The impact of SF3B1 mutations in CLL on the DNA-damage response

Leukemia. 2015 May;29(5):1133-42. doi: 10.1038/leu.2014.318. Epub 2014 Nov 5.

Abstract

Mutations or deletions in TP53 or ATM are well-known determinants of poor prognosis in chronic lymphocytic leukemia (CLL), but only account for approximately 40% of chemo-resistant patients. Genome-wide sequencing has uncovered novel mutations in the splicing factor sf3b1, that were in part associated with ATM aberrations, suggesting functional synergy. We first performed detailed genetic analyses in a CLL cohort (n=110) containing ATM, SF3B1 and TP53 gene defects. Next, we applied a newly developed multiplex assay for p53/ATM target gene induction and measured apoptotic responses to DNA damage. Interestingly, SF3B1 mutated samples without concurrent ATM and TP53 aberrations (sole SF3B1) displayed partially defective ATM/p53 transcriptional and apoptotic responses to various DNA-damaging regimens. In contrast, NOTCH1 or K/N-RAS mutated CLL displayed normal responses in p53/ATM target gene induction and apoptosis. In sole SF3B1 mutated cases, ATM kinase function remained intact, and γH2AX formation, a marker for DNA damage, was increased at baseline and upon irradiation. Our data demonstrate that single mutations in sf3b1 are associated with increased DNA damage and/or an aberrant response to DNA damage. Together, our observations may offer an explanation for the poor prognosis associated with SF3B1 mutations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Apoptosis
  • Ataxia Telangiectasia Mutated Proteins / metabolism
  • Cohort Studies
  • DNA Damage
  • DNA Mutational Analysis
  • Doxorubicin / pharmacology
  • Flow Cytometry
  • Gene Deletion
  • Gene Expression Regulation, Leukemic*
  • Genome, Human
  • Histones / metabolism
  • Humans
  • Imidazoles / pharmacology
  • Leukemia, Lymphocytic, Chronic, B-Cell / genetics*
  • Mutation*
  • Phosphoproteins / genetics*
  • Piperazines / pharmacology
  • Prognosis
  • RNA Splicing Factors
  • Receptor, Notch1 / genetics
  • Ribonucleoprotein, U2 Small Nuclear / genetics*
  • Tumor Suppressor Protein p53 / genetics
  • Vidarabine / analogs & derivatives
  • Vidarabine / pharmacology

Substances

  • H2AX protein, human
  • Histones
  • Imidazoles
  • NOTCH1 protein, human
  • Phosphoproteins
  • Piperazines
  • RNA Splicing Factors
  • Receptor, Notch1
  • Ribonucleoprotein, U2 Small Nuclear
  • SF3B1 protein, human
  • TP53 protein, human
  • Tumor Suppressor Protein p53
  • nutlin 3
  • Doxorubicin
  • ATM protein, human
  • Ataxia Telangiectasia Mutated Proteins
  • Vidarabine
  • fludarabine