The transcription factor HIF2α partakes in the differentiation block of acute myeloid leukemia

Abstract One of the defining features of acute myeloid leukemia (AML) is an arrest of myeloid differentiation whose molecular determinants are still poorly defined. Pharmacological removal of the differentiation block contributes to the cure of acute promyelocytic leukemia (APL) in the absence of cy...

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Main Authors: Daniela Magliulo, Matilde Simoni, Carolina Caserta, Cristina Fracassi, Serena Belluschi, Kety Giannetti, Raffaella Pini, Ettore Zapparoli, Stefano Beretta, Martina Uggè, Eleonora Draghi, Federico Rossari, Nadia Coltella, Cristina Tresoldi, Marco J Morelli, Raffaella Di Micco, Bernhard Gentner, Luca Vago, Rosa Bernardi
Format: Article
Language:English
Published: Springer Nature 2023-11-01
Series:EMBO Molecular Medicine
Subjects:
Online Access:https://doi.org/10.15252/emmm.202317810
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author Daniela Magliulo
Matilde Simoni
Carolina Caserta
Cristina Fracassi
Serena Belluschi
Kety Giannetti
Raffaella Pini
Ettore Zapparoli
Stefano Beretta
Martina Uggè
Eleonora Draghi
Federico Rossari
Nadia Coltella
Cristina Tresoldi
Marco J Morelli
Raffaella Di Micco
Bernhard Gentner
Luca Vago
Rosa Bernardi
author_facet Daniela Magliulo
Matilde Simoni
Carolina Caserta
Cristina Fracassi
Serena Belluschi
Kety Giannetti
Raffaella Pini
Ettore Zapparoli
Stefano Beretta
Martina Uggè
Eleonora Draghi
Federico Rossari
Nadia Coltella
Cristina Tresoldi
Marco J Morelli
Raffaella Di Micco
Bernhard Gentner
Luca Vago
Rosa Bernardi
author_sort Daniela Magliulo
collection DOAJ
description Abstract One of the defining features of acute myeloid leukemia (AML) is an arrest of myeloid differentiation whose molecular determinants are still poorly defined. Pharmacological removal of the differentiation block contributes to the cure of acute promyelocytic leukemia (APL) in the absence of cytotoxic chemotherapy, but this approach has not yet been translated to non‐APL AMLs. Here, by investigating the function of hypoxia‐inducible transcription factors HIF1α and HIF2α, we found that both genes exert oncogenic functions in AML and that HIF2α is a novel regulator of the AML differentiation block. Mechanistically, we found that HIF2α promotes the expression of transcriptional repressors that have been implicated in suppressing AML myeloid differentiation programs. Importantly, we positioned HIF2α under direct transcriptional control by the prodifferentiation agent all‐trans retinoic acid (ATRA) and demonstrated that HIF2α blockade cooperates with ATRA to trigger AML cell differentiation. In conclusion, we propose that HIF2α inhibition may open new therapeutic avenues for AML treatment by licensing blasts maturation and leukemia debulking.
