EVI1 controls proliferation in acute myeloid leukaemia through modulation of miR-1-2

Bakground: The EVI1(ecotropic virus integration site 1) gene codes for a zinc-finger transcription factor, whose transcriptional activation leads to a particularly aggressive form of acute myeloid leukaemia (AML). Although, EVI1 interactions with key proteins in hematopoiesis have been previously described, the precise role of this transcription factor in promoting leukaemic transformation is not completely understood. Recent works have identified specific microRNA (miRNA) signatures in different AML subgroups. However, there is no analysis of miRNAs profiles associated with EVI1 overexpression in humans. Methods: We performed QT-RT–PCR to assess the expression of 250 miRNAs in cell lines with or without EVI1 overexpression and in patient samples. We used ChIP assays to evaluated the possible binding of EVI1 binding to the putative miRNA promoter. Proliferation of the different cell lines transfected with the anti- or pre-miRs was quantified by MTT. Results: Our data showed that EVI1 expression was significantly correlated with the expression of miR-1-2 and miR-133-a-1 in established cell lines and in patient samples. ChIP assays confirmed that EVI1 binds directly to the promoter of these two miRNAs. However, only miR-1-2 was involved in abnormal proliferation in EVI1 expressing cell lines. Conclusions: Our data showed that EVI1 controls proliferation in AML through modulation of miR-1-2. This study contributes to further understand the transcriptional networks involving transcription factors and miRNAs in AML.

The human EVI1 (ecotropic virus integration site 1) gene is located on 3q26.2, a region frequently rearranged in acute myeloid leukaemia (AML) (Wieser, 2007). Most patients with 3q26 rearrangements overexpress EVI1. However, its expression is also elevated in about 10% of AML patients with no 3q aberrations, as a result of so far unknown mechanisms (Wieser, 2007). Of importance, EVI1 overexpression associates with poor prognosis and a shorter survival in AML (Nucifora et al, 2006).
MicroRNAs (miRNAs) are small non-coding RNAs that negatively regulate gene expression by repressing translation or inducing sequence-specific degradation of target mRNAs (Bartel, 2004). MicroRNAs play important roles in numerous cellular processes including hematopoiesis (Shivdasani, 2006;Lawrie, 2007;Fatica, 2006 no. 13). Over the past 3 years, several groups have described miRNA signatures associated with recurrent cytogenetic, molecular aberrations and with outcome in AML (Fabbri et al, 2008). However, anything is known about a miRNA profile in human AML patients with 3q26 rearrangements or EVI1 over-expression. It has been reported that miRNA regulation is mediated by lineage-specific transcription factors involved in the developmental and differentiation processes (Bartel, 2004;Choong et al, 2007;Fazi et al, 2005). Interestingly, EVI1 and miRNAs have important roles in development and cell differentiation (Perkins et al, 1991). In this study, we establish a miRNA signature in AML that could be possibly regulated by overexpression of EVI1. We found a strong positive correlation between the expression levels of EVI1 and clustered microRNAs miR-1-2/ 133a-1 in AML cell lines and in patient samples. We demonstrated that EVI1 binds to a region upstream of the miRNA cluster resulting in an upregulation of miR-1-2/133a-1. Furthermore, functional studies showed that expression of miR-1-2 was associated with enhanced proliferation in AML.
All-trans retinoic acid (ATRA) and DMSO treatments All-trans retinoic acid (ATRA) and DMSO (Sigma-Aldrich) were used as previously reported (Kazama et al, 1999). Cell morphology was evaluated in conventional light-field microscopy.

Statistical analysis
Class comparison and significant analysis of microarrays (SAMs) were performed to identify differentially expressed miRNAs.
To make the analysis more restrictive and avoid false positives, Po0.01 was interpreted to denote statistical significance. To evaluate the correlation between EVI1 and miRNAs levels expression in cell lines and patient samples we used Spearman's rank correlation coefficient because EVI1 values lacked a normal distribution. DCt EVI1 (Ct EVI1-Ct GADPH) and DCt miRNA (Ct miRNA-Ct snRNA U6B) were used instead of raw data Ct as a way to normalise data. A value of Po0.05 was interpreted to denote statistical significance. Statistical analysis was performed using the SPSS 15.0 statistical package.

