[PDF][PDF] Id2 and E proteins orchestrate the initiation and maintenance of MLL-rearranged acute myeloid leukemia

M Ghisi, L Kats, F Masson, J Li, T Kratina, E Vidacs… - Cancer Cell, 2016 - cell.com
M Ghisi, L Kats, F Masson, J Li, T Kratina, E Vidacs, O Gilan, MA Doyle, A Newbold…
Cancer Cell, 2016cell.com
E proteins and their antagonists, the Id proteins, are transcriptional regulators important for
normal hematopoiesis. We found that Id2 acts as a key regulator of leukemia stem cell (LSC)
potential in MLL-rearranged acute myeloid leukemia (AML). Low endogenous Id2
expression is associated with LSC enrichment while Id2 overexpression impairs MLL-AF9-
leukemia initiation and growth. Importantly, MLL-AF9 itself controls the E-protein pathway by
suppressing Id2 while directly activating E2-2 expression, and E2-2 depletion phenocopies …
Summary
E proteins and their antagonists, the Id proteins, are transcriptional regulators important for normal hematopoiesis. We found that Id2 acts as a key regulator of leukemia stem cell (LSC) potential in MLL-rearranged acute myeloid leukemia (AML). Low endogenous Id2 expression is associated with LSC enrichment while Id2 overexpression impairs MLL-AF9-leukemia initiation and growth. Importantly, MLL-AF9 itself controls the E-protein pathway by suppressing Id2 while directly activating E2-2 expression, and E2-2 depletion phenocopies Id2 overexpression in MLL-AF9-AML cells. Remarkably, Id2 tumor-suppressive function is conserved in t(8;21) AML. Low expression of Id2 and its associated gene signature are associated with poor prognosis in MLL-rearranged and t(8;21) AML patients, identifying the Id2/E-protein axis as a promising new therapeutic target in AML.
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