Abstract
Oncogenic transcription factors such as the leukemic fusion protein RUNX1/ETO, which drives t(8;21) acute myeloid leukemia (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 leukemic propagation. RUNX1/ETO cooperates with AP-1 to drive CCND2 expression. Knockdown or pharmacological inhibition of CCND2 by an approved drug significantly impairs leukemic expansion of patient-derived AML cells and engraftment in immunodeficient murine hosts. Our data demonstrate that RUNX1/ETO maintains leukemia by promoting cell cycle progression and identifies G1 CCND-CDK complexes as promising therapeutic targets for treatment of RUNX1/ETO-driven AML. Using in vitro and in vivo screens to identify essential RUNX1/ETO transcriptional targets in AML, Martinez-Soria identify CCND2 as required for leukemia maintenance and self-renewal. Targeting this dependency using the CDK4/6 inhibitor palbociclib prolongs the survival of AML PDX models.
Original language | English |
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Pages (from-to) | 705 |
Journal | Cancer Cell |
Volume | 34 |
Issue number | 4 |
DOIs | |
Publication status | Published - 8 Oct 2018 |
Keywords
- acute myeloid leukemia
- CCND2
- CDK6 inhibition
- cell-cycle control
- fusion gene
- imatinib
- KIT mutation
- palbociclib
- RNAi screen
- RUNX1/ETO
Research Beacons, Institutes and Platforms
- Manchester Cancer Research Centre