Homing and invasiveness of MLL/ENL leukemic cells is regulated by MEF2C

Blood. 2009 Sep 17;114(12):2476-88. doi: 10.1182/blood-2008-05-158196. Epub 2009 Jul 7.

Abstract

Acute myelogenous leukemia is driven by leukemic stem cells (LSCs) generated by mutations that confer (or maintain) self-renewal potential coupled to an aberrant differentiation program. Using retroviral mutagenesis, we identified genes that generate LSCs in collaboration with genetic disruption of the gene encoding interferon response factor 8 (Irf8), which induces a myeloproliferation in vivo. Among the targeted genes, we identified Mef2c, encoding a MCM1-agamous-deficiens-serum response factor transcription factor, and confirmed that overexpression induced a myelomonocytic leukemia in cooperation with Irf8 deficiency. Strikingly, several of the genes identified in our screen have been reported to be up-regulated in the mixed-lineage leukemia (MLL) subtype. High MEF2C expression levels were confirmed in acute myelogenous leukemia patient samples with MLL gene disruptions, prompting an investigation of the causal interplay. Using a conditional mouse strain, we demonstrated that Mef2c deficiency does not impair the establishment or maintenance of LSCs generated in vitro by MLL/ENL fusion proteins; however, its loss led to compromised homing and invasiveness of the tumor cells. Mef2c-dependent targets included several genes encoding matrix metalloproteinases and chemokine ligands and receptors, providing a mechanistic link to increased homing and motility. Thus, MEF2C up-regulation may be responsible for the aggressive nature of this leukemia subtype.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Bone Marrow Transplantation
  • Cell Movement
  • Cell Proliferation
  • Cell Transformation, Neoplastic
  • Colony-Forming Units Assay
  • DNA-Binding Proteins / genetics
  • DNA-Binding Proteins / metabolism*
  • Female
  • Gene Expression Profiling
  • Gene Expression Regulation, Leukemic
  • Humans
  • Interferon Regulatory Factors / physiology
  • Leukemia Virus, Murine / physiology
  • Leukemia, Myelomonocytic, Acute / genetics
  • Leukemia, Myelomonocytic, Acute / metabolism*
  • Leukemia, Myelomonocytic, Acute / pathology*
  • MEF2 Transcription Factors
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Inbred NOD
  • Mice, SCID
  • Myeloid-Lymphoid Leukemia Protein / genetics
  • Myeloid-Lymphoid Leukemia Protein / metabolism*
  • Myogenic Regulatory Factors / metabolism*
  • Neoplasm Invasiveness
  • Neoplasm Proteins / genetics
  • Neoplasm Proteins / metabolism
  • Neoplastic Stem Cells / pathology*
  • Oligonucleotide Array Sequence Analysis
  • Oncogene Proteins, Fusion / genetics
  • Oncogene Proteins, Fusion / metabolism
  • Transcription Factors / genetics
  • Transcription Factors / metabolism*
  • Transduction, Genetic

Substances

  • DNA-Binding Proteins
  • Interferon Regulatory Factors
  • MEF2 Transcription Factors
  • Mef2c protein, mouse
  • Mllt1 protein, mouse
  • Myogenic Regulatory Factors
  • Neoplasm Proteins
  • Oncogene Proteins, Fusion
  • Transcription Factors
  • interferon regulatory factor-8
  • Myeloid-Lymphoid Leukemia Protein