Blood. 2015 Jan 22;125(4):619-28. doi: 10.1182/blood-2014-08-594564.
Genome sequencing studies of patient samples have implicated the involvement of various components of the epigenetic machinery in myeloid diseases, including the de novo DNA methyltransferase DNMT3A. We have recently shown that Dnmt3a is essential for hematopoietic stem cell differentiation. Here, we investigated the effect of loss of Dnmt3a on hematopoietic transformation by forcing the normally quiescent hematopoietic stem cells to divide in vivo. Mice transplanted with Dnmt3a-null bone marrow in the absence of wildtype support cells succumbed to bone marrow failure (median survival, 328 days) characteristic of myelodysplastic syndromes with symptoms including anemia, neutropenia, bone marrow hypercellularity, and splenomegaly with myeloid infiltration. Two out of 25 mice developed myeloid leukemia with >20%blasts in the blood and bone marrow. Four out of 25 primary mice succumbed to myeloproliferative disorders, some of which progressed to secondary leukemia after long latency. Exome sequencing identified cooperating c-Kit mutations found only in the leukemic samples. Ectopic introduction of c-Kit variants into a Dnmt3a-deficient background produced acute leukemia with a short latency (median survival, 67 days). Our data highlight crucial roles of Dnmt3a in normal and malignant hematopoiesis and suggest that a major role for this enzyme is to facilitate developmental progression of progenitor cells at multiple decision checkpoints.
对患者样本的基因组测序研究表明,表观遗传机制的各种成分参与了髓系疾病,包括从头 DNA 甲基转移酶 DNMT3A。我们最近表明,Dnmt3a 对于造血干细胞分化是必不可少的。在这里,我们通过迫使通常静止的造血干细胞在体内分裂,研究了 Dnmt3a 缺失对造血转化的影响。在没有野生型支持细胞的情况下移植了 Dnmt3a 缺失骨髓的小鼠,由于骨髓衰竭而死亡,这是骨髓增生异常综合征的特征,其症状包括贫血、中性粒细胞减少症、骨髓过度增生和脾肿大伴髓样浸润。25 只小鼠中有 2 只发展为髓性白血病,血液和骨髓中的原始细胞>20%。25 只原发性小鼠中有 4 只死于骨髓增生性疾病,其中一些在潜伏期长后进展为继发性白血病。外显子组测序鉴定出仅在白血病样本中发现的协同 c-Kit 突变。c-Kit 变体异位导入 Dnmt3a 缺陷背景中会产生潜伏期短的急性白血病(中位存活时间为 67 天)。我们的数据强调了 Dnmt3a 在正常和恶性造血中的关键作用,并表明该酶的主要作用是促进多个决策检查点处祖细胞的发育进展。