ERG promotes T-acute lymphoblastic leukemia and is transcriptionally regulated in leukemic cells by a stem cell enhancer

JAI Thoms, Y Birger, S Foster… - Blood, The Journal …, 2011 - ashpublications.org
JAI Thoms, Y Birger, S Foster, K Knezevic, Y Kirschenbaum, V Chandrakanthan…
Blood, The Journal of the American Society of Hematology, 2011ashpublications.org
The Ets-related gene (ERG) is an Ets-transcription factor required for normal blood stem cell
development. ERG expression is down-regulated during early T-lymphopoiesis but
maintained in T-acute lymphoblastic leukemia (T-ALL), where it is recognized as an
independent risk factor for adverse outcome. However, it is unclear whether ERG is directly
involved in the pathogenesis of T-ALL and how its expression is regulated. Here we
demonstrate that transgenic expression of ERG causes T-ALL in mice and that its …
Abstract
The Ets-related gene (ERG) is an Ets-transcription factor required for normal blood stem cell development. ERG expression is down-regulated during early T-lymphopoiesis but maintained in T-acute lymphoblastic leukemia (T-ALL), where it is recognized as an independent risk factor for adverse outcome. However, it is unclear whether ERG is directly involved in the pathogenesis of T-ALL and how its expression is regulated. Here we demonstrate that transgenic expression of ERG causes T-ALL in mice and that its knockdown reduces the proliferation of human MOLT4 T-ALL cells. We further demonstrate that ERG expression in primary human T-ALL cells is mediated by the binding of other T-cell oncogenes SCL/TAL1, LMO2, and LYL1 in concert with ERG, FLI1, and GATA3 to the ERG +85 enhancer. This enhancer is not active in normal T cells but in transgenic mice targets expression to fetal liver c-kit+ cells, adult bone marrow stem/progenitors and early CD4CD8 double-negative thymic progenitors. Taken together, these data illustrate that ERG promotes T-ALL and that failure to extinguish activity of stem cell enhancers associated with regulatory transcription factors such as ERG can contribute to the development of leukemia.
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