[PDF][PDF] Driver mutations in leukemia promote disease pathogenesis through a combination of cell-autonomous and niche modulation

B Ramdas, RS Mali, LR Palam, R Pandey, Z Cai… - Stem cell reports, 2020 - cell.com
B Ramdas, RS Mali, LR Palam, R Pandey, Z Cai, SK Pasupuleti, SS Burns, R Kapur
Stem cell reports, 2020cell.com
Studies of patients with acute myeloid leukemia (AML) have led to the identification of
mutations that affect different cellular pathways. Some of these have been classified as
preleukemic, and a stepwise evolution program whereby cells acquire additional mutations
has been proposed in the development of AML. How the timing of acquisition of these
mutations and their impact on transformation and the bone marrow (BM) microenvironment
occurs has only recently begun to be investigated. We show that constitutive and early loss …
Summary
Studies of patients with acute myeloid leukemia (AML) have led to the identification of mutations that affect different cellular pathways. Some of these have been classified as preleukemic, and a stepwise evolution program whereby cells acquire additional mutations has been proposed in the development of AML. How the timing of acquisition of these mutations and their impact on transformation and the bone marrow (BM) microenvironment occurs has only recently begun to be investigated. We show that constitutive and early loss of the epigenetic regulator, TET2, when combined with constitutive activation of FLT3, results in transformation of chronic myelomonocytic leukemia-like or myeloproliferative neoplasm-like phenotype to AML, which is more pronounced in double-mutant mice relative to mice carrying mutations in single genes. Furthermore, we show that in preleukemic and leukemic mice there are alterations in the BM niche and secreted cytokines, which creates a permissive environment for the growth of mutation-bearing cells relative to normal cells.
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