EHA Library - The official digital education library of European Hematology Association (EHA)

ETO2-GLIS2 RECRUITS ETO2/ERG COMPLEX AT SUPER-ENHANCERS TO CONTROL TRANSCRIPTION AND DRIVE LEUKEMIC PROPERTIES IN PEDIATRIC ACUTE MEGAKARYOBLASTIC LEUKEMIA
Author(s): ,
Cecile Thirant
Affiliations:
INSERM U1170,Villejuif,France;Gustave Roussy,Villejuif,France
,
Cathy Ignacimouttou
Affiliations:
Université Paris-Diderot,Paris,France;INSERM U1170,Villejuif,France
,
Cecile Lopez
Affiliations:
Université Paris-Sud,Orsay,France;INSERM U1170,Villejuif,France
,
M'Boyba Diop
Affiliations:
Bioinformatics platform,Gustave Roussy,Villejuif,France
,
Lou Le Mouël
Affiliations:
Université Paris-Sud,Orsay,France;Gustave Roussy,Villejuif,France
,
Clarisse Thiollier
Affiliations:
Gustave Roussy,Villejuif,France;Université Paris-Diderot,Paris,France
,
Aurélie Siret
Affiliations:
INSERM U1170,Villejuif,France;Gustave Roussy,Villejuif,France
,
Philippe Dessen
Affiliations:
Bioinformatics platform,Gustave Roussy,Villejuif,France
,
Zakia Aid
Affiliations:
INSERM U1170,Villejuif,France;Gustave Roussy,Villejuif,France
,
Julie Rivière
Affiliations:
INSERM U1170,Villejuif,France;Gustave Roussy,Villejuif,France
,
Philippe Rameau
Affiliations:
Imaging and Cytometry platform,Gustave Roussy,Villejuif,France
,
Céline Lefebvre
Affiliations:
Gustave Roussy,Villejuif,France
,
Mehdi Khaled
Affiliations:
UMR1186,Gustave Roussy,Villejuif,France
,
Guy Leverger
Affiliations:
Hôpital Trousseau, AP-HP,Paris,France
,
Paola Ballerini
Affiliations:
Hôpital Trousseau, AP-HP,Paris,France
,
Arnaud Petit
Affiliations:
Hôpital Trousseau, AP-HP,Paris,France
,
Hana Raslova
Affiliations:
INSERM U1170,Villejuif,France;Gustave Roussy,Villejuif,France
,
Catherine L. Carmichael
Affiliations:
Walter and Eliza Hall Institute,Parkville,Australia
,
Benjamin T. Kile
Affiliations:
Walter and Eliza Hall Institute,Parkville,Australia
,
Eric Soler
Affiliations:
CNRS UMR5535,Montpellier,France
,
John D. Crispino
Affiliations:
Division of Hematology/Oncology,Northwestern University,Chicago,United States
,
Christian Wichmann
Affiliations:
Department of Transfusion Medicine, Cell Therapeutics and Hemostaseology,Ludwig-Maximilian University Hospital,Munich,Germany
,
Françoise Pfumio
Affiliations:
INSERM UMR967,Fontenay-aux-roses,France
,
Jürg Schwaller
Affiliations:
Department of Biomedicine,University Children's Hospital Beider Basel,Basel,Switzerland
,
William Vainchenker
Affiliations:
INSERM U1170,Villejuif,France;Gustave Roussy,Villejuif,France
,
Camille Lobry
Affiliations:
INSERM U1170,Villejuif,France;Gustave Roussy,Villejuif,France
,
Nathalie Droin
Affiliations:
INSERM U1170,Villejuif,France;Gustave Roussy,Villejuif,France
,
Olivier A. Bernard
Affiliations:
INSERM U1170,Villejuif,France;Gustave Roussy,Villejuif,France;Université Paris-Sud,Orsay,France
,
Sebastien Malinge
Affiliations:
INSERM U1170,Villejuif,France;Gustave Roussy,Villejuif,France
Thomas Mercher
Affiliations:
INSERM U1170,Villejuif,France;Gustave Roussy,Villejuif,France;Université Paris-Diderot,Paris,France;Université Paris-Sud,Orsay,France
(Abstract release date: 05/18/17) EHA Library. Thirant C. 06/24/17; 181714; S427
Cecile Thirant
Cecile Thirant
Contributions
Abstract

Abstract: S427

Type: Oral Presentation

Presentation during EHA22: On Saturday, June 24, 2017 from 11:30 - 11:45

Location: Hall E

Background

Deregulated expression programs due to genetic alterations, such as gene fusions affecting transcription and/or epigenetic factors is the hallmark of acute myeloid leukemia (AML) and the basis for the associated differentiation block of hematopoietic progenitors. Acute megakaryoblastic leukemia (AMKL) is a subtype of poor prognosis AML affecting primarily young children. Recently, the ETO2-GLIS2 fusion has been identified in 20-30% of de novo AMKL and associated with the worst prognosis in this subtype of AML.

Aims

Our goal was to characterize the mechanisms of cellular transformation induced by ETO2-GLIS2.

Methods

We first defined the consequences of ETO2-GLIS2 expression on hematopoietic progenitors and the contribution of ETO2 and GLIS2 on differentiation and self-renewal by methylcellulose replating assays and phenotype characterization. We then assessed global expression profiling and ETO2-GLIS2 direct binding on DNA by ChIPseq experiments. With immunoprecipitation experiments, we identified some ETO2-GLIS2 complex members. Finally, we tested  the effects of a small peptide that could inhibit ETO2-GLIS2 complex stabilization both in vitro and in vivo.

