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Barbosa, K; Deshpande, A; Chen, BR; Ghosh, A; Sun, Y; Dutta, S; Weetall, M; Dixon, J; Armstrong, SA; Bohlander, SK; Deshpande, AJ.
Acute myeloid leukemia driven by the CALM-AF10 fusion gene is dependent on BMI1.
Exp Hematol. 2019; 74: 42-51.e3. Doi: 10.1016/j.exphem.2019.04.003 [OPEN ACCESS]
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Co-Autor*innen der Med Uni Graz
Dutta Sayantanee
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Abstract:
A subset of acute myeloid and lymphoid leukemia cases harbor a t(10;11)(p13;q14) translocation resulting in the CALM-AF10 fusion gene. Standard chemotherapeutic strategies are often ineffective in treating patients with CALM-AF10 fusions. Hence, there is an urgent need to identify molecular pathways dysregulated in CALM-AF10-positive leukemias which may lay the foundation for novel targeted therapies. Here we demonstrate that the Polycomb Repressive Complex 1 gene BMI1 is consistently overexpressed in adult and pediatric CALM-AF10-positive leukemias. We demonstrate that genetic Bmi1 depletion abrogates CALM-AF10-mediated transformation of murine hematopoietic stem and progenitor cells (HSPCs). Furthermore, CALM-AF10-positive murine and human AML cells are sensitive to the small-molecule BMI1 inhibitor PTC-209 as well as to PTC-596, a compound in clinical development that has been shown to result in downstream degradation of BMI1 protein. PTC-596 significantly prolongs survival of mice injected with a human CALM-AF10 cell line in a xenograft assay. In summary, these results validate BMI1 as a bona fide candidate for therapeutic targeting in AML with CALM-AF10 rearrangements.
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