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The transcriptomic landscape and directed chemical interrogation of MLL-rearranged acute myeloid leukemias
Ist Teil von
Nature genetics, 2015-09, Vol.47 (9), p.1030-1037
Ort / Verlag
New York: Nature Publishing Group US
Erscheinungsjahr
2015
Quelle
MEDLINE
Beschreibungen/Notizen
Guy Sauvageau, Josée Hébert and colleagues analyze exomes and transcriptomes in
MLL
-rearranged acute myeloid leukemias. They find frequent RAS pathway mutations, which sensitize leukemias to MEK and receptor tyrosine kinase inhibitors.
Using next-generation sequencing of primary acute myeloid leukemia (AML) specimens, we identified to our knowledge the first unifying genetic network common to the two subgroups of
KMT2A
(
MLL
)-rearranged leukemia, namely having
MLL
fusions or partial tandem duplications. Within this network, we experimentally confirmed upregulation of the gene with the most subtype-specific increase in expression,
LOC100289656
, and identified cryptic
MLL
fusions, including a new
MLL
-
ENAH
fusion. We also identified a subset of
MLL
fusion specimens carrying mutations in
SPI1
accompanied by inactivation of its transcriptional network, as well as frequent RAS pathway mutations, which sensitized the leukemias to synthetic lethal interactions between MEK and receptor tyrosine kinase inhibitors. This transcriptomics-based characterization and chemical interrogation of human
MLL
-rearranged AML was a valuable approach for identifying complementary features that define this disease.