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HOXA9 forms a repressive complex with nuclear matrix-associated protein SAFB to maintain acute myeloid leukemia.

Accepted version
Peer-reviewed

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Abstract

HOXA9 is commonly upregulated in acute myeloid leukemia (AML), in which it confers a poor prognosis. Characterizing the protein interactome of endogenous HOXA9 in human AML, we identified a chromatin complex of HOXA9 with the nuclear matrix attachment protein SAFB. SAFB perturbation phenocopied HOXA9 knockout to decrease AML proliferation, increase differentiation and apoptosis in vitro, and prolong survival in vivo. Integrated genomic, transcriptomic, and proteomic analyses further demonstrated that the HOXA9-SAFB (H9SB)-chromatin complex associates with nucleosome remodeling and histone deacetylase (NuRD) and HP1γ to repress the expression of factors associated with differentiation and apoptosis, including NOTCH1, CEBPδ, S100A8, and CDKN1A. Chemical or genetic perturbation of NuRD and HP1γ-associated catalytic activity also triggered differentiation, apoptosis, and the induction of these tumor-suppressive genes. Importantly, this mechanism is operative in other HOXA9-dependent AML genotypes. This mechanistic insight demonstrates the active HOXA9-dependent differentiation block as a potent mechanism of disease maintenance in AML that may be amenable to therapeutic intervention by targeting the H9SB interface and/or NuRD and HP1γ activity.

Description

Keywords

Humans, Proteomics, Homeodomain Proteins, Leukemia, Myeloid, Acute, Transcription Factors, Nuclear Matrix-Associated Proteins, Chromatin, Receptors, Estrogen, Matrix Attachment Region Binding Proteins

Journal Title

Blood

Conference Name

Journal ISSN

0006-4971
1528-0020

Volume Title

Publisher

American Society of Hematology
Sponsorship
Kay Kendall Leukaemia Fund (KKL1243)
Cancer Research UK (25508)
Medical Research Council (MR/R009708/1)
Wellcome Trust (102160/B/13/Z)
European Research Council (647685)
Worldwide Cancer Research (None)
Wellcome Trust (203151/A/16/Z)
Wellcome Trust (203151/Z/16/Z)
Medical Research Council (MC_PC_17230)
Wellcome Trust (079895/Z/06/Z)
Wellcome Trust (100140/Z/12/Z)
Cancer Research UK (C9685/A20760)
Cambridge University Hospitals NHS Foundation Trust (CUH) (146281)
Cancer Research UK (A25117)
Cancer Research UK (23015)
National Institute for Health and Care Research (IS-BRC-1215-20014)
Wellcome Trust (218481/Z/19/Z)