TY - JOUR
T1 - DNA methylation changes are a late event in acute promyelocytic leukemia and coincide with loss of transcription factor binding
AU - Schoofs, Till
AU - Rohde, Christian
AU - Hebestreit, Katja
AU - Klein, Hans-Ulrich
AU - Göllner, Stefanie
AU - Schulze, Isabell
AU - Lerdrup, Mads
AU - Dietrich, Nikolaj
AU - Agrawal-Singh, Shuchi
AU - Witten, Anika
AU - Stoll, Monika
AU - Lengfelder, Eva
AU - Hofmann, Wolf-Karsten
AU - Schlenke, Peter
AU - Büchner, Thomas
AU - Hansen, Klaus
AU - Berdel, Wolfgang E
AU - Rosenbauer, Frank
AU - Dugas, Martin
AU - Müller-Tidow, Carsten
PY - 2013/1/3
Y1 - 2013/1/3
N2 - 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.
AB - 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.
KW - Animals
KW - Cell Transformation, Neoplastic
KW - Chromosomes, Human
KW - CpG Islands
KW - DNA Methylation
KW - DNA, Neoplasm
KW - Disease Progression
KW - Gene Expression Regulation, Leukemic
KW - Gene Knock-In Techniques
KW - Hematopoietic Stem Cells
KW - Humans
KW - Leukemia, Promyelocytic, Acute
KW - Mice
KW - Mice, Inbred C57BL
KW - Neoplasm Proteins
KW - Neoplastic Stem Cells
KW - Oncogene Proteins, Fusion
KW - Phenotype
KW - Polycomb Repressive Complex 2
KW - Preleukemia
KW - Recombinant Fusion Proteins
KW - Repressor Proteins
KW - Transcription Factors
KW - Tretinoin
U2 - 10.1182/blood-2012-08-448860
DO - 10.1182/blood-2012-08-448860
M3 - Journal article
C2 - 23152544
SN - 0006-4971
VL - 121
SP - 178
EP - 187
JO - Blood
JF - Blood
IS - 1
ER -