Ratio of stemness to interferon signalling as a biomarker and therapeutic target of myeloproliferative neoplasm progression to acute myeloid leukaemia

Progression to aggressive secondary acute myeloid leukaemia (sAML) poses a significant challenge in the management of myeloproliferative neoplasms (MPNs). Since the physiopathology of MPN is closely linked to the activation of interferon (IFN) signalling and that AML initiation and aggressiveness is...

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Main Authors: de Castro, FA, Mehdipour, P, Chakravarthy, A, Ettayebi, I, Loo Yau, H, Medina, TS, Marhon, SA, de Almeida, FC, Bianco, TM, Arruda, AGF, Devlin, R, de Figueiredo‐Pontes, LL, Chahud, F, da Costa Cacemiro, M, Minden, MD, Gupta, V, De Carvalho, DD
Format: Journal article
Language:English
Published: Wiley 2023
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author de Castro, FA
Mehdipour, P
Chakravarthy, A
Ettayebi, I
Loo Yau, H
Medina, TS
Marhon, SA
de Almeida, FC
Bianco, TM
Arruda, AGF
Devlin, R
de Figueiredo‐Pontes, LL
Chahud, F
da Costa Cacemiro, M
Minden, MD
Gupta, V
De Carvalho, DD
author_facet de Castro, FA
Mehdipour, P
Chakravarthy, A
Ettayebi, I
Loo Yau, H
Medina, TS
Marhon, SA
de Almeida, FC
Bianco, TM
Arruda, AGF
Devlin, R
de Figueiredo‐Pontes, LL
Chahud, F
da Costa Cacemiro, M
Minden, MD
Gupta, V
De Carvalho, DD
author_sort de Castro, FA
collection OXFORD
description Progression to aggressive secondary acute myeloid leukaemia (sAML) poses a significant challenge in the management of myeloproliferative neoplasms (MPNs). Since the physiopathology of MPN is closely linked to the activation of interferon (IFN) signalling and that AML initiation and aggressiveness is driven by leukaemia stem cells (LSCs), we investigated these pathways in MPN to sAML progression. We found that high IFN signalling correlated with low LSC signalling in MPN and AML samples, while MPN progression and AML transformation were characterized by decreased IFN signalling and increased LSC signature. A high LSC to IFN expression ratio in MPN patients was associated with adverse clinical prognosis and higher colony forming potential. Moreover, treatment with hypomethylating agents (HMAs) activates the IFN signalling pathway in MPN cells by inducing a viral mimicry response. This response is characterized by double-stranded RNA (dsRNA) formation and MDA5/RIG-I activation. The HMA-induced IFN response leads to a reduction in LSC signature, resulting in decreased stemness. These findings reveal the frequent evasion of viral mimicry during MPN-to-sAML progression, establish the LSC-to-IFN expression ratio as a progression biomarker, and suggests that HMAs treatment can lead to haematological response in murine models by re-activating dsRNA-associated IFN signalling.
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spelling oxford-uuid:5b301578-a2ca-4b3f-a243-2d7d41d4a92d2024-02-08T09:32:47ZRatio of stemness to interferon signalling as a biomarker and therapeutic target of myeloproliferative neoplasm progression to acute myeloid leukaemiaJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:5b301578-a2ca-4b3f-a243-2d7d41d4a92dEnglishSymplectic ElementsWiley2023de Castro, FAMehdipour, PChakravarthy, AEttayebi, ILoo Yau, HMedina, TSMarhon, SAde Almeida, FCBianco, TMArruda, AGFDevlin, Rde Figueiredo‐Pontes, LLChahud, Fda Costa Cacemiro, MMinden, MDGupta, VDe Carvalho, DDProgression to aggressive secondary acute myeloid leukaemia (sAML) poses a significant challenge in the management of myeloproliferative neoplasms (MPNs). Since the physiopathology of MPN is closely linked to the activation of interferon (IFN) signalling and that AML initiation and aggressiveness is driven by leukaemia stem cells (LSCs), we investigated these pathways in MPN to sAML progression. We found that high IFN signalling correlated with low LSC signalling in MPN and AML samples, while MPN progression and AML transformation were characterized by decreased IFN signalling and increased LSC signature. A high LSC to IFN expression ratio in MPN patients was associated with adverse clinical prognosis and higher colony forming potential. Moreover, treatment with hypomethylating agents (HMAs) activates the IFN signalling pathway in MPN cells by inducing a viral mimicry response. This response is characterized by double-stranded RNA (dsRNA) formation and MDA5/RIG-I activation. The HMA-induced IFN response leads to a reduction in LSC signature, resulting in decreased stemness. These findings reveal the frequent evasion of viral mimicry during MPN-to-sAML progression, establish the LSC-to-IFN expression ratio as a progression biomarker, and suggests that HMAs treatment can lead to haematological response in murine models by re-activating dsRNA-associated IFN signalling.
spellingShingle de Castro, FA
Mehdipour, P
Chakravarthy, A
Ettayebi, I
Loo Yau, H
Medina, TS
Marhon, SA
de Almeida, FC
Bianco, TM
Arruda, AGF
Devlin, R
de Figueiredo‐Pontes, LL
Chahud, F
da Costa Cacemiro, M
Minden, MD
Gupta, V
De Carvalho, DD
Ratio of stemness to interferon signalling as a biomarker and therapeutic target of myeloproliferative neoplasm progression to acute myeloid leukaemia
title Ratio of stemness to interferon signalling as a biomarker and therapeutic target of myeloproliferative neoplasm progression to acute myeloid leukaemia
title_full Ratio of stemness to interferon signalling as a biomarker and therapeutic target of myeloproliferative neoplasm progression to acute myeloid leukaemia
title_fullStr Ratio of stemness to interferon signalling as a biomarker and therapeutic target of myeloproliferative neoplasm progression to acute myeloid leukaemia
title_full_unstemmed Ratio of stemness to interferon signalling as a biomarker and therapeutic target of myeloproliferative neoplasm progression to acute myeloid leukaemia
title_short Ratio of stemness to interferon signalling as a biomarker and therapeutic target of myeloproliferative neoplasm progression to acute myeloid leukaemia
title_sort ratio of stemness to interferon signalling as a biomarker and therapeutic target of myeloproliferative neoplasm progression to acute myeloid leukaemia
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