Abstract
Progression and disease relapse of chronic myeloid leukemia (CML) depends on leukemia-initiating cells (LIC) that resist treatment. Using mouse genetics and a BCR-ABL model of CML, we observed cross talk between Wnt/β-catenin signaling and the interferon-regulatory factor 8 (Irf8). In normal hematopoiesis, activation of β-catenin results in up-regulation of Irf8, which in turn limits oncogenic β-catenin functions. Self-renewal and myeloproliferation become dependent on β-catenin in Irf8-deficient animals that develop a CML-like disease. Combined Irf8 deletion and constitutive β-catenin activation result in progression of CML into fatal blast crisis, elevated leukemic potential of BCR-ABL-induced LICs, and Imatinib resistance. Interestingly, activated β-catenin enhances a preexisting Irf8-deficient gene signature, identifying β-catenin as an amplifier of progression-specific gene regulation in the shift of CML to blast crisis. Collectively, our data uncover Irf8 as a roadblock for β-catenin-driven leukemia and imply both factors as targets in combinatorial therapy.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Animals
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Benzamides / pharmacology
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Blast Crisis / genetics
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Blast Crisis / pathology
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Disease Progression*
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Drug Resistance, Neoplasm*
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Gene Expression Profiling
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Gene Expression Regulation, Neoplastic / drug effects
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Hematopoietic Stem Cells / drug effects
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Hematopoietic Stem Cells / metabolism
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Hematopoietic Stem Cells / pathology
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Humans
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Imatinib Mesylate
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Immunophenotyping
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Interferon Regulatory Factors / deficiency
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Interferon Regulatory Factors / metabolism*
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Leukemia, Myelogenous, Chronic, BCR-ABL Positive / genetics
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Leukemia, Myelogenous, Chronic, BCR-ABL Positive / pathology*
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Mice
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Myeloid Cells / drug effects
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Myeloid Cells / metabolism
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Neoplastic Stem Cells / metabolism
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Neoplastic Stem Cells / pathology
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Piperazines / pharmacology
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Pyrimidines / pharmacology
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Side-Population Cells / drug effects
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Side-Population Cells / metabolism
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Side-Population Cells / pathology
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Wnt Signaling Pathway*
Substances
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Benzamides
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Interferon Regulatory Factors
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Piperazines
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Pyrimidines
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interferon regulatory factor-8
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Imatinib Mesylate