Behre G, Zhang P, Zhang D E, Tenen D G
Harvard Medical School and Division of Hematology/Oncology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, 02115, USA.
Methods. 1999 Mar;17(3):231-7. doi: 10.1006/meth.1998.0733.
Acute myeloid leukemia (AML) is still associated with a mortality of 60 to 80%. AML is characterized by a block in myeloid differentiation. The transcription factors PU.1 and C/EBPalpha are responsible for normal myeloid differentiation from stem cells to monocytes or granulocytes. In particular, PU.1 induces expression of the macrophage colony-stimulating factor (M-CSF) receptor and the development of monocytes, whereas C/EBPalpha increases the expression of the granulocyte colony-stimulating factor (G-CSF) receptor and leads to mature granulocytes. In AML, chromosomal aberrations result in oncoproteins such as AML1/ETO, PML/RARalpha, or activated Ras, which can deregulate genes important for normal myelopoiesis. Thus, AML1/ETO can bind to the transcription factor C/EBPalpha, inhibit C/EBPalpha-dependent transcription, and block granulocytic differentiation. However, AML1/ETO can also synergize with the transcription factor AML1 to enhance the activity of the M-CSF receptor promoter. On the other hand, the PML/RARalpha fusion protein causes transcriptional repression by recruiting the nuclear corepressor (N-CoR) histone deacetylase complex to the DNA, which results in decreased histone acetylation and a repressive chromatin organization. Here we describe methods to investigate whether and how signaling agonists induce myeloid differentiation and how oncoproteins might cause AML by modulating the activity of transcription factors that are pivotal for normal myeloid development.
急性髓系白血病(AML)的死亡率仍在60%至80%。AML的特征是髓系分化受阻。转录因子PU.1和C/EBPα负责从干细胞到单核细胞或粒细胞的正常髓系分化。具体而言,PU.1诱导巨噬细胞集落刺激因子(M-CSF)受体的表达以及单核细胞的发育,而C/EBPα增加粒细胞集落刺激因子(G-CSF)受体的表达并导致成熟粒细胞的产生。在AML中,染色体畸变导致诸如AML1/ETO、PML/RARα或活化的Ras等癌蛋白,这些癌蛋白可使对正常骨髓生成重要的基因失调。因此,AML1/ETO可与转录因子C/EBPα结合,抑制C/EBPα依赖的转录,并阻断粒细胞分化。然而,AML1/ETO也可与转录因子AML1协同作用,增强M-CSF受体启动子的活性。另一方面,PML/RARα融合蛋白通过将核共抑制因子(N-CoR)组蛋白去乙酰化酶复合物募集到DNA上导致转录抑制,这导致组蛋白乙酰化减少和染色质组织抑制。在此,我们描述了研究信号激动剂是否以及如何诱导髓系分化以及癌蛋白如何通过调节对正常髓系发育至关重要的转录因子的活性而导致AML的方法。