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12th Congress of the European Hematology ... - Haematologica

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12 th <strong>Congress</strong> <strong>of</strong> <strong>the</strong> <strong>European</strong> <strong>Hematology</strong> Association<br />

sis during differentiation. Surprisingly, <strong>the</strong> repression <strong>of</strong> p19 induced a<br />

decrease in MK differentiation. Indeed, <strong>the</strong> about 70% diminution in p19<br />

expression leads to a 38.6%±17% decrease in CD41 high CD42 high MKs.<br />

This decrease was not linked to a differentiation blockage but to a delay<br />

in differentiation. The number <strong>of</strong> proplatelet forming MKs was diminished<br />

when cells were transduced with shRNA p19. However, when<br />

mature CD41 ++ CD42 ++ cells were analyzed, no difference in <strong>the</strong> number<br />

<strong>of</strong> proplatelet forming MK cells was detected suggesting that p19 did not<br />

play a direct role in platelet formation. Knowing that polyploidization<br />

is linked to MK differentiation, we tried to dissect <strong>the</strong> role <strong>of</strong> p19 in <strong>the</strong><br />

arrest <strong>of</strong> endomitosis and in <strong>the</strong> regulation <strong>of</strong> MK maturation. To perform<br />

such experiments, polyploid MKs were transduced with shRNA<br />

p19 and 72 hours later, 22.3±6.6% increase in mean ploidy level was<br />

observed. However, when each ploidy class was analyzed separately, a<br />

slight decrease in CD42 expression in polyploid MKs was observed suggesting<br />

that <strong>the</strong>se cells will accelerate <strong>the</strong>ir maturation once <strong>the</strong> cell<br />

cycle is achieved. To confirm our results, CD34 + cells were transduced<br />

by a lentivirus encoding for p19 cDNA, a 59.7±6.8% decrease in mean<br />

ploidy level was detected. Fur<strong>the</strong>rmore, in each ploidy class, an important<br />

increase in CD41 and slight increase in CD42 expression is<br />

observed. All toge<strong>the</strong>r our results demonstrated that p19 has an important<br />

role in <strong>the</strong> arrest <strong>of</strong> endomitosis allowing <strong>the</strong> acceleration <strong>of</strong> MK<br />

maturation.<br />

0150<br />

THE LEUKEMOGENIC CALM/AF10 FUSION PROTEIN ALTERS THE LOCALIZATION OF THE<br />

EPIGENETIC REPRESSOR IKAROS<br />

A. Greif, 1 B. Tizazu, 1 A. Krause, 1 E. Kremmer, 2 S.K. Bohlander1 1 GSF / LMU, MUNICH; 2 GSF, MUNICH, Germany<br />

The t(10;11)(p13;q14) translocation leads to <strong>the</strong> fusion <strong>of</strong> <strong>the</strong> CALM<br />

and AF10 genes. This translocation can be found as <strong>the</strong> sole cytogenetic<br />

abnormality in acute lymphoblastic leukemia, acute myeloid leukemia<br />

and also in malignant lymphomas. The expression <strong>of</strong> CALM/AF10 in<br />

primary murine bone marrow cells triggers <strong>the</strong> development <strong>of</strong> an<br />

aggressive leukemia in a murine bone marrow transplantation model.<br />

Here we show that AF10 interacts with <strong>the</strong> epigenetic repressor Ikaros<br />

in yeast-two-hybrid assays. Interestingly, Ikaros is required for normal<br />

development <strong>of</strong> lymphocytes and aberrant expression <strong>of</strong> Ikaros has been<br />

found in leukemia. In a murine model, <strong>the</strong> expression <strong>of</strong> a dominant negative<br />

is<strong>of</strong>orm <strong>of</strong> Ikaros causes leukemias and lymphomas. The Ikaros<br />

interaction domain <strong>of</strong> AF10 was mapped to <strong>the</strong> leucine zipper domain<br />

<strong>of</strong> AF10, which is required for malignant transformation by both <strong>the</strong><br />

CALM/AF10 and <strong>the</strong> MLL/AF10 fusion protein. The interaction<br />

between AF10 and Ikaros was confirmed by GST-pulldown and coimmunoprecipitation.<br />

