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Publication : Hif-1α and Hif-2α synergize to suppress AML development but are dispensable for disease maintenance.

First Author  Vukovic M Year  2015
Journal  J Exp Med Volume  212
Issue  13 Pages  2223-34
PubMed ID  26642852 Mgi Jnum  J:229015
Mgi Id  MGI:5750239 Doi  10.1084/jem.20150452
Citation  Vukovic M, et al. (2015) Hif-1alpha and Hif-2alpha synergize to suppress AML development but are dispensable for disease maintenance. J Exp Med 212(13):2223-34
abstractText  Leukemogenesis occurs under hypoxic conditions within the bone marrow (BM). Knockdown of key mediators of cellular responses to hypoxia with shRNA, namely hypoxia-inducible factor-1alpha (HIF-1alpha) or HIF-2alpha, in human acute myeloid leukemia (AML) samples results in their apoptosis and inability to engraft, implicating HIF-1alpha or HIF-2alpha as therapeutic targets. However, genetic deletion of Hif-1alpha has no effect on mouse AML maintenance and may accelerate disease development. Here, we report the impact of conditional genetic deletion of Hif-2alpha or both Hif-1alpha and Hif-2alpha at different stages of leukemogenesis in mice. Deletion of Hif-2alpha accelerates development of leukemic stem cells (LSCs) and shortens AML latency initiated by Mll-AF9 and its downstream effectors Meis1 and Hoxa9. Notably, the accelerated initiation of AML caused by Hif-2alpha deletion is further potentiated by Hif-1alpha codeletion. However, established LSCs lacking Hif-2alpha or both Hif-1alpha and Hif-2alpha propagate AML with the same latency as wild-type LSCs. Furthermore, pharmacological inhibition of the HIF pathway or HIF-2alpha knockout using the lentiviral CRISPR-Cas9 system in human established leukemic cells with MLL-AF9 translocation have no impact on their functions. We therefore conclude that although Hif-1alpha and Hif-2alpha synergize to suppress the development of AML, they are not required for LSC maintenance.
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