ETV6::ACSL6 translocation-driven super-enhancer activation leads to eosinophilia in acute lymphoblastic leukemia through IL-3 overexpression

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Wenqian Xu - , Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine (Autor:in)
  • Feng Tian - , Hebei University of Engineering (Autor:in)
  • Xiaolu Tai - , Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine (Autor:in)
  • Gaoxian Song - , Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine (Autor:in)
  • Yuanfang Liu - , Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine (Autor:in)
  • Liquan Fan - , Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine (Autor:in)
  • Xiangqin Weng - , Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine (Autor:in)
  • Eunjeong Yang - , The University of Hong Kong (Autor:in)
  • Meng Wang - , Shanghai Jiao Tong University (Autor:in)
  • Martin Bornhäuser - , Medizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus Dresden (Autor:in)
  • Chao Zhang - , Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine (Autor:in)
  • Richard B Lock - , University of New South Wales (Autor:in)
  • Jason W H Wong - , The University of Hong Kong (Autor:in)
  • Jin Wang - , Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine (Autor:in)
  • Duohui Jing - , Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine (Autor:in)
  • Jian-Qing Mi - , Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine (Autor:in)

Abstract

ETV6::ACSL6 represents a rare genetic aberration in hematopoietic neoplasms and is often associated with severe eosinophilia, which confers an unfavorable prognosis requiring additional anti-inflammatory treatment. However, since the translocation is unlikely to produce a fusion protein, the mechanism of ETV6::ACSL6 action remains unclear. Here, we performed multi-omics analyses of primary leukemia cells and patient-derived xenografts from an acute lymphoblastic leukemia (ALL) patient with ETV6::ACSL6 translocation. We identified a super-enhancer located within the ETV6 gene locus, and revealed translocation and activation of the super-enhancer associated with the ETV6::ACSL6 fusion. The translocated super-enhancer exhibited intense interactions with genomic regions adjacent to and distal from the breakpoint at chromosomes 5 and 12, including genes coding inflammatory factors such as IL-3. This led to modulations in DNA methylation, histone modifications, and chromatin structures, triggering transcription of inflammatory factors leading to eosinophilia. Furthermore, the bromodomain and extraterminal domain (BET) inhibitor synergized with standard-of-care drugs for ALL, effectively reducing IL-3 expression and inhibiting ETV6::ACSL6 ALL growth in vitro and in vivo. Overall, our study revealed for the first time a cis-regulatory mechanism of super-enhancer translocation in ETV6::ACSL6ALL, leading to an ALL-accompanying clinical syndrome. These findings may stimulate novel treatment approaches for this challenging ALL subtype.

Details

OriginalspracheEnglisch
Seiten (von - bis)2445-2458
Seitenumfang14
FachzeitschriftHaematologica
Jahrgang109
Ausgabenummer8
PublikationsstatusVeröffentlicht - 1 Aug. 2024
Peer-Review-StatusJa

Externe IDs

PubMedCentral PMC11290521
Scopus 85200423318

Schlagworte

Schlagwörter

  • Animals, Humans, Mice, Enhancer Elements, Genetic, Eosinophilia/genetics, ETS Translocation Variant 6 Protein, Gene Expression Regulation, Leukemic, Interleukin-3/genetics, Oncogene Proteins, Fusion/genetics, Precursor Cell Lymphoblastic Leukemia-Lymphoma/genetics, Proto-Oncogene Proteins c-ets/genetics, Repressor Proteins/genetics, Translocation, Genetic