Proteomics

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Germline variant GFI1-36N affects DNA repair in AML cells resulting in sensitivity to DNA damage and repair therapy


ABSTRACT: Transcriptional repressor Growth factor independence 1 (GFI1) is a key regulator of haematopoiesis. We previously established that the germline variant GFI1-36N promotes acute myeloid leukemia (AML) development, however the mechanism is not full elucidated. Here using multi-omics approach, we show GFI1-36N expression impedes DNA repair in leukemic cells. We demonstrate the presence of GFI1-36N is associated with increased frequency of chromosomal aberrations and mutational burden in murine and human AML cells. In particular, GFI1-36N modulates DNA repair pathways, O6-methylguanine-DNA-methyltransferase (MGMT) and homologous recombination repair (HR). Mechanistically, GFI1-36N exhibits impaired binding to Ndrg1 promoter element compared to GFI1-36S (wild type), causing decreased NDRG1 levels consequently leading to suppression of MGMT expression, imprinted at the transcriptome and proteome, thus leaving the AML cells vulnerable to DNA damaging agents. Targeting MGMT via temozolomide and HR via olaparib caused specifically extensive lethality in in vitro and ex vivo human and AML samples expressing GFI1-36N. Whereas the effects were insignificant on non-malignant GFI1-36S or GFI1-36N cells. Further, mice transplanted with GFI1-36N leukemic cells treated with combination of temozolomide and olaparib had a significantly longer AML-free survival than mice transplanted with GFI1-36S leukemic cells. In summary, we show that GFI1-36N disturbs DNA repair activity via NDRG1-MGMT axis and thus provides critical insights into novel therapeutic option for AML presented with GFI1-36N variant. Key Points Presence of GFI1-36N impedes Homologous DNA and MGMT DNA repair selectively in AML cells via the NDRG1-MGMT axis. Use of temozolomide and olaparib allows selectively targeting GFI1-36N leukemic cells. Introduction Gfi1 is a transcription factor which regulates the development of haematopoietic cells as well as neuronal and intestinal epithelial cells 1-5. We reported that a variant of GFI1, denominated GFI1-36N (characterized by an exchange of serine to asparagine at position 36), has a prevalence of 5-7% in a healthy control population but is found at an increased frequency of 10-15% among MDS and AML patients 6,7. The expression of germline variant GFI1-36N predisposes the carriers to develop de novo AML and MDS and correlates with a poor prognosis 6,7. Recently, we and other showed that malignant cells with GFI1-36N variant have increased H3K9-acetylation at target genes resulting in higher expression of genes required for cell survival and proliferation 8. GFI1 exerts its repressive role by recruiting histone-modifying enzymes (deacetylases HDAC1-3, demethylase LSD1, methyl transferase G9a) and regulates the accessibility of DNA to its target genes such as Hoxa9, Pbx1, Meis1, CSF1 and CSFR1 9-15. We also showed that GFI1 regulates apoptosis through its regulation of p53 in lymphoblastic leukemia 16 and we have demonstrated that GFI1 facilitates DNA repair 17. However, it is not known how these activities are affected in the GFI1-36N variant and whether the ability of GFI1 to regulate DNA repair pathways is maintained and how this might affect the development of myeloid malignancies. In this study, we leveraged multi-omics profiling to gain mechanistic insights into the molecular architecture that drives leukemia in the presence of GFI1-36N. We provide evidence that GFI1-36N interferes with DNA in leukemic myeloid cells, which leads to a higher frequency of genetic aberrations in MDS/AML cells. We also show that GFI1-36N myeloid leukemic cells are more sensitive to targeting MGMT and HR repair deficient cells, which opens a new selective therapeutic window to treat AML/MDS.

INSTRUMENT(S): Q Exactive HF

ORGANISM(S): Homo Sapiens (human)

TISSUE(S): Blood Cell, Blood

DISEASE(S): Acute Leukemia

SUBMITTER: Ashokkumar Jayavelu  

LAB HEAD: Dr.Ashok Kumar Jayavelu

PROVIDER: PXD037433 | Pride | 2024-01-26

REPOSITORIES: Pride

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Germ line variant GFI1-36N affects DNA repair and sensitizes AML cells to DNA damage and repair therapy.

Frank Daria D   Patnana Pradeep Kumar PK   Vorwerk Jan J   Mao Lianghao L   Gopal Lavanya Mokada LM   Jung Noelle N   Hennig Thorben T   Ruhnke Leo L   Frenz Joris Maximillian JM   Kuppusamy Maithreyan M   Autry Robert R   Wei Lanying L   Sun Kaiyan K   Mohammed Ahmed Helal Mohammed HM   Künstner Axel A   Busch Hauke H   Müller Heiko H   Hutter Stephan S   Hoermann Gregor G   Liu Longlong L   Xie Xiaoqing X   Al-Matary Yahya Y   Nimmagadda Subbaiah Chary SC   Cano Fiorella Charles FC   Heuser Michael M   Thol Felicitas F   Göhring Gudrun G   Steinemann Doris D   Thomale Jürgen J   Leitner Theo T   Fischer Anja A   Rad Roland R   Röllig Christoph C   Altmann Heidi H   Kunadt Desiree D   Berdel Wolfgang E WE   Hüve Jana J   Neumann Felix F   Klingauf Jürgen J   Calderon Virginie V   Opalka Bertram B   Dührsen Ulrich U   Rosenbauer Frank F   Dugas Martin M   Varghese Julian J   Reinhardt Hans Christian HC   von Bubnoff Nikolas N   Möröy Tarik T   Lenz Georg G   Batcha Aarif M N AMN   Giorgi Marianna M   Selvam Murugan M   Wang Eunice E   McWeeney Shannon K SK   Tyner Jeffrey W JW   Stölzel Friedrich F   Mann Matthias M   Jayavelu Ashok Kumar AK   Khandanpour Cyrus C  

Blood 20231201 25


<h4>Abstract</h4>Growth factor independence 1 (GFI1) is a DNA-binding transcription factor and a key regulator of hematopoiesis. GFI1-36N is a germ line variant, causing a change of serine (S) to asparagine (N) at position 36. We previously reported that the GFI1-36N allele has a prevalence of 10% to 15% among patients with acute myeloid leukemia (AML) and 5% to 7% among healthy Caucasians and promotes the development of this disease. Using a multiomics approach, we show here that GFI1-36N expre  ...[more]

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