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Acute myeloid leukemia

Altered expression of CSF3R splice variants impacts signal response and is associated with SRSF2 mutations

Abstract

Three annotated CSF3R mRNA splice variants have been described. CSF3R-V1 is the wild-type receptor, while CSF3R-V4 is a truncated form increased in some patients with AML. CSF3R-V3 mRNA was identified in placenta more than 20 years ago, but remains largely uncharacterized due to the lack of a suitable detection assay. Using a novel digital PCR method to quantitate expression of each CSF3R mRNA splice variant in hematopoietic cells, CSF3R-V1 was most highly expressed followed by CSF3R-V3. Functional assays revealed expression of V3 alone conferred a hypoproliferative phenotype associated with defective JAK-STAT activation. However, coexpression of V1 with V3 rescued proliferative responses. Comparative analysis of V3/V1 expression in CD34+ cells from healthy donors and patients with AML revealed a statistically significant increase in the V3/V1 ratio only in the subset of patients with AML harboring SRSF2 mutations. Knockout of SRFS2 in KG-1 and normal CD34+ cells decreased the V3/V1 ratio. Collectively, these data are the first to demonstrate expression of the CSF3R-V3 splice variant in primary human myeloid cells and a role for SRSF2 in modulating CSF3R splicing. Our findings provide confirmatory evidence that CSF3R is a target of SRSF2 mutations, which has implications for novel treatment strategies for SRSF2-mutated myeloid malignancies.

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Acknowledgements

This work was supported in part by The Kerry and Simone Vickar Family Foundation and the Leon Levine Foundation.

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AL and CGV designed and performed experiments, analyzed data, and contributed to writing the manuscript. LJD and BRA designed experiments, analyzed data, and wrote the manuscript. AH, MS, AP, and NMS designed and performed experiments and analyzed data. ET and ANF collected data. All authors assisted in editing the manuscript.

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Correspondence to Belinda R. Avalos.

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Lance, A., Druhan, L.J., Vestal, C.G. et al. Altered expression of CSF3R splice variants impacts signal response and is associated with SRSF2 mutations. Leukemia 34, 369–379 (2020). https://doi.org/10.1038/s41375-019-0567-9

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