoplasmic reticulum (ER) stress.

Conclusions:

  • Mutant CEBPA (p30 isoform) significantly alters inflammatory gene expression and cytokine secretion in AML cells.
  • The p30 isoform confers a survival advantage by increasing resistance to inflammatory stress.
  • Dysregulation of AP-1 proteins and altered ER stress response are key mechanisms.
  • These findings highlight a critical link between mutant CEBPA, inflammation, and stress response pathways in AML, suggesting novel therapeutic targets.

Related Concept Videos

Regulation of the Unfolded Protein Response01:31

Regulation of the Unfolded Protein Response

Inositol-requiring kinase one or IRE1 is the most conserved eukaryotic unfolded protein response (UPR) receptor. It is a type I transmembrane protein kinase receptor with a distinctive site-specific RNase activity. As the binding mechanics of the misfolded proteins with the N-terminal domain of IRE-1 are unclear, three binding models — direct, indirect, and allosteric -- are proposed for receptor activation. Nevertheless, it is known that once a misfolded protein associates with IRE1, it...
2.3K
NF-κB-dependent Signaling Pathway02:26

NF-κB-dependent Signaling Pathway

The transcription factor NF-κB was discovered in 1986 in the lab of Nobel laureate Professor David Baltimore, for its interaction with the immunoglobulin light chain enhancer in B-cells. After more than three decades of study, it is now evident that NF-κB regulates the expression of over 100 genes. Most of these genes play an essential role in the innate and adaptive immune responses as well as the inflammatory responses of animals.
NF-κB-dependent Signaling Mechanism
The...
7.2K
The Unfolded Protein Response01:37

The Unfolded Protein Response

The ER is the hub of protein synthesis in a cell. It has robust systems to quality control protein folding and also for degradation of terminally misfolded proteins. Under normal conditions, a small proportion of misfolded proteins that cannot be salvaged need to be transported to the cytoplasm by the ER-associated degradation or ERAD pathways. However, if the ERAD cannot handle the misfolded proteins, the cell activates the unfolded protein response or UPR to adjust the protein folding...
4.3K
Inflammatory Response01:28

Inflammatory Response

An inflammatory response is a localized, nonspecific immune reaction that occurs when a tissue is injured. It is characterized by redness, swelling, heat, and pain, which are commonly called the cardinal signs and symptoms of inflammation. Inflammation can sometimes result in a loss of function.
Inflammation can be triggered by various stimuli, such as impact, abrasion, chemical irritation, infections, and extreme hot or cold temperatures. These can damage cells and connective tissue fibers,...
1.6K
The Intrinsic Apoptotic Pathway01:31

The Intrinsic Apoptotic Pathway

Internal cellular stress, such as cellular injury or hypoxia, triggers intrinsic apoptosis. The B-cell lymphoma 2 (Bcl-2) family of proteins are the primary regulators of the intrinsic apoptotic pathway. For example, during DNA damage, checkpoint proteins, such as Ataxia Telangiectasia Mutated (ATM protein) and Checkpoints Factor-2 (Chk2) proteins, are activated. These proteins phosphorylate p53 which further activates pro-apoptotic proteins, such as Bax, Bak, PUMA, and Noxa, and inhibits...
5.6K
T Cell Types and Functions01:24

T Cell Types and Functions

When T cells with CD4 markers are activated, they give rise to two types of effector cells: helper T cells and regulatory T cells. Meanwhile, T cells with CD8 markers differentiate into effector cytotoxic T cells. The differentiation of CD4 T cells into helper T cell subsets, such as Th1, Th2, and Th17 cells, is dependent on the antigen type, antigen-presenting cell, and regulatory cytokines.
Th1 cells stimulate dendritic cells to express necessary co-stimulatory molecules on their surfaces for...
633