In contrast to AF10, CALM/AF10 alters <strong>the</strong><br />

nuclear localization <strong>of</strong> Ikaros. The transcriptional repressor activity <strong>of</strong><br />

Ikaros is reduced by AF10. These results suggest that CALM/AF10 might<br />

have a dominant negative effect on Ikaros, and <strong>the</strong>reby block differentiation<br />

<strong>of</strong> <strong>the</strong> leukaemia propagating cell in CALM/AF10 positive<br />

leukemias.<br />

Figure 1. In vivo localization in co-transfected NIH 3T3 fibroblasts (Confocal<br />

Laser Scan).<br />

0151<br />

BRAIN-EXPRESSED X-LINKED-2 (BEX2): EPIGENETIC REGULATION OF A POTENTIAL<br />

MARKER FOR ACUTE MYELOID LEUKEMIA WITH MIXED LINEAGE LEUKEMIA<br />

REARRANGEMENTS<br />

H. Quentmeier, C. Fischer, J. Reinhardt, M. Zaborski, H.G. Drexler<br />

DSMZ, BRAUNSCHWEIG, Germany<br />

54 | haematologica/<strong>the</strong> hematology journal | 2007; 92(s1)<br />

In epigenetically regulated genes, methyl-CpG recognizing proteins<br />

like MeCP2 may bind to methylated CpG-rich areas and contribute to<br />

silencing <strong>of</strong> <strong>the</strong>se genes by recruitment <strong>of</strong> histone deacetylases (HDAC)<br />

and histone methyltransferases. Previously, we identified BEX2 as candidate<br />

gene for <strong>the</strong> diagnosis <strong>of</strong> acute myeloid leukemia (AML) with<br />

mixed lineage leukemia translocations (MLLmu), similarly as extensively<br />

described for HOX gene expression in MLLmu acute lymphoblastic<br />

leukemia. Human brain expressed X-linked (BEX) is a novel gene family<br />

consisting <strong>of</strong> at least six family members. Human BEX1 and BEX2 are<br />

highly expressed in various brain-derived tissues, show diverse expression<br />

patterns in peripheral tissues like <strong>the</strong> liver or pancreas, but are not<br />

expressed in hematopoietic tissues like spleen, thymus, lymph node or<br />

peripheral blood lymphocytes. We show here that a strict correlation<br />

exists between <strong>the</strong> methylation status <strong>of</strong> <strong>the</strong> BEX2 5´ CpG-rich area and<br />

expression <strong>of</strong> BEX2 mRNA: BEX2-negative MLL wild-type (MLLwt) cell<br />

lines showed hypermethylation, BEX2-positive MLL mutant (MLLmu)<br />

cell lines showed hypomethylation <strong>of</strong> this specific CpG-rich area. Supporting<br />

<strong>the</strong> view that <strong>the</strong> expression <strong>of</strong> BEX2 is epigenetically regulated,<br />

we found that treatment <strong>of</strong> MLLwt cell lines with <strong>the</strong> demethylating<br />

agent Aza-2´deoxycytidine (Aza) induced BEX2 expression in<br />

MLLwt cell lines. Fur<strong>the</strong>rmore, treatment <strong>of</strong> MLLwt cell lines with <strong>the</strong><br />

HDAC inhibitor trichostatin provoked upregulation <strong>of</strong> BEX2 mRNA in<br />

<strong>the</strong>se cells, alone and in combination with <strong>the</strong> demethylating agent Aza.<br />

Chromatin immunoprecipitation assays confirmed <strong>the</strong> specific binding<br />

<strong>of</strong> acetylated histone H3 to <strong>the</strong> BEX2 5´region in BEX2-positive, but not<br />

in BEX2-negative cells. Methylated CpG-rich areas may not only silence<br />

genes by recruitment <strong>of</strong> HDAC and histone methyltransferases, but also<br />

by preventing binding <strong>of</strong> specific transcription factors to <strong>the</strong>ir DNA target<br />

regions. The CpG-rich area in <strong>the</strong> 5´region <strong>of</strong> BEX2 contains an<br />

ARNT-1 binding site. Stimulation <strong>of</strong> cells with 3-methylcholantrene (3-<br />

