The Oncogenic Transcription Factor RUNX1/ETO Corrupts Cell Cycle Regulation to Drive Leukemic Transformation

https://doi.org/10.1016/j.ccell.2018.08.015 8th October 2018

Article highlights & insights

• An RNAi screen identifies CCND2 as a crucial transcriptional target of RUNX1/ETO
• RUNX1/ETO promotes CCND2 expression by binding to an upstream element
• CCND2 knockdown inhibits RUNX1/ETO-driven leukaemic expansion in vitro and in vivo
• RUNX1/ETO-expressing leukaemic cells are highly sensitive to a CDK4/6 inhibitor

 

Oncogenic transcription factors such as the leukaemic fusion protein RUNX1/ETO, which drives t(8;21) acute myeloid leukaemia (AML), constitute cancer-specific but highly challenging therapeutic targets. We used epigenomic profiling data for an RNAi screen to interrogate the transcriptional network maintaining t(8;21) AML. This strategy identified Cyclin D2 (CCND2) as a crucial transmitter of RUNX1/ETO-driven leukaemic propagation. RUNX1/ETO cooperates with AP-1 to drive CCND2 expression. Knockdown or pharmacological inhibition of CCND2 by an approved drug significantly impairs leukaemic expansion of patient-derived AML cells and engraftment in immunodeficient murine hosts. Our data demonstrate that RUNX1/ETO maintains leukaemia by promoting cell cycle progression and identifies G1 CCND-CDK complexes as promising therapeutic targets for treatment of RUNX1/ETO-driven AML.

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Jingru Xu

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