RESULTS
To identify EVI1-miRNA signatures in AML, we choose eight cell lines previously reported to be either positive or negative for EVI1 expression. We confirmed EVI1 expression at the mRNA and protein level in these cell lines ( Figure 1A and B) and we analysed the expression levels of 250 mature miRNAs by qRT -PCR. After raw data Ct normalisation, statistical analysis was performed by class comparison and SAM to identify differentially expressed miRNAs between the two groups. Several miRNAs were identified by using each method, and six of them were common to both lists ( Figure 1C). Among these miRNAs, we found that miR-1-2 and miR-133a-1 showed the highest correlation coefficient with EVI1 expression (R ¼ 0.905 and R ¼ 0.902, respectively) and the best significance value (P ¼ 0.002) ( Figure 1D). Thus, we decided to validate these two candidates in a cohort of 44 AML patient samples (20 with EVI1 overexpression). We found a significant correlation between the EVI1 mRNA and both miRNAs expression levels (R ¼ 0.772 and 0.695 for miR-1-2 and miR-133a-1, respectively; Po0.001) ( Figure 1E). Thus, EVI1 may be involved in triggering or maintaining miR-1-2 and miR-133a-1 expression in AML and favouring the perpetuation of the neoplastic phenotype in these tumours.
miR-1-2 and miR-133a-1 are clustered together in the same loci at chromosome 18 (Liu et al, 2007), suggesting that their transcription might be regulated by similar mechanisms. To elucidate whether EVI1 acts as a transcription factor for these two microRNAs, we examine their putative promoters using bioinformatics prediction tools. Interestingly, there were several binding sites for EVI1 in the upstream regions of both miR-1-2 and miR-133a-1 (Figure 2A). ChIP assays showed that EVI1 was bound only to the region upstream miR-1-2, but not upstream miR-133a-1 ( Figure 2B). The occupancy of this site by EVI1 was also confirmed by qRT -PCR ( Figure 2C).
The P19 cell line expresses EVI1 during ATRA-induced neuroectodermal differentiation, but not during DMSO-induced mesodermal. Thus, we assess whether EVI1 induction in this model could also lead to miR-1-2/133a-1 expression. Consistently, we could detect an increase in both EVI1 and miR-1-2/133a-1 levels during ATRA-induced differentiation ( Figure 2D). Importantly, reducing the levels of EVI1 by siRNA resulted concomitant decrease of these miRNAs ( Figure 2E). Altogether, these data suggest a positive regulation of miR-1-2 and miR-133a-1 expression by EVI1.
Finally, we wanted to elucidate whether modulation of expression levels of these two miRNAs would have a functional outcome in AML cell lines. As EVI1 overexpression has been linked with abnormal proliferation (Yuasa et al, 2005;Goyama et al, 2008) first, we assessed this function. We found that inhibition of miR-1-2 in the EVI1-positive HEL cell line induced a significant decreased in the proliferation potential of these cells. Interestingly, inhibition of miR-133a-1 resulted in a moderately decreased in the proliferation. When we transfected both of them together, we observed an effect that was very similar to the one produced by the antimiR-1 alone ( Figure 2F). Of importance transfer of premiR-1, in the EVI1-negative cell line HL-60 resulted in a significant increased in the proliferation. However, transfer of premiR-133a-1 did not show any effect ( Figure 2F). These data indicated that miR-1 could be a critical regulator of proliferation in EVI1 overexpressing cell lines.

DISCUSSION
MicroRNAs have important roles in hematopoiesis, and also in the molecular pathogenesis of AML (Fabbri et al, 2008). To date, different miRNA signatures have been associated with defined AML cytogenetic subgroups. However, even though there is one study about miRNAs expression in relation with EVI1 overexpresssion in mice (Dickstein et al, 2010), there are no studies analysing the differential miRNAs expression in AML patients with EVI1 aberrant expression. Thus, this is the first study describing a miRNA profile associated with EVI1 overexpression in human AML. This EVI1-associated signature consists of six different miRNAs, of which miR-1 and miR-133a-1 showed the highest correlation with EVI1 levels in both cell lines and patient samples. Interestingly, Marcucci et al (2010) reported the upregulation of these two miRNAs in a set of AML patient with normal karyotype and a mutation in IDH2, indicating a possible role for these miRNAs in the malignant phenotype of AML patients. We found that miR-1-2 expression was involved in proliferation but not miR-133a-1. Nevertheless, we do not discard the hypothesis that miR-133a-1 could be involved in other functions such as inhibition of differentiation. miR-1-2 and miR-133a-1 as targets of EVI1 in AML In conclusion, this study provides new insight in our understanding of the role of EVI1 in AML. Our results demonstrate for the first time a functional relationship between EVI1 and miRNAs expression. Moreover, uncovers a new pathway that could lead to the development of novel therapeutic approaches to treat EVI1-overexpressing leukaemia patients.  Amplification of negative control (no DNA), input chromatin (input) and mock-immunoprecipitated chromatin (no Ab) were carried out as controls.
(C) Quantitative real-time PCR was performed with oligos no. 1. Input chromatin was used as a normaliser. Error bars represent standard deviation. Results from a representative experiment, out of three, are shown. (D) Expression levels of mRNA EVI1, miR-1-2 and miR-133a-1 in cells treated with DMSO 1% or ATRA 1 mM relative to P19 control cells, b-actin and snRNA U6B levels were used as normalisers for mRNA and miRNAs levels, respectively. (E) Quantification of mRNA EVI1, miR-1-2, and miR-133a-1 in P19 transfected with a scramble or an EVI1 siRNA, during the ATRA treatment. (F) HEL and HL-60 cells were respectively transfected with premiRs or anti-miRs, as indicated, and cell proliferation was measured at different time points. Untreated cells day 0 was given an arbitrary value of 1 and all the values were normalised with this group. Abbreviation: a.u. ¼ arbitrary unit. miR-1-2 and miR-133a-1 as targets of EVI1 in AML