Transcriptional and epigenetic rewiring by the NUP98::KDM5A fusion oncoprotein directly activates CDK12

  • 0Department of Biological Sciences and Pathobiology, University of Veterinary Medicine Vienna, Vienna, Austria.

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Summary

This summary is machine-generated.

Nucleoporin 98 (NUP98) fusion oncoproteins drive pediatric acute myeloid leukemia (AML). Targeting CDK12, a direct NUP98::KDM5A target, induces DNA damage and AML cell death, revealing a new therapeutic vulnerability.

Area Of Science

  • Hematology
  • Molecular Biology
  • Epigenetics

Background

  • Nucleoporin 98 (NUP98) fusion oncoproteins are key drivers of pediatric acute myeloid leukemia (AML), associated with poor prognosis.
  • NUP98-fusion AML exhibits a distinct epigenetic signature, including enhanced accessibility of hematopoietic stem cell genes and activating histone marks.

Purpose Of The Study

  • To identify epigenetic programs and transcriptional targets directly regulated by the NUP98::KDM5A fusion oncoprotein.
  • To uncover direct NUP98::KDM5A target genes essential for AML cell proliferation.
  • To identify actionable therapeutic vulnerabilities in NUP98::KDM5A-driven AML.

Main Methods

  • Utilized a ligand-induced degradation model for NUP98::KDM5A in AML.
  • Employed CUT&Tag and nascent RNA-seq to map epigenetic and transcriptional regulation.
  • Performed genome-wide CRISPR/Cas9 screening to identify direct target genes.

Main Results

  • Identified 12 direct NUP98::KDM5A target genes crucial for AML cell growth.
  • Validated cyclin-dependent kinase 12 (CDK12) as a druggable target in NUP98::KDM5A-expressing AML.
  • Demonstrated that CDK12 inactivation leads to increased DNA damage and AML cell death.

Conclusions

  • NUP98::KDM5A directly regulates a core set of genes essential for AML pathogenesis.
  • CDK12 represents a promising therapeutic vulnerability for AML patients with oncogenic NUP98 fusions.
  • Targeting CDK12 offers a potential strategy to induce synthetic lethality in NUP98-fusion AML.

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