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Publication : GSK3 Deficiencies in Hematopoietic Stem Cells Initiate Pre-neoplastic State that Is Predictive of Clinical Outcomes of Human Acute Leukemia.

First Author  Guezguez B Year  2016
Journal  Cancer Cell Volume  29
Issue  1 Pages  61-74
PubMed ID  26766591 Mgi Jnum  J:231320
Mgi Id  MGI:5770188 Doi  10.1016/j.ccell.2015.11.012
Citation  Guezguez B, et al. (2016) GSK3 Deficiencies in Hematopoietic Stem Cells Initiate Pre-neoplastic State that Is Predictive of Clinical Outcomes of Human Acute Leukemia. Cancer Cell 29(1):61-74
abstractText  Initial pathway alternations required for pathogenesis of human acute myeloid leukemia (AML) are poorly understood. Here we reveal that removal of glycogen synthase kinase-3alpha (GSK-3alpha) and GSK-3beta dependency leads to aggressive AML. Although GSK-3alpha deletion alone has no effect, GSK-3beta deletion in hematopoietic stem cells (HSCs) resulted in a pre-neoplastic state consistent with human myelodysplastic syndromes (MDSs). Transcriptome and functional studies reveal that each GSK-3beta and GSK-3alpha uniquely contributes to AML by affecting Wnt/Akt/mTOR signaling and metabolism, respectively. The molecular signature of HSCs deleted for GSK-3beta provided a prognostic tool for disease progression and survival of MDS patients. Our study reveals that GSK-3alpha- and GSK-3beta-regulated pathways can be responsible for stepwise transition to MDS and subsequent AML, thereby providing potential therapeutic targets of disease evolution.
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