Abstract
Malignant transformation of T-cell progenitors causes T-cell acute lymphoblastic leukemia (T-ALL), an aggressive childhood lymphoproliferative disorder. Activating mutations of Notch, Notch1 and Notch3, have been detected in T-ALL patients. In this study, we aimed to deeply characterize hyperactive Notch3-related pathways involved in T-cell dynamics within the thymus and bone marrow to propose these processes as an important step in facilitating the progression of T-ALL. We previously generated a transgenic T-ALL mouse model (N3-ICtg) demonstrating that aberrant Notch3 signaling affects early thymocyte maturation programs and leads to bone marrow infiltration by CD4+CD8+ (DP) T cells that are notably, Notch3highCXCR4high. Newly, our in vivo results suggest that an anomalous immature thymocyte subpopulation, such as CD4−CD8− (DN) over-expressing CD3ɛ, but with low CXCR4 expression, dominates N3-ICtg thymus-resident DN subset in T-ALL progression. MicroRNAs might be of significance in T-ALL pathobiology, however, whether required for leukemia maintenance is not fully understood. The selection of specific DN subsets demonstrates the inverse correlation between CXCR4 expression and a panel of Notch3-deregulated miRNAs. Interestingly, we found that within DN thymocyte subset hyperactive Notch3 inhibits CXCR4 expression through the cooperative effects of miR-139-5p and miR-150-5p, thus impinging on thymocyte differentiation with accumulation of DNCD3ɛ+CXCR4− cells. These data point out that deregulation of Notch3 in T-ALL, besides its role in sustaining dissemination of abnormal DP T cells, as we previously demonstrated, could play a role in selecting specific DN immature T cells within the thymus, thus impeding T cell development, to facilitate T-ALL progression inside the bone marrow.
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The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation, to any qualified researcher.
Change history
25 July 2024
A Correction to this paper has been published: https://doi.org/10.1038/s41388-024-03111-3
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Acknowledgements
The authors wish to acknowledge Ilaria Pia Caporale, Federica Squillante, Noemi Martina Cantale Aeo and Marco Crisci for contribution to the experimental work, Laura Fasano for animal care assistance and the Flow Cytometry Facility at Center for Life Nano-Neuro Science, IIT, for support and technical advice.
Funding
This study was founded by the Sapienza University grants, Avvio alla Ricerca: (AR222181616D9D01) to SKP; Avvio alla Ricerca (AR1181643646B258) to GT; (AR123188AF112A64) to IS; Ateneo 2021 (RP12117A63FBA27C), 2022 (RP122181642E92CE), 2023 (RP123188F3C01EB7) to MPF; Ateneo 2021 (RM12117A71419448) to AFC; MIUR PNR 2015-2020 ARS01_00432, PROGEMA to IScre and by Italian Ministry of Education, University and Research – Dipartimenti di Eccellenza - L. 232/2016; Horizon 2020 (PH118164340087CF) to IScre. The manuscript has been supported by the Croatian Science Foundation grant number HRZZ IP-2020-02-2431(I. Scre and MPF).
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IS, CV and SKP designed and performed the experiments, analyzed the data and wrote the first draft of the paper. MDG, AO, FF, and GT performed the experiments. DP, SL, RLS and ZMB analyzed the data. FC, MAV, GB, DDB, ER, SI, SC and SM collaborated on the experiments and analyzed the data. GP did all the sorting experiments. IScre critically revised the manuscript. MPF and AFC supervised the experiments, analyzed the data, and wrote the manuscript. The authors read and approved the final manuscript.
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RNA samples were obtained from Patient-derived xenografts (PDTALL) after informed consent from all individual participants collected and following the Declaration of Helsinki. All the procedures were approved by the Ethics Committee with the protocol number AIEOP-BFM ALL 2009.
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Sergio, I., Varricchio, C., Patel, S.K. et al. Notch3-regulated microRNAs impair CXCR4-dependent maturation of thymocytes allowing maintenance and progression of T-ALL. Oncogene 43, 2535–2547 (2024). https://doi.org/10.1038/s41388-024-03079-0
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DOI: https://doi.org/10.1038/s41388-024-03079-0