Abstract
t(17;19)-acute lymphoblastic leukemia (ALL) shows extremely poor prognosis. E2A-HLF derived from t(17;19) blocks apoptosis induced by the intrinsic mitochondrial pathway and has a central role in leukemogenesis and chemoresistance. Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) is expressed on cytotoxic T cells and natural killer cells and binds with death receptors (DR4/DR5), inducing apoptosis by dual activation of intrinsic and extrinsic pathways, and TRAIL mediates the graft-versus-leukemia (GVL) effect after allogeneic stem cell transplantation (allo-SCT). We found that cell lines and patients' samples of t(17;19)-ALL expressed death receptors for TRAIL, and recombinant soluble TRAIL immediately induced apoptosis into t(17;19)-ALL cell lines. E2A-HLF induced gene expression of DR4/DR5, which was dependent on the DNA-binding and transactivation activities of E2A-HLF through the 5′ upstream region of the start site at least in the DR4 gene. Introduction of E2A-HLF into non-t(17;19)-ALL cell line upregulated DR4 and DR5 expression, and sensitized to proapoptotic activity of recombinant soluble TRAIL. Finally, a newly diagnosed t(17;19)-ALL patient underwent allo-SCT immediately after induction of first complete remission, and the patient has survived without relapse for over 3–1/2 years after allo-SCT. These findings suggest that E2A-HLF sensitizes t(17;19)-ALL to the GVL effect by upregulating death receptors for TRAIL.
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Acknowledgements
We thank H Goto (Department of Pediatrics, Yokohama City University, Japan) for YCUB-2 cell line, F Rauscher III (Wister Institute, PA) for the pMT-CB6+ expression vector and T Sakai (Department of Molecular-Targeting Cancer Prevention, Kyoto Prefectural University of Medicine, Japan) for the vectors for DR5 reporter assay. This work was supported in part by research grants from the Ministry of Education, Science and Culture in Japan.
Author contributions
XZ performed experiments and analyzed the data; TI designed the project, analyzed the data and wrote the manuscript; KH, KA, IK, HH, KK, KG, performed experiments; KN, MK, ME provided critical tools for analysis; HY, HK, HH provided critical tools for analysis and wrote the manuscript; ATL designed and supervised the project; HH provided critical tools for analysis; TI designed the project and wrote the manuscript; SN supervised the project; KS supervised the project and wrote the manuscript.
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Zhang, X., Inukai, T., Hirose, K. et al. Oncogenic fusion E2A-HLF sensitizes t(17;19)-positive acute lymphoblastic leukemia to TRAIL-mediated apoptosis by upregulating the expression of death receptors. Leukemia 26, 2483–2493 (2012). https://doi.org/10.1038/leu.2012.139
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DOI: https://doi.org/10.1038/leu.2012.139
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