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Publication : Mutant CEBPA directly drives the expression of the targetable tumor-promoting factor CD73 in AML.

First Author  Jakobsen JS Year  2019
Journal  Sci Adv Volume  5
Issue  7 Pages  eaaw4304
PubMed ID  31309149 Mgi Jnum  J:285496
Mgi Id  MGI:6400376 Doi  10.1126/sciadv.aaw4304
Citation  Jakobsen JS, et al. (2019) Mutant CEBPA directly drives the expression of the targetable tumor-promoting factor CD73 in AML. Sci Adv 5(7):eaaw4304
abstractText  The key myeloid transcription factor (TF), CEBPA, is frequently mutated in acute myeloid leukemia (AML), but the direct molecular effects of this leukemic driver mutation remain elusive. To investigate CEBPA mutant AML, we performed microscale, in vivo chromatin immunoprecipitation sequencing and identified a set of aberrantly activated enhancers, exclusively occupied by the leukemia-associated CEBPA-p30 isoform. Comparing gene expression changes in human CEBPA mutant AML and the corresponding Cebpa (Lp30) mouse model, we identified Nt5e, encoding CD73, as a cross-species AML gene with an upstream leukemic enhancer physically and functionally linked to the gene. Increased expression of CD73, mediated by the CEBPA-p30 isoform, sustained leukemic growth via the CD73/A2AR axis. Notably, targeting of this pathway enhanced survival of AML-transplanted mice. Our data thus indicate a first-in-class link between a cancer driver mutation in a TF and a druggable, direct transcriptional target.
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