MC) leads to binding <strong>of</strong> <strong>the</strong> receptor AhR to ARNT-1, translocation <strong>of</strong><br />

<strong>the</strong> AhR/ARNT-1 complex from <strong>the</strong> cytoplasm into <strong>the</strong> nucleus, and<br />

induction <strong>of</strong> ARNT-1 target genes like CYP1A1. A clearly positive effect<br />

<strong>of</strong> 3-MC on BEX2 expression was detectable only, if MLLwt cells were<br />

preincubated with Aza. These data suggest that BEX2 negativity in<br />

MLLwt cell lines is <strong>the</strong> consequence <strong>of</strong> CpG hypermethylation, recruitment<br />

<strong>of</strong> HDAC and prevention <strong>of</strong> ARNT-1 binding to its cognate binding<br />

site.<br />

0152<br />

DOWN REGULATION OF DLX3 EXPRESSION IN MLL/AF4 CHILDHOOD LYMPHOBLASTIC<br />

LEUKEMIAS IS MEDIATED BY PROMOTER REGION HYPERMETHYLATION<br />

M. Campo Dell'Orto, 1 B. Banelli, 2 E. Giarin, 1 B. Accordi, 1 L. Trentin, 1<br />

M. Romani, 2 G. Te Kronnie, 1 G. Basso1 1 2 University <strong>of</strong> Padua, PADUA; Laboratory <strong>of</strong> Experimental Oncology C,<br />

GENOA, Italy<br />

Background. Chromosomal translocations that inactivate or create new<br />

fusion genes are a common hallmark <strong>of</strong> acute lymphoblastic leukemia<br />

(ALL) and may serve as diagnostic and prognostic markers in subtypes<br />

<strong>of</strong> ALL. Aberrant methylation <strong>of</strong> clustered cytosine-guanosine motifs<br />

(CpG), especially in CpG islands located in gene promoter regions, is an<br />

early and essential step in tumour development and methylation has<br />

been proved to be a mechanism <strong>of</strong> gene silencing as common as <strong>the</strong> disruption<br />

<strong>of</strong> tumour-suppressor genes by mutation or deletion. Moreover,<br />

DNA hypermethylation and transcriptional silencing <strong>of</strong> genes involved<br />

in tumor invasiveness, cell growth and apoptosis, may also influence<br />

recurrence after treatment and overall survival. Inactivation <strong>of</strong> cancerrelated<br />

genes by DNA methylation is a frequent event also in paediatric<br />

and adult ALL and, by looking at differences in <strong>the</strong> methylation pattern<br />

<strong>of</strong> multiple genes, specific risk groups among patients have been identified.<br />

The DLX genes implicated in haematopoiesis and in a number <strong>of</strong><br />

o<strong>the</strong>r processes with highly dynamic spatio-temporal expression patterns<br />

and well-defined CpG islands in <strong>the</strong>ir promoter regions, are attractive<br />

targets for methylation studies in leukemia subtypes. In particular,<br />

<strong>the</strong> down-regulation <strong>of</strong> DLX2, 3 and 4 had been described in a group <strong>of</strong><br />

paediatric B-ALL characterized by <strong>the</strong> t(4;11)(MLL-AF4) chromosomal<br />

rearrangement and, in several cancer cell lines, is directly connected to<br />

an increased resistance to apoptosis. The presence <strong>of</strong> extended CpG<br />

islands at <strong>the</strong> 5’ end <strong>of</strong> DLX2, 3 and 4 genes, <strong>the</strong>ir possible role in resistance<br />

to apoptosis, and <strong>the</strong> recent finding <strong>of</strong> DLX5 promoter methylation<br />

as one <strong>of</strong> <strong>the</strong> epigenetic markers <strong>of</strong> chronic lymphoblastic leukemia,<br />

prompted us to study <strong>the</strong> methylation and gene expression pattern <strong>of</strong><br />

DLX2, 3 and 4 in specific paediatric ALL subtypes. Aims. Our main purpose<br />

was to understand if, in pediatric leukemias, <strong>the</strong> methylation <strong>of</strong><br />

DLX2, 3 and 4 genes could have a functional role in <strong>the</strong>ir gene and protein<br />

expression and if differential methylation patterns were able to dis-

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