从单细胞到PAX5驱动的白血病的轨迹揭示了PAX5与MYC在体内的相互作用。

Trajectories from single-cells to PAX5-driven leukemia reveal PAX5-MYC interplay in vivo.

作者信息

Auer Franziska, Morcos Mina N F, Sipola Mikko, Akhtar Irfan, Moisio Sanni, Vogt Julia, Haag Rebecca, Lahnalampi Mari, Tuononen Tiina J, Hanel Andrea, Viitasalo Anna, Friedrich Ulrike A, Dahl Andreas, Prexler Carolin, Pandyra Aleksandra A, Stepensky Polina, Takagi Masatoshi, Borkhardt Arndt, Heinäniemi Merja, Hauer Julia

机构信息

Technical University of Munich, Germany; School of Medicine and Health; Department of Pediatrics, Munich, Germany.

Institute of Biomedicine, School of Medicine, University of Eastern Finland, Yliopistonranta 8, FI-70211, Kuopio, Finland.

出版信息

Leukemia. 2025 May 20. doi: 10.1038/s41375-025-02626-2.

Abstract

PAX5 acts as a master regulator of B-cell proliferation and differentiation. Its germline and somatic deregulation have both been implicated in the development of B-cell precursor acute lymphoblastic leukemia (BCP-ALL). However, the process how reduced PAX5 transcriptional activity mediates progression to BCP-ALL, is still poorly understood. Here, we characterized the longitudinal effects of PAX5 reduction on healthy, pre-leukemic and BCP-ALL cells at the single-cell level. Cell-surface marker analysis revealed a genotype-driven enrichment of the pre-BII population in healthy Pax5 mice. This population showed downregulated B-cell receptor signaling, while DNA replication/repair and cell-cycle signaling pathways were upregulated. Moreover, we observed a shift in the kappa/lambda light chain ratio toward lambda rearranged B-cells. Transplantation experiments further validated a delay of Pax5 pre-BII cells in maturation and transition to IgM-positivity. Additionally, single-cell RNA-Sequencing and bulk ATAC-Sequencing of different stages of BCP-ALL evolution showed that Pax5 pre-leukemic cells lose their B-cell identity and display Myc activation. Subsequently, BCP-ALLs acquired additional RAG-mediated aberrations and driver mutations in JAK-STAT and RAS-signaling pathways. Together, this study elucidates molecular and functional checkpoints in PAX5-mediated pre-leukemic cell progression exploitable for therapeutic intervention and demonstrates that PAX5 reduction is sufficient to initiate clonal evolution to BCP-ALL through activation of MYC.

摘要

PAX5作为B细胞增殖和分化的主要调节因子。其种系和体细胞失调均与B细胞前体急性淋巴细胞白血病(BCP-ALL)的发生有关。然而,PAX5转录活性降低介导BCP-ALL进展的过程仍知之甚少。在这里,我们在单细胞水平上表征了PAX5减少对健康、白血病前期和BCP-ALL细胞的纵向影响。细胞表面标志物分析显示,在健康的Pax5小鼠中,前BII细胞群体呈基因型驱动的富集。该群体显示B细胞受体信号下调,而DNA复制/修复和细胞周期信号通路上调。此外,我们观察到κ/λ轻链比例向λ重排B细胞的转变。移植实验进一步验证了Pax5前BII细胞在成熟和向IgM阳性转变方面的延迟。此外,对BCP-ALL进化不同阶段的单细胞RNA测序和大量ATAC测序表明,Pax5白血病前期细胞失去了它们的B细胞特性并显示Myc激活。随后,BCP-ALL在JAK-STAT和RAS信号通路中获得了额外的RAG介导的畸变和驱动突变。总之,这项研究阐明了PAX5介导的白血病前期细胞进展中可用于治疗干预的分子和功能检查点,并证明PAX5减少足以通过激活MYC引发向BCP-ALL的克隆进化。

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