转录因子 HIF2α 参与急性髓系白血病的分化阻滞。
The transcription factor HIF2α partakes in the differentiation block of acute myeloid leukemia.
机构信息
Division of Experimental Oncology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
San Raffaele Telethon Institute for Gene Therapy (SR-TIGET), IRCCS San Raffaele Scientific Institute, Milan, Italy.
出版信息
EMBO Mol Med. 2023 Nov 8;15(11):e17810. doi: 10.15252/emmm.202317810. Epub 2023 Oct 9.
One of the defining features of acute myeloid leukemia (AML) is an arrest of myeloid differentiation whose molecular determinants are still poorly defined. Pharmacological removal of the differentiation block contributes to the cure of acute promyelocytic leukemia (APL) in the absence of cytotoxic chemotherapy, but this approach has not yet been translated to non-APL AMLs. Here, by investigating the function of hypoxia-inducible transcription factors HIF1α and HIF2α, we found that both genes exert oncogenic functions in AML and that HIF2α is a novel regulator of the AML differentiation block. Mechanistically, we found that HIF2α promotes the expression of transcriptional repressors that have been implicated in suppressing AML myeloid differentiation programs. Importantly, we positioned HIF2α under direct transcriptional control by the prodifferentiation agent all-trans retinoic acid (ATRA) and demonstrated that HIF2α blockade cooperates with ATRA to trigger AML cell differentiation. In conclusion, we propose that HIF2α inhibition may open new therapeutic avenues for AML treatment by licensing blasts maturation and leukemia debulking.
急性髓细胞白血病(AML)的一个显著特征是髓系分化阻滞,但其分子决定因素仍知之甚少。在没有细胞毒性化疗的情况下,通过药理学手段消除分化阻滞有助于治愈急性早幼粒细胞白血病(APL),但这种方法尚未应用于非 APL AML。在这里,我们通过研究缺氧诱导转录因子 HIF1α 和 HIF2α 的功能,发现这两个基因在 AML 中均具有致癌功能,并且 HIF2α 是 AML 分化阻滞的一个新的调控因子。从机制上讲,我们发现 HIF2α 促进了转录抑制因子的表达,这些转录抑制因子被认为抑制了 AML 的髓系分化程序。重要的是,我们将 HIF2α 置于分化诱导剂全反式维甲酸(ATRA)的直接转录控制之下,并证明 HIF2α 阻断与 ATRA 协同作用,触发 AML 细胞分化。总之,我们提出 HIF2α 抑制可能通过许可原始细胞成熟和白血病减瘤为 AML 治疗开辟新的治疗途径。
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