Results
We showed that the GLIS2 moiety drives the megakaryocytic phenotype whereas both the ETO2 and GLIS2 moieties are required for maintaining self-renewal. Global expression profiling and comparison to patients’ signature consistently identified ETO2-GLIS2-mediated deregulation of major transcriptional regulators of hematopoiesis and leukemogenesis.  Especially, ETO2-GLIS2 brings on an unbalance in ETS/GATA factors illustrated by an extinction of GATA1 and an overexpression of the ERG oncogene. We identified that ETO2-GLIS2 directly binds DNA via ETO2 complexes and through its GLIS2 moiety. Moreover, the ETO2-GLIS2 fusion localizes at half of H3K27ac-dense enhancers, so called super-enhancers, to control transcription of associated genes, in close association with ERG. Dimerization of ETO2-GLIS2 and interaction with endogenous ETO2 via its NHR2 domains were demonstrated with immunoprecipitation experiments. A NHR2 peptide-interference strategy inhibited the oligomerization, reversed the transcriptional activation at enhancers, promoted megakaryocytic differentiation and abrogated human AMKL cells maintenance in vivo. So, the interaction of ETO2-GLIS2 with ETO2 complexes is an essential node for the transcriptional control by the fusion at enhancer elements. Finally, ERG is localized at super-enhancers and is associated with up-regulation of associated genes. ERG knockdown or genetic inactivation downregulates expression of ETO2-GLIS2 targets required for leukemic cells survival. Together, the strong up-regulation of ERG by the fusion and the presence of ERG at super-enhancers suggest a feed forward mechanism to impose gene deregulation.

Conclusion

In conclusion, we propose that the megakaryocytic differentiation arrest and self-renewal controlled by ETO2-GLIS2 results from imbalanced expression of master transcription factors imposed by aberrant chromatin structures at enhancers that may be disrupted by targeting the NHR2 interface.

Session topic: 3. Acute myeloid leukemia - Biology

Keyword(s): Leukemia, Epigenetic, transcription factor, Pediatric

Abstract: S427

Type: Oral Presentation

Presentation during EHA22: On Saturday, June 24, 2017 from 11:30 - 11:45

Location: Hall E

Background

Deregulated expression programs due to genetic alterations, such as gene fusions affecting transcription and/or epigenetic factors is the hallmark of acute myeloid leukemia (AML) and the basis for the associated differentiation block of hematopoietic progenitors. Acute megakaryoblastic leukemia (AMKL) is a subtype of poor prognosis AML affecting primarily young children. Recently, the ETO2-GLIS2 fusion has been identified in 20-30% of de novo AMKL and associated with the worst prognosis in this subtype of AML.

Aims

Our goal was to characterize the mechanisms of cellular transformation induced by ETO2-GLIS2.

Methods

We first defined the consequences of ETO2-GLIS2 expression on hematopoietic progenitors and the contribution of ETO2 and GLIS2 on differentiation and self-renewal by methylcellulose replating assays and phenotype characterization. We then assessed global expression profiling and ETO2-GLIS2 direct binding on DNA by ChIPseq experiments. With immunoprecipitation experiments, we identified some ETO2-GLIS2 complex members. Finally, we tested  the effects of a small peptide that could inhibit ETO2-GLIS2 complex stabilization both in vitro and in vivo.

Results
We showed that the GLIS2 moiety drives the megakaryocytic phenotype whereas both the ETO2 and GLIS2 moieties are required for maintaining self-renewal. Global expression profiling and comparison to patients’ signature consistently identified ETO2-GLIS2-mediated deregulation of major transcriptional regulators of hematopoiesis and leukemogenesis.  Especially, ETO2-GLIS2 brings on an unbalance in ETS/GATA factors illustrated by an extinction of GATA1 and an overexpression of the ERG oncogene. We identified that ETO2-GLIS2 directly binds DNA via ETO2 complexes and through its GLIS2 moiety. Moreover, the ETO2-GLIS2 fusion localizes at half of H3K27ac-dense enhancers, so called super-enhancers, to control transcription of associated genes, in close association with ERG. Dimerization of ETO2-GLIS2 and interaction with endogenous ETO2 via its NHR2 domains were demonstrated with immunoprecipitation experiments. A NHR2 peptide-interference strategy inhibited the oligomerization, reversed the transcriptional activation at enhancers, promoted megakaryocytic differentiation and abrogated human AMKL cells maintenance in vivo. So, the interaction of ETO2-GLIS2 with ETO2 complexes is an essential node for the transcriptional control by the fusion at enhancer elements. Finally, ERG is localized at super-enhancers and is associated with up-regulation of associated genes. ERG knockdown or genetic inactivation downregulates expression of ETO2-GLIS2 targets required for leukemic cells survival. Together, the strong up-regulation of ERG by the fusion and the presence of ERG at super-enhancers suggest a feed forward mechanism to impose gene deregulation.

Conclusion

In conclusion, we propose that the megakaryocytic differentiation arrest and self-renewal controlled by ETO2-GLIS2 results from imbalanced expression of master transcription factors imposed by aberrant chromatin structures at enhancers that may be disrupted by targeting the NHR2 interface.

Session topic: 3. Acute myeloid leukemia - Biology

Keyword(s): Leukemia, Epigenetic, transcription factor, Pediatric

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