Somervaille Tim C P, Matheny Christina J, Spencer Gary J, Iwasaki Masayuki, Rinn John L, Witten Daniela M, Chang Howard Y, Shurtleff Sheila A, Downing James R, Cleary Michael L
Department of Pathology, Stanford University, Stanford, CA 94305, USA; Cancer Research UK Leukaemia Biology Group, Paterson Institute for Cancer Research, University of Manchester, Manchester, UK.
Cell Stem Cell. 2009 Feb 6;4(2):129-40. doi: 10.1016/j.stem.2008.11.015.
The genetic programs that promote retention of self-renewing leukemia stem cells (LSCs) at the apex of cellular hierarchies in acute myeloid leukemia (AML) are not known. In a mouse model of human AML, LSCs exhibit variable frequencies that correlate with the initiating MLL oncogene and are maintained in a self-renewing state by a transcriptional subprogram more akin to that of embryonic stem cells (ESCs) than to that of adult stem cells. The transcription/chromatin regulatory factors Myb, Hmgb3, and Cbx5 are critical components of the program and suffice for Hoxa/Meis-independent immortalization of myeloid progenitors when coexpressed, establishing the cooperative and essential role of an ESC-like LSC maintenance program ancillary to the leukemia-initiating MLL/Hox/Meis program. Enriched expression of LSC maintenance and ESC-like program genes in normal myeloid progenitors and poor-prognosis human malignancies links the frequency of aberrantly self-renewing progenitor-like cancer stem cells (CSCs) to prognosis in human cancer.
促进急性髓系白血病(AML)细胞层级顶端自我更新白血病干细胞(LSC)留存的基因程序尚不清楚。在人类AML小鼠模型中,LSC表现出不同频率,这些频率与起始MLL癌基因相关,并通过一个转录子程序维持在自我更新状态,该子程序更类似于胚胎干细胞(ESC)而非成体干细胞。转录/染色质调节因子Myb、Hmgb3和Cbx5是该程序的关键组成部分,当共同表达时,足以使髓系祖细胞在不依赖Hoxa/Meis的情况下永生化,确立了白血病起始MLL/Hox/Meis程序辅助的类ESC的LSC维持程序的协同和重要作用。正常髓系祖细胞和预后不良的人类恶性肿瘤中LSC维持和类ESC程序基因的富集表达,将异常自我更新的祖细胞样癌症干细胞(CSC)频率与人类癌症预后联系起来。