DNA methylation changes are a late event in acute promyelocytic leukemia and coincide with loss of transcription factor binding

Till Schoofs, Christian Rohde, Katja Hebestreit, Hans-Ulrich Klein, Stefanie Göllner, Isabell Schulze, Mads Lerdrup, Nikolaj Dietrich, Shuchi Agrawal-Singh, Anika Witten, Monika Stoll, Eva Lengfelder, Wolf-Karsten Hofmann, Peter Schlenke, Thomas Büchner, Klaus Hansen, Wolfgang E Berdel, Frank Rosenbauer, Martin Dugas, Carsten Müller-Tidow

    52 Citationer (Scopus)

    Abstract

    The origin of aberrant DNA methylation in cancer remains largely unknown. In the present study, we elucidated the DNA methylome in primary acute promyelocytic leukemia (APL) and the role of promyelocytic leukemia-retinoic acid receptor α (PML-RARα) in establishing these patterns. Cells from APL patients showed increased genome-wide DNA methylation with higher variability than healthy CD34(+) cells, promyelocytes, and remission BM cells. A core set of differentially methylated regions in APL was identified. Age at diagnosis, Sanz score, and Flt3-mutation status characterized methylation subtypes. Transcription factor-binding sites (eg, the c-myc-binding sites) were associated with low methylation. However, SUZ12- and REST-binding sites identified in embryonic stem cells were preferentially DNA hypermethylated in APL cells. Unexpectedly, PML-RARα-binding sites were also protected from aberrant DNA methylation in APL cells. Consistent with this, myeloid cells from preleukemic PML-RARα knock-in mice did not show altered DNA methylation and the expression of PML-RARα in hematopoietic progenitor cells prevented differentiation without affecting DNA methylation. Treatment of APL blasts with all-trans retinoic acid also did not result in immediate DNA methylation changes. The results of the present study suggest that aberrant DNA methylation is associated with leukemia phenotype but is not required for PML-RARα-mediated initiation of leukemogenesis.
    OriginalsprogEngelsk
    TidsskriftBlood
    Vol/bind121
    Udgave nummer1
    Sider (fra-til)178-87
    Antal sider10
    ISSN0006-4971
    DOI
    StatusUdgivet - 3 jan. 2013

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