[PDF][PDF] MLL-AF9 expression in hematopoietic stem cells drives a highly invasive AML expressing EMT-related genes linked to poor outcome

V Stavropoulou, S Kaspar, L Brault, MA Sanders… - Cancer cell, 2016 - cell.com
V Stavropoulou, S Kaspar, L Brault, MA Sanders, S Juge, S Morettini, A Tzankov, M Iacovino…
Cancer cell, 2016cell.com
To address the impact of cellular origin on acute myeloid leukemia (AML), we generated an
inducible transgenic mouse model for MLL-AF9-driven leukemia. MLL-AF9 expression in
long-term hematopoietic stem cells (LT-HSC) in vitro resulted in dispersed clonogenic
growth and expression of genes involved in migration and invasion. In vivo, 20% LT-HSC-
derived AML were particularly aggressive with extensive tissue infiltration, chemoresistance,
and expressed genes related to epithelial-mesenchymal transition (EMT) in solid cancers …
Summary
To address the impact of cellular origin on acute myeloid leukemia (AML), we generated an inducible transgenic mouse model for MLL-AF9-driven leukemia. MLL-AF9 expression in long-term hematopoietic stem cells (LT-HSC) in vitro resulted in dispersed clonogenic growth and expression of genes involved in migration and invasion. In vivo, 20% LT-HSC-derived AML were particularly aggressive with extensive tissue infiltration, chemoresistance, and expressed genes related to epithelial-mesenchymal transition (EMT) in solid cancers. Knockdown of the EMT regulator ZEB1 significantly reduced leukemic blast invasion. By classifying mouse and human leukemias according to Evi1/EVI1 and Erg/ERG expression, reflecting aggressiveness and cell of origin, and performing comparative transcriptomics, we identified several EMT-related genes that were significantly associated with poor overall survival of AML patients.
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