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spelling doaj.art-2d1702404ed248f580d807aa7c1fabee2024-03-03T11:15:45ZengSpringer NatureEMBO Molecular Medicine1757-46761757-46842023-11-011511n/an/a10.15252/emmm.202317810The transcription factor HIF2α partakes in the differentiation block of acute myeloid leukemiaDaniela Magliulo0Matilde Simoni1Carolina Caserta2Cristina Fracassi3Serena Belluschi4Kety Giannetti5Raffaella Pini6Ettore Zapparoli7Stefano Beretta8Martina Uggè9Eleonora Draghi10Federico Rossari11Nadia Coltella12Cristina Tresoldi13Marco J Morelli14Raffaella Di Micco15Bernhard Gentner16Luca Vago17Rosa Bernardi18Division of Experimental Oncology IRCCS San Raffaele Scientific Institute Milan ItalyDivision of Experimental Oncology IRCCS San Raffaele Scientific Institute Milan ItalySan Raffaele Telethon Institute for Gene Therapy (SR‐TIGET) IRCCS San Raffaele Scientific Institute Milan ItalyDivision of Experimental Oncology IRCCS San Raffaele Scientific Institute Milan ItalyVita Salute San Raffaele University School of Medicine Milan ItalySan Raffaele Telethon Institute for Gene Therapy (SR‐TIGET) IRCCS San Raffaele Scientific Institute Milan ItalyCenter for Omics Sciences IRCCS San Raffaele Scientific Institute Milan ItalyCenter for Omics Sciences IRCCS San Raffaele Scientific Institute Milan ItalySan Raffaele Telethon Institute for Gene Therapy (SR‐TIGET) IRCCS San Raffaele Scientific Institute Milan ItalyDivision of Experimental Oncology IRCCS San Raffaele Scientific Institute Milan ItalyUnit of Immunogenetics, Leukemia Genomics and Immunobiology IRCCS San Raffaele Scientific Institute Milan ItalySan Raffaele Telethon Institute for Gene Therapy (SR‐TIGET) IRCCS San Raffaele Scientific Institute Milan ItalySan Raffaele Telethon Institute for Gene Therapy (SR‐TIGET) IRCCS San Raffaele Scientific Institute Milan ItalyUnit of Hematology and Bone Marrow Transplantation IRCCS San Raffaele Scientific Institute Milan ItalyCenter for Omics Sciences IRCCS San Raffaele Scientific Institute Milan ItalySan Raffaele Telethon Institute for Gene Therapy (SR‐TIGET) IRCCS San Raffaele Scientific Institute Milan ItalySan Raffaele Telethon Institute for Gene Therapy (SR‐TIGET) IRCCS San Raffaele Scientific Institute Milan ItalyUnit of Immunogenetics, Leukemia Genomics and Immunobiology IRCCS San Raffaele Scientific Institute Milan ItalyDivision of Experimental Oncology IRCCS San Raffaele Scientific Institute Milan ItalyAbstract One of the defining features of acute myeloid leukemia (AML) is an arrest of myeloid differentiation whose molecular determinants are still poorly defined. Pharmacological removal of the differentiation block contributes to the cure of acute promyelocytic leukemia (APL) in the absence of cytotoxic chemotherapy, but this approach has not yet been translated to non‐APL AMLs. Here, by investigating the function of hypoxia‐inducible transcription factors HIF1α and HIF2α, we found that both genes exert oncogenic functions in AML and that HIF2α is a novel regulator of the AML differentiation block. Mechanistically, we found that HIF2α promotes the expression of transcriptional repressors that have been implicated in suppressing AML myeloid differentiation programs. Importantly, we positioned HIF2α under direct transcriptional control by the prodifferentiation agent all‐trans retinoic acid (ATRA) and demonstrated that HIF2α blockade cooperates with ATRA to trigger AML cell differentiation. In conclusion, we propose that HIF2α inhibition may open new therapeutic avenues for AML treatment by licensing blasts maturation and leukemia debulking.https://doi.org/10.15252/emmm.202317810AMLATRAdifferentiation therapyHIF2α
spellingShingle Daniela Magliulo
Matilde Simoni
Carolina Caserta
Cristina Fracassi
Serena Belluschi
Kety Giannetti
Raffaella Pini
Ettore Zapparoli
Stefano Beretta
Martina Uggè
Eleonora Draghi
Federico Rossari
Nadia Coltella
Cristina Tresoldi
Marco J Morelli
Raffaella Di Micco
Bernhard Gentner
Luca Vago
Rosa Bernardi
The transcription factor HIF2α partakes in the differentiation block of acute myeloid leukemia
EMBO Molecular Medicine
AML
ATRA
differentiation therapy
HIF2α
title The transcription factor HIF2α partakes in the differentiation block of acute myeloid leukemia
title_full The transcription factor HIF2α partakes in the differentiation block of acute myeloid leukemia
title_fullStr The transcription factor HIF2α partakes in the differentiation block of acute myeloid leukemia
title_full_unstemmed The transcription factor HIF2α partakes in the differentiation block of acute myeloid leukemia
title_short The transcription factor HIF2α partakes in the differentiation block of acute myeloid leukemia
title_sort transcription factor hif2α partakes in the differentiation block of acute myeloid leukemia
topic AML
ATRA
differentiation therapy
HIF2α
url https://doi.org/10.15252/emmm.